- Sedgwick (Tallahassee, FL)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... and inclusion. **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims … more
- Travelers Insurance Company (Tampa, FL)
- …negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... our business partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Sedgwick (Orlando, FL)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make ... disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking...curriculum. + An assigned mentor and manager that will support and guide you on your career journey. +… more
- Sedgwick (Orlando, FL)
- …an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Molina Healthcare (Miami, FL)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- Molina Healthcare (Tampa, FL)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- AdventHealth (Maitland, FL)
- …Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... Medical Economics Manager must have attention to detail and competencies in decision support and reporting through converting raw data as well as for creating… more
- Centene Corporation (Tampa, FL)
- …timely status update reports to members and internal stakeholders to support transparency and improve the customer experience + Maintains up-to-date knowledge ... our products and services to provide accurate and effective support to customers + In some instances, researches and...some instances, researches and identifies basic and more complex claims payment errors and make appropriate adjustments to … more
- The Hartford (Lake Mary, FL)
- …Claim Performance Analytics group is seeking a Performance Analytics Consultant to support operational analytics initiatives. As a member of this team, this person ... of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes… more
- AdventHealth (Maitland, FL)
- …Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... attention to detail and competencies in contract language review, research, decision support , and financial analysis in the preparation and support of… more