- USAA (Tampa, FL)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a ... full-time Sr. Manager, Risk Management to work on the UHealth campus. The Sr....events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Humana (Tallahassee, FL)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- Sedgwick (Jacksonville, FL)
- …coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective ... PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with… more
- Aflac (FL)
- Group Dental Underwriter The Company: Aflac Columbus The Location: FL, US The Division: Dental & Vision Job Id: 8008 Salary Range: $65,000-$85,000 Job Posting ... HIAA or other insurance related courses + Background in Dental and/or Vision Underwriting is strongly preferred Travel +...growth and profit + Communicates with sales, administration and claims to assess the rating and administrative impact or… more
- Wounded Warrior Project (Jacksonville, FL)
- …veterans' benefits or advocacy. + Three years of experience utilizing VA claims technologies (eg, Veterans Benefits Management System, Caseflow, Direct Upload) ... office, two days' work from home) . Full medical, dental , and vision coverage for both teammates AND family...allocation and improve service delivery for warrior referrals and claims . + Establish and maintain standardized policies, processes, and… more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more