- Healthfirst (FL)
- …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... for positions and are evaluated without regard to mental or physical disability , race, color, religion, gender, gender identity, sexual orientation, national origin,… more
- Ryder System (Tallahassee, FL)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures...to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National Operations Command Center… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- USAA (Tampa, FL)
- …you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. + Guidewire ClaimCenter experience. + Familiar with ... are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran._ **If you… more
- Elevance Health (Tampa, FL)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Monday - Friday, with possible OT on Saturday and Sunday. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and ... proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to detail and competencies in decision support… more
- Marriott (Lake Buena Vista, FL)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... * Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- Carnival Cruise Line (Miami, FL)
- …care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... This role reports to the Senior Manager of Case Management and oversees the daily...in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew… more
- Carnival Cruise Line (Miami, FL)
- …crew return-to-work planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return ... This role reports to the Senior Manager of Case Management and oversees the daily...duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk… more