- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Tallahassee, FL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims … more
- Cognizant (Tallahassee, FL)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… 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
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative, Liability **PRIMARY PURPOSE** : To analyze and ... related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing ,...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Sedgwick (Tampa, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto/Bodily Injury **PRIMARY PURPOSE** : To analyze and ... process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Cognizant (Tallahassee, FL)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must ... following benefits for this position, subject to applicable eligibility requirements: . Medical/ Dental /Vision/Life Insurance . Paid holidays plus Paid Time Off .… more
- CHS (Clearwater, FL)
- …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more
- 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
- 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