- Amentum (Tallahassee, FL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management , including litigation strategy and resolution in coordination ... sectors.** + Deep knowledge of insurance products, risk financing, claims management , and enterprise risk practices. +...origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- HCA Healthcare (West Palm Beach, FL)
- …general liability risk exposure. Responsible for coordinating activities that focus on the management of claims and pre trial preparation. Also responsible for ... and integrity. We care like family! Jump-start your career as a(an) Risk Management Coordinator today with HCA Florida JFK North Hospital. **Benefits** HCA Florida… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- MyFlorida (Tallahassee, FL)
- …Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is ... any follow-up correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION… more
- Sedgwick (Jacksonville, FL)
- …coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective ... PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with… more
- The Hartford (Lake Mary, FL)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... for performance and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data… more
- AdventHealth (Maitland, FL)
- …all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics experience Proficiency ... sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new… more
- USAA (Tampa, FL)
- …initiatives related to product development, compliance, operational and process improvements, claims management , vendor management , product documentation, ... impactful. **The Opportunity** As a dedicated **Director, Insurance Product Development and Management ** , you will be joining the New Business Ventures and… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... regulatory and accreditation requirements. This position is responsible for the day-to-day management of the Medical Management Department staff, based upon… more