- Elevance Health (Miami, FL)
- … for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. **How you will ... ** Claims Auditor I** **Virtual:** This role enables associates...bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance,… more
- Elevance Health (Tampa, FL)
- …The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with specific understanding ... **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be...bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance,… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... and/or process engineering/optimization. + Experience in successfully applying quality management , process improvement, and problem-solving tools and methodologies. +… more
- Cognizant (Tallahassee, FL)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Aviation Claims Surveyor **Job Locations: Singapore / Miami / Latin America** **Job Type: ... help you thrive in this exciting field. **What You'll Do** As an Aviation Claims Surveyor, you will: + Investigate aviation insurance claims ranging from minor… more
- Sedgwick (Tallahassee, FL)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... departments, and validation of compliance requirements. + Facilitates change management by guiding stakeholders through transitions in processes, systems, or… more
- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...communication materials to optimally present to various levels of management . + Incorporates visualization techniques to support the relevant… more
- The Hartford (Lake Mary, FL)
- …accomplish theirs, too. Join our team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring a Vice President to lead the ... Claims Data Science organization. This role is pivotal in...and effectively calibrate the approach to staffing, including budget management . + Partner with technology, data, AI platform, AI/MLOps… more
- CRC Insurance Services, Inc. (FL)
- …1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to ... in to an existing one.** _If you have a disability and need assistance with the application, you can...of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with… more
- CVS Health (Tallahassee, FL)
- …are any claim payment or denial issues that may affect Utilization Management , Enrollment, Claims , Configuration, Network, Contracting and/or Provider Data. + ... do it all with heart, each and every day. **Position Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and… more