• Utilization Management Representative I

    Elevance Health (Miami, FL)
    …incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient ... a Nurse reviewer. + Responsible for the identification and data entry of referral requests into the UM system...a minimum of 1 year of customer service or call- center experience; or any combination of education and experience… more
    Elevance Health (04/05/25)
    - Related Jobs

  • Claims Adjuster

    Carnival Cruise Line (Miami, FL)
    …guest's claim by analyzing shipboard records and the brand's passage contract to determine the company's position regarding liability before assessing appropriate ... and assessing damages. + Capable of analyzing complex situations, data , and evidence to make fair and accurate claims...+ Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director… more
    Carnival Cruise Line (04/03/25)
    - Related Jobs

  • Drafting/Product Definition Staff Technician T5…

    RTX Corporation (West Palm Beach, FL)
    …on IPT's as Product Definition delegate. + Prepare/Maintain various product related Teamcenter/NX Manager data in support of PW Class I and II Engineering ... program + Communicate with the F135 leadership and government contract on a weekly basis + Travel up to...We Prefer** + Strong skills in NX and Team Center tools and processes + Strong communication and teaming… more
    RTX Corporation (04/02/25)
    - Related Jobs