- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and… more
- Sedgwick (Tallahassee, FL)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise the… more
- Sedgwick (Tallahassee, FL)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To supervise a team of… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr , Professional Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...with accuracy, and work with the MPS Call Center Manager/ Supervisor /Team Lead and analyze the data for training purposes.… more
- Healthfirst (FL)
- …+ Recommend business controls to improve business results + Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project ... as performance of the Business/Project Analyst team. + Regularly meet with supervisor , peers, and stakeholders to drive high performance results. + Collaborate… more
- AdventHealth (Daytona Beach, FL)
- … the need for updates and corrections for the accurate and timely submission of claims . + Reports to the supervisor any unresolvable practice or system issues ... resulting in the untimely payment of claims . **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : + High School graduation or… more
- Highmark Health (Tallahassee, FL)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives… more
- Intermountain Health (Tallahassee, FL)
- …within the assigned department. The Cash Management Credit Balance Resolution Supervisor has the responsibility for overseeing all facets of credit resolution, ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on… more