- Prime Therapeutics (Tallahassee, FL)
- …conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- RELX INC (Boca Raton, FL)
- …as necessary Requirements + Have proven experience in leave administration, including with Claims Management . + Have an exceptional attention to detail + Be ... ensuring compliance with policies and regulations. Responsibilities + Managing short-term Disability (STD) & FMLA programs, coordinating with state leaves, including… more
- Sedgwick (Tampa, FL)
- …skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in performing ... demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to… more
- Elevance Health (Tampa, FL)
- …offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs ... I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may… more
- Healthfirst (FL)
- …institution + Experience in Healthcare/Health Plan customer service, operations, vendor management , or claims processing. + Previous work experience in ... Demonstrated knowledge in creating reports, surveys and quality audits for management , external clients, and Executive leaders. + Experience communicating with… more
- Elevance Health (Tampa, FL)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …related updates, strategies, and initiatives to key stakeholders and senior management . + Develop and manage comprehensive budgets for various projects ensuring ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Work with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support related to ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …policy and government affairs activities, particularly PhRMA. Contribute to the management of the federal political action committee and the grassroots political ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …product profiles) for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable. + Stakeholder ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more