- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you on your… more
- Zurich NA (Maitland, FL)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified Insurance Apprentice including an… more
- USAA (Tampa, FL)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Miami, FL)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment &… more
- Zurich NA (Tallahassee, FL)
- …Underwriter OR AVP, Underwriting Director- Contract Surety officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on...with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your… more