- Elevance Health (FL)
- **Utilization Management Representative I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... between 8 am - 8 pm EST. The **Utilization Management Representative I** is responsible for coordinating cases for...impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides… more
- Sedgwick (Miami, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Cardinal Health (Tallahassee, FL)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Carnival Cruise Line (Miami, FL)
- Processes data entry, vendor claims , and Purchase Order (PO) research. Job Functions: + Process vendor claims , internal department claims , delivery receipts ... covering onsite duties. Liaison with deliveries and shipboard personnel. Report management shipping errors immediately. + Research discrepancies and update the… more
- Prime Therapeutics (Tallahassee, FL)
- …business stakeholders, development team, broader project team and various levels of management . With consistent Senior Leadership visibility, the IT BSA Sr is also ... to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Chewy (Plantation, FL)
- …oversee claims , maintain regulatory insurance compliance, and scale risk management processes in line with business growth. **What you'll do:** **Insurance ... insurance policy schedule and support accurate renewal data collection for renewal cycles. ** Claims & Reporting** + Collect, review, and report claims from… more
- The Walt Disney Company (Celebration, FL)
- …dock Facilities + OEM subcontractors + Marine Systems and Vessels + Warranty Management : + Act as point of contact for key stakeholders regarding warranty related ... the warranty claim + Review, assess, and submit warranty claims , as specified in the agreed warranty guidelines by...Health) + ADA (American Disabilities Act) + WDW Risk Management + WDW Legal + DCL Marine and Technical… more
- MyFlorida (Bay Pines, FL)
- …Operation Manager I SES FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Bureau of Veterans' Claims VA Regional Office Bay Pines, Pinellas County Annual Salary: $45,500 - ... package and optional deferred compensation plan. Health, vision, dental, disability , and other supplemental insurance available at reasonable premium rates.… more
- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Evolent (Tallahassee, FL)
- …will partner with stakeholders of various levels across analytics, finance, and account management . **What You Will Be Doing:** + Develop and deploy models and ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more