• Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... to review and carry out processes on all out of network claims . The ideal candidate will have strong technological skills, excellent interpersonal communication,… more
    LogixHealth (07/11/25)
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  • Wire Processing Senior Specialist

    Truist (Orlando, FL)
    …by the division of Truist offering the position. Truist offers medical, dental , vision, life insurance , disability, accidental death and dismemberment, ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
    Truist (07/31/25)
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  • Workers' Compensation Specialist Senior

    City of Jacksonville (Jacksonville, FL)
    …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... personal leave day as well? In addition to health insurance , dental , vision, life insurance ...rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost… more
    City of Jacksonville (07/10/25)
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  • Worker's Compensation & Risk Specialist

    City of Coral Gables, FL (Coral Gables, FL)
    …of insurance and contractual insurance requirements. Assist with the processing of liability insurance claims . Performs other related tasks as ... primary liaison among injured employees, managers, medical providers, and insurance representatives. Monitor claim status, reserve levels,...at a cost of approximately 50% of the premium. DENTAL INSURANCE : Available at a cost to… more
    City of Coral Gables, FL (08/21/25)
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  • Disability Representative

    Sedgwick (Orlando, FL)
    …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes… more
    Sedgwick (06/05/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Tallahassee, FL)
    …getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and.... + Acts as a subject matter expert in claims processing . + Manages billing queue as… more
    Cardinal Health (08/24/25)
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  • Spanish Licensed Health Insurance Agent

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... satisfaction and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain accurate and… more
    Mass Markets (08/18/25)
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  • Fnw Program Specialist IV-DACS - (For Internal…

    MyFlorida (Jacksonville, FL)
    …business hours. JOB DUTIES: General: Designs, implements, and coordinates the claims processing financial information management systems for Florida Department ... of computer processing /management information system development for claims processing . Coordinates with USDA in obtaining...and one Personal holiday each year; + State Group Insurance coverage options, including health, life, dental ,… more
    MyFlorida (08/26/25)
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  • Financial Operations Recovery Specialist II

    Elevance Health (Tampa, FL)
    …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... SPECIALIST II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
    Elevance Health (08/20/25)
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  • Insurance Verification Representative (H)

    University of Miami (Miami, FL)
    …+ Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres to University and unit-level policies and ... Pediatrics-Early Steps has an exciting opportunity for a Full-Time Insurance Verification Representative to work in Miami. The ...information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts… more
    University of Miami (06/30/25)
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