- USAA (Tampa, FL)
- …guidelines. + Applies advanced medical expertise by serving as primary resource for Health Claims for the approach to medical risk assessment rules. + ... USAA Life Company's Claim Team is seeking a talented ** Medical Specialist Principal** to play a crucial...interprets relevant medical literature for application to health claims policies and guidelines. + Collaborates… more
- Lincoln Financial (Tallahassee, FL)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You… more
- Sedgwick (Jacksonville, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Nestle (Palm Beach Gardens, FL)
- …nutrition for patients and consumers. **Job Description:** The Customer Solutions & Claims Supervisor ( Medical Nutrition) will provide overall leadership to the ... At Nestle Health Science, we believe that nutrition, science, and...all activities performed by the Customer Solutions Associates and Specialist within defined Service Level Agreement. * Lead the… more
- Butterfly Effects (Deerfield Beach, FL)
- …hour | Full Time | Full benefit package available for full-time employees Medical Collections Specialist Hungry for an opportunity to leverage your experience ... and skills in a mission driven health care organization? Do you have the humility and...looking for passionate candidates for the position of Collections Specialist . Butterfly Effects is seeking to add a Collection… more
- National Health Transport (Miami, FL)
- …processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, ... Summary: Ambulance Medical Billing Specialist is responsible for...and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops,… more
- Sedgwick (Tallahassee, FL)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... At CVS Health , we're building a world of health...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Zodiac Pool Systems (Jacksonville, FL)
- SR Health , Safety & Environmental (HSE) Specialist ...vacation + 11 paid Holidays + Full range of health benefits including medical , dental & vision, ... Description Fluidra USA is looking for a SR HSE Specialist to join our team at our facility in... will be responsible for implementing the company's environmental, health , and safety programs to ensure compliance with corporate… more
- Mass Markets (FL)
- …ourselves as a trusted partner in the industry. We are seeking an onsite licensed health insurance specialist who will play a vital role in educating and guiding ... cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of employment, and all employees… more
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