- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Operations Manager **PRIMARY PURPOSE** : To oversee technical and operational ... with goals and objectives for assigned clients. + Ensures claims management policies and procedures are followed to assure...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- MyFlorida (West Palm Beach, FL)
- …+ Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental , vision, and other supplemental ... in social work or victim services, probation and parole, claims or benefits eligibility determination. + A Bachelor's degree...to the criminal appellate process. + Analyze victims' compensation claims through the VAN and VANNext systems in order… more
- Humana (Tallahassee, FL)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, ... to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Sedgwick (Orlando, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... and experience required to include two (2) years of claims management, managed care or other related experience. **Skills...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- Sedgwick (Tampa, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- MyFlorida (Bay Pines, FL)
- …Excellent retirement package and optional deferred compensation plan. Health, vision, dental , disability, and other supplemental insurance available at ... OF VETERANS' AFFAIRS VA Regional Office - Bureau of Claims Services Bay Pines, Pinellas County Starting Annual Salary:...Bay Pines, Florida Department of Veterans' Affairs, Bureau of Claims Services. The primary responsibility of the incumbent in… more