- Sedgwick (Orlando, FL)
- …! If you are an agile auto claims examiner with 5+ years of experience handling first party and third- party liability claims , we want to talk to you! ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- Sedgwick (Orlando, FL)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim files are… more
- USAA (Tampa, FL)
- …operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claim 's strategies supporting enterprise ... executes claims servicing solutions across process, technology, workforce, third party , and/or analytics in support of P&C product competitiveness + Influences… more
- Travelers Insurance Company (Tampa, FL)
- …issue accurate and timely indemnity, medical and expense payments for lifetime/long-term claims . + Determine Value of Claim . + Complete required letters and ... 1 **What Is the Opportunity?** Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the… more
- Butterfly Effects (Deerfield Beach, FL)
- …demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First -In / First -Out method to prevent backlogs ... makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs....deadlines. + Identify and resolve billing errors to reduce claim denials. + Correct and resubmit denied claims… more
- Highmark Health (Tallahassee, FL)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- Veterans Affairs, Veterans Health Administration (Sunrise, FL)
- …similar degree of detail. Employee composes responses to routine requests, such as first party requests, for release of patient information. Selects and compiles ... VA Clinic within the Miami VA Healthcare System. The Medical Records Technician (ROI) reviews and processes requests for...provides direct customer service to the Veteran (or third party ), by providing copies of the Veteran's PHI, when… more
- HCA Healthcare (Sarasota, FL)
- …CPT-4 codes. You will be responsible for daily charges, preparing and submitting claims to third party payers, applying contractual adjustments, credit balance ... We care like family! Jump-start your career as a Medical Biller today with Surgery Ventures. **Benefits** Surgery Ventures...adjustments + You will monitor logs to make sure claims are submitted and received properly + You will… more
- USAA (Tampa, FL)
- …requirements and settlement value. + Evaluates and negotiates settlement of automobile first and third- party physical damage claims within established ... As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims … more
- Norstella (Tallahassee, FL)
- Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more