- Elevance Health (Tampa, FL)
- Network Data Specialist IA proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers ... for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Tampa, FL)
- …research findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Tampa, FL)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Tampa, FL)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities… more
- Travelers Insurance Company (Orlando, FL)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe 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
- Kemper (Lake Mary, FL)
- …internal and external training programs to advance knowledge in the area of insurance claims . + Work closely with the Litigation Manager and/or Director and ... investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated ...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including ... Support resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly and… more
- Elevance Health (Tampa, FL)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... the best service possible. + Answers client inquiries regarding health plan or service issues. + Responds to customer...or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and… more