- Mass Markets (FL)
- …ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Walmart (Lakeland, FL)
- …Manage processing of shipload purchase orders inboundoutbound containerstrailers and claims my monitoring all activities conducting problems research and ensuring ... awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k),… more
- Mass Markets (FL)
- …ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay Plan: Career… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Molina Healthcare (St. Petersburg, FL)
- …Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity with ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you on your… more
- Travelers Insurance Company (Tampa, FL)
- …negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Tampa, FL)
- …negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more