- Travelers Insurance Company (Tampa, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Sedgwick (Miami, FL)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Travelers Insurance Company (Tampa, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Molina Healthcare (St. Petersburg, FL)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- NextEra Energy (North Palm Beach, FL)
- …provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the Claims and Finance team ... Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, documenting… more
- Sedgwick (Orlando, FL)
- …+ Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation , Social Security ... 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
- The Hartford (Lake Mary, FL)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics,...of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily… more
- Sedgwick (Jacksonville, FL)
- …**_Bilingual/French Speaking Desk Adjuster_** **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through ... processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- Sedgwick (Jacksonville, FL)
- …PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more