- Sedgwick (Orlando, FL)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...& Knowledge** + Knowledge of current medical practices in health care management in a variety of areas (including,… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- Home Health RN Operations Manager 10K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 209128 Location: Fort Lauderdale, FL 33326 Category: Nursing ... maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies and procedures.… more
- Sedgwick (Tallahassee, FL)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- Sedgwick (Tallahassee, FL)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... Attends litigation hearings. + Establishes reserves and estimates in unassigned claims files. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Molina Healthcare (Tampa, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... plans. + Participates in the implementation and conversion of new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx… more
- Sedgwick (Orlando, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Aveanna Healthcare (Brandon, FL)
- Home Health RN Executive Director ApplyRefer a FriendBack Job Details Requisition #: 209054 Location: Brandon, FL 33509 Category: Nursing Salary: $90,000.00 - ... maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies and procedures.… more
- Aveanna Healthcare (Deland, FL)
- Home Health RN Executive Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 208819 Location: Deland, FL 32720 Category: Nursing Salary: ... maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies and procedures.… more
- Elevance Health (Tampa, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health...+ May assist in the research and resolution of claims payment issues - Supports the administration of the ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...transforming health care. As the nation's leading health solutions company, we reach millions of Americans through… more