- LCEC (North Fort Myers, FL)
- …workers' compensation , cyber, and auto coverage. Oversee insurance renewals, claims processing, broker relationships, and cost analysis + Manage the records ... management skills (Required) + Experience working with insurance markets and claims processes. (Required) + Knowledge of risk assessment methodologies, internal… more
- NextEra Energy (Miami, FL)
- …FPLES team, you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening to customers ... * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle situations which… more
- Evolent (Tallahassee, FL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- Sedgwick (Tallahassee, FL)
- …at any time. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job ... postings. Actual compensation is influenced by a wide range of factors...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- UIC Government Services and the Bowhead Family of Companies (Jacksonville, FL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Tallahassee, FL)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost...be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- Molina Healthcare (St. Petersburg, FL)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- University of Miami (Miami, FL)
- …processes relative to employee relations, recruitment and selection, compensation administration, benefit program administration, client relationship management and ... goals, objectives, and systems. * Partners with the manager to administer compensation changes, support recruitment efforts and needs, both with system driven data… more
- NextEra Energy (North Palm Beach, FL)
- …prioritize operational risks inherent in insurance operations, including underwriting, claims processing, operations, finance, actuarial, and regulatory compliance + ... operational risks, considering industry-specific factors + Work closely with underwriting, claims , actuarial, and other business units to develop and implement risk… more
- Sedgwick (Tampa, FL)
- …applications. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency ... in job postings. Actual compensation is influenced by a wide range of factors...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more