- Evolent (Tallahassee, FL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
- Highmark Health (Tallahassee, FL)
- …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the ... Health Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **SUMMARY OF JOB RESPONSIBILITIES** We are seeking a highly motivated and skilled Graduate Intern to join the ... applicability to core healthcare payer operations (eg, utilization management, claims processing, member services). 3. Modeling & Experimentation: Conduct… more
- Sedgwick (Tallahassee, FL)
- …marine vessels to assess monitor and report on the condition and submit claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages a team of surveyors and ... adjusters. + Investigates various aspects of marine transport operations and claims . + Ensures compliance with various standards or specifications. + Inspects… more
- Sedgwick (Tallahassee, FL)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews… more
- Sedgwick (Tallahassee, FL)
- …& Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Publix (Lakeland, FL)
- …wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for ... attorney-represented and litigated claims . + Provide strategic legal counsel to senior leadership...privately-held stock + 401(k) retirement savings plan + Group health , dental and vision plans + Paid Time Off… more
- Sedgwick (Jacksonville, FL)
- …pre-coded billing data into the system. + Identifies and forwards complex bills to claims examiners. + Codes provider bills in accordance with claims management ... mail. + Answers customer service calls from providers, clients and claims examiners. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as… more
- Walmart (Tampa, FL)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined to make a...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities ... team as we help shape the future. As a Claims Specialist, you will be responsible for handling a...caseload of complex, high exposure, auto and general liability claims throughout the claim's life cycle. As these … more