- Cognizant (Tallahassee, FL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...at any time in the future. **Salary and Other Compensation :** Applications will be accepted until August 8, 2025… more
- Sedgwick (Tallahassee, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level ... auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims ... of root cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** + Adjudicate or submit… more
- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start: ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...by law, NTT DATA provides a reasonable range of compensation for specific roles. The pay rate for this… more
- Molina Healthcare (Orlando, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Molina Healthcare (Jacksonville, FL)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... analyze data. **What sets you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims...Proven thought leader. + Experience in Safe Agile methodologies. Compensation range: The salary range for this position is:… more
- Cognizant (Tallahassee, FL)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to … more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more