- Sedgwick (Tallahassee, FL)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - FL, GA, NC, SC… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are… more
- Cognizant (Tallahassee, FL)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies...total per household per month (PHPM) and per inbound claim cost so that improvements in productivity and efficiency… more
- Elevance Health (Tampa, FL)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- CHS (Clearwater, FL)
- …medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience + Must have reliable and secure ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule...members and providers as needed + Initiates and completes claim investigations when indicated including pre-existing conditions, accidents, medical… more
- TEKsystems (Daytona Beach, FL)
- …Month Contract-to-Hire Description + Assisting customers with claims on their homeowner's insurance . + Manages the loss claim from the point of reporting ... Claims Processor In Office - Daytona Beach, FL...quickly and accurately. + All activity pertaining to the claim must be documented and draws are issued for… more
- CHS (Clearwater, FL)
- …** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and compliance ... with appropriate policies, procedures, and regulations + **Health, Dental , Vision, and Life Insurance as well...reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking… more
- Modernizing Medicine (Tampa, FL)
- …contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + ... administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required… more
- USAA (Tampa, FL)
- …physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental ... and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management,… more