- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...8. Perform queries and provide reports using various data management tools. 9. Support extended hours for same day… 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...it relates to trend analytics, total cost of care management , and/or healthcare economics functions + Medicaid experience +… more
- Sedgwick (Tampa, FL)
- …Prepares and communicates monthly financial reporting and other Operational reporting to senior management . + Plays a key role in the preparation of annual budgets ... opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements for entry-level… more
- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Elevance Health (Altamonte Springs, FL)
- …and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You Will Make an Impact** Primary ... purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. + Generates demand… more
- UIC Government Services and the Bowhead Family of Companies (Pensacola, FL)
- …of the T-45 sled simulation structures. * Interface with the Bowhead management to validate design compliance and manufacturing progress. * Coordinate logistics and ... 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… more
- Sarasota County Government (Sarasota, FL)
- …with parties to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases. + Schedule, ... for county court judges and provide back-up family and civil case management support, including temporary injunction hearings and domestic violence cases. + Assist… more
- MyFlorida (St. Petersburg, FL)
- …report (EARS) in a timely manner. + Enter services and process billing claims . + Enters Services and tracking process for Directions Behavioral Health program, ... review clinical notes match claims and authorization. Knowledge, skills and abilities, including utilization...+ State Group Insurance coverage options, including health, life, dental , vision, and other supplemental insurance options; + Retirement… more
- MyFlorida (Pensacola, FL)
- …a Career Service position located in the Office of Judges of Compensation Claims in Pensacola, FL. Contact Person: Lyna Hickman (Judge Walker) ### Salary: $36,000.00 ... years of Service with the State of Florida. BENEFITS: . Exceptional health, dental , and vision. . Tuition reimbursement. . Excellent retirement benefits program. .… more
- Kemper (Miami, FL)
- …assigned cases. + Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... of pleadings, briefs and memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur, but at no greater… more