- Cognizant (Tallahassee, FL)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve rejections interpreting… more
- AECOM (Tampa, FL)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... experience at an engineering, architecture or construction company + Claims /litigation handling, including management of outside counsel, relating to architecture,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Allegion (Orlando, FL)
- …and approving of branch personnel expense reports + Manage all workman's comp claims and participate in depositions pertaining to claims against the branch ... policies are being followed and manage all vehicle damage claims . + Participate in the weekly Field Manager's Call,...human potential. **What** **You'll** **Get from Us:** + Health, dental and vision insurance coverage, helping you "be safe,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zelis (St. Petersburg, 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 ... new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating… more
- MyFlorida (Miami, FL)
- …develop contract modifications, The role will also handle public concerns, review claims , recommend project acceptance, and work with FHWA on inspections and ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more