- Cognizant (Tallahassee, FL)
- …assigned by management . **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... compliance with appropriate policies, procedures, and regulations + **Health, Dental , Vision, and Life Insurance as well as Paid...medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits… more
- USAA (Tampa, FL)
- …risks, and issues to stakeholders across multiple departments, including senior management , claims business partners, legal, and IT. Manage expectations ... development and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information … more
- Elevance Health (Tampa, FL)
- …The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with specific understanding ... **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be...programs (unless covered by a collective bargaining agreement), medical, dental , vision, short and long term disability benefits, 401(k)… 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 ... and/or process engineering/optimization. + Experience in successfully applying quality management , process improvement, and problem-solving tools and methodologies. +… 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...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Aviation Claims Surveyor **Job Locations: Singapore / Miami / Latin America** **Job Type: ... help you thrive in this exciting field. **What You'll Do** As an Aviation Claims Surveyor, you will: + Investigate aviation insurance claims ranging from minor… more
- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...communication materials to optimally present to various levels of management . + Incorporates visualization techniques to support the relevant… more
- CRC Insurance Services, Inc. (FL)
- …1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to ... (United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured,… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We offer a flexible work ... implementation to enable process redesign and innovation. Leads the overall management of process performance by developing control limits, monitoring key… more
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