- Elevance Health (Tampa, FL)
- …is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including ... an impact :** + Performs audits of high dollar claims . + Ensures claim payment accuracy by...bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance,… more
- Sedgwick (Tallahassee, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** ... university preferred. Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter (CPCU). **Experience**… more
- USAA (Tampa, FL)
- …us special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible ... + Travel may be required. **What sets you apart:** + P&C Claims Operational experience, industry knowledge of contract requirements and experience with oversight… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic documentation… more
- Healthfirst (FL)
- …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... for positions and are evaluated without regard to mental or physical disability , race, color, religion, gender, gender identity, sexual orientation, national origin,… more
- USAA (Tampa, FL)
- …you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. + Guidewire ClaimCenter experience. + Familiar with ... are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran._ **If you… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... for software in a Product Owner role + SAFe Product Owner / Product Manager (POPM) Certification + Experience with minimum viable product, Scrum, and/or Lean startup… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -Advent Health** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... Produces written correspondence to payers and patients regarding status of claim , requesting additional information, etc. Participate in insurance claim … more
- Marriott (Lake Buena Vista, FL)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and distributes unemployment claim activity reports to property management. * Attends unemployment...* Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of… more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS… more