- Highmark Health (Tallahassee, FL)
- …are met. Represent the department in compliance audits as it relates to the supervisor 's functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc.).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Acosta Group (Pensacola, FL)
- **DESCRIPTION** **Overview** The Retail Supervisor -Events is responsible for the management of effective, efficient and quality event execution in a designated ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to… more
- Mass Markets (Macdill AFB, FL)
- …a globally expanding, industry-leading organization. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Molina Healthcare (FL)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more
- Travelers Insurance Company (Tallahassee, FL)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- ICW Group (Orlando, FL)
- …+ Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists, ... company standards and best practices guidelines. + Manages complex claims and approves payment of benefits within higher designated...coding is correct. + Refers cases as appropriate to supervisor and management. + Prepares an action plan and… more
- MyFlorida (West Palm Beach, FL)
- …/ resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' affairs. ... vet center as needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans Affairs. This task will… more
- Percepta (Melbourne, FL)
- …of family and teamwork. Like the TSR role, the LTSR will support incoming dealer claims as well as escalated claims while assisting with floor coaching and ... a Typical Day, You'll** **Team Support:** * Deputizes for Supervisor when Supervisor is away, and delegates...real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number… more
- Allied Universal (Palm Coast, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more