- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
- MyFlorida (Miami Lakes, FL)
- …provided the benefits listed below: + Approximately 97.5% of the premium for health insurance + Individual (~$8/month) or Family (~$30/month) + 100% of the premium ... service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Resolution team handles all complaints for Humana, including formal grievances, appeals, ... operational goals, including regulatory compliance requirements + Promotes and builds an " Audit Ready Every Day" culture + Further simplifies and improves processes… more
- The Cigna Group (Tampa, FL)
- …the requirements of business and reporting teams within areas such as pharmacy claims , medical claims , membership eligibility, etc. Build automated solutions for ... data quality checks, Audit Balance and Controls (ABC), and monitoring processes. Develop...At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our… more
- Verint Systems, Inc. (Tallahassee, FL)
- …programs, including health insurance, retirement plans, and other benefits + Audit benefits data, costs, and utilization to identify areas for improvement and ... and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and...and employee deductions as needed to ensure accuracy + Audit , review and process all benefit invoices + Assist… more
- University of Florida (Duval County, FL)
- …type: Staff Full-Time Location: Duval Categories: Veteran's Preference Eligible, Legal/ Audit Services/Compliance Department: 27030000 - HA-SELF INSURANCE TRUST FUND ... updating various databanks, including but not limited to various claims tracking logs containing detailed documentation of a wide...by 11:55 pm (ET) of the posting end date. Health Assessment Required:No Advertised: 06 Jun 2025 Eastern Daylight… more
- Sedgwick (Orlando, FL)
- …& Insurance Accounts Payable Associate Sr **PRIMARY PURPOSE OF THE ROLE:** To audit invoices presented for payment and input into data into the accounts payable ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Sedgwick is an… more
- MyFlorida (Lake City, FL)
- …all assigned Contractual Partners including resolving all non-compliance assessments and audit results, documenting all correspondence to the Contractor. Review and ... and make recommendations for further action with respect to contract claims . Coordinates Federal Highway Association (FHWA) approval and field inspections when… more
- Molina Healthcare (Orlando, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Crowley Maritime Corporation (Jacksonville, FL)
- …and state laws, regulations and plans, including COBRA, HIPPA, FMLA and ADA. Audit employee benefit claims data to ensure billings are processed accurately. ... with us. *SUMMARY:*Responsible for supporting the day-to-day administration of health and welfare and defined contribution retirement plans. *GENERAL… more