- Humana (Tallahassee, FL)
- …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Sedgwick (Tallahassee, FL)
- …Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required. ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Community Health Systems (Naples, FL)
- …impact patient care and system performance. **What We Offer** + Competitive Compensation + Comprehensive Benefits: Medical, Dental, Vision, Life Insurance + Generous ... Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including… more
- Sharecare (Tallahassee, FL)
- …evaluated on a case by case basis and must be approved in advance._ ** Compensation :** $22.00/hour **Job Summary:** The role of the Family Health Advocate is an ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Modernizing Medicine (Boca Raton, FL)
- …will focus on advancing intelligent automation across the clinical and healthcare claims data lifecycle. The intern will work with cutting-edge generative AI and ... learning and generative AI models for clinical and healthcare claims data. + Apply LLM and NLP techniques to...your contribution deferred on up to 6% of your compensation . After one year of employment with ModMed, 100%… more
- MyFlorida (West Palm Beach, FL)
- …Salary: $17.00 per hour Posting Closing Date: 12/15/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) OPS - SENIOR CLERK FLORIDA ... service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This… more
- CDM Smith (Fort Myers, FL)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...**Pay Range Minimum:** $81,765 **Pay Range Maximum:** $134,909 **Additional Compensation :** All bonuses at CDM Smith are discretionary and… more
- Elevance Health (Tampa, FL)
- …information as needed. + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those claims should be ... matched to a member. + Manually matches or denies claims that are halted in our system because of...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- Walmart (Fort Myers, FL)
- …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible images alerting patients to inventory that is out… more
- Zelis (FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time,...Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to… more