- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
- AdventHealth (Maitland, FL)
- … claims for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- GE Aerospace (Jacksonville, FL)
- …of medical terminology and medical impairments related to long term care, disability, life and/or health insurance claims + Note: Position can be hybrid or ... years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and...dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to… more
- Molina Healthcare (St. Petersburg, FL)
- …Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** * Claims recovery experience. * Health insurance experience ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and...claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines,… more
- AdventHealth (Maitland, FL)
- …measurement, and claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- CRC Insurance Services, Inc. (FL)
- …- Construction Defect and Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as ... + Knowledge of Construction Defect + Proven experience in managing complex insurance claims , including investigation, evaluation, and resolution. + Ability to… more
- Elevance Health (Tampa, FL)
- …an accommodation is granted as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health 's National Operations Command ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...EdWard, OPAL, OBI, EDI. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- American Family Insurance - Corporate (Tampa, FL)
- …candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual ... the Property Claim Manager, and handle homeowner property field claims in the Tampa area. You must be located...Insurance Company, SI \#LI-Remote We provide benefits that support… more
- CRC Insurance Services, Inc. (FL)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...TPA Experience 2. Minimum 2 years Commercial Auto Liability insurance experience 3. Minimum 2 years' experience handling 1st… more