- Molina Healthcare (Orlando, FL)
- …**Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims ... are settled in a timely fashion and in accordance with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving overall… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... Examiner adjudicates medical claims based on health policy provisions...coordination of benefits + Documents fully claims referred to senior staff for review and determination + Maintains company… more
- MUFG (Tampa, FL)
- …will provide more details. **Job Summary:** We're searching for a Credit Examiner to provide a comprehensive assessment of enterprise-wide risk management practices. ... adverse trends of leading and lagging performance indicators. + Serve as Examiner -In-Charge (EIC) for complex portfolios or processes. As EIC, effectively plan,… more
- Highmark Health (Tallahassee, FL)
- …on all efforts. + Provide proactive guidance, education, and information to senior management, so that leaders remain informed and aware of risks, requirements, ... of the Board. Gathers data and prepares reports for senior management and Board of Directors as needed. Ensure...(CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) +… more
- Publix (Lakeland, FL)
- **33915BR** **Position Title:** Senior Internal Auditor **Department:** Internal Audit **Location:** Lakeland, FL **Description:** Publix Super Markets tops the list ... recognized as a leader in the supermarket industry. The Senior Internal Auditor position is now available in the...or Certified Public Accountant (CPA) certification or Certified Fraud Examiner (CFE) + knowledge of Internal Auditing concepts +… more
- MyFlorida (Fort Lauderdale, FL)
- SENIOR MANAGEMENT ANALYST SUPV - SES - 60069962 Date: Aug 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 859517 Agency: Children and Families Working Title: SENIOR MANAGEMENT ANALYST SUPV - SES - 60069962 Pay Plan: SES… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …- Incident Handler + SANS: GCIA - Intrusion Analyst + SANS: GCFE - Forensic Examiner + SANS: GNFA - Network Forensic Analyst + SANS: GREM - Reverse Engineering ... Malware + OSCP - Offensive Security Certified Professional + OSCE - Offensive Security Certified Expert more
- Bank OZK (Apollo Beach, FL)
- …Certification in a relevant discipline (ie, Certified Fraud Examiner -CFE, Certified Financial Crimes Investigator-CFCI, Certified Anti-Money Laundering ... Specialist-CAMS) or willingness to obtain certifications, preferred. Job Expectations Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation. Note: This description is not an exhaustive list… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …and serve as a key liaison between QA/QC teams and RJF AML/FCM's senior leadership team. **Essential Duties and Responsibilities** + Lead and develop a team ... adjustments. + Present QA/QC outcomes, trends, and strategic recommendations to senior leadership and governance committees. + Maintain documentation of QA/QC… more
- CHS (Clearwater, FL)
- …as well as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with Preferred Provider Organizations ... sent to re-pricing entities, unable to be systematically "matched", auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either audit or needing… more