- CVS Health (Tallahassee, FL)
- …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... At CVS Health , we're building a world of health...at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation,… more
- CVS Health (Orlando, FL)
- At CVS Health , we're building a world of health...Lead the team in collecting or requesting rework on claims (both paper and electronic) to insurance ... correspondence. + Facilitate effective communication with patients, physician's offices, and insurance carriers to expedite billing claims . Provide training and… more
- Humana (Tallahassee, FL)
- … claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies, ... + 8-9 + years of quality improvement, developing & advancing enterprise strategy, insurance operations experience, ie: claims , UM, CM, call center, enrollment,… 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 ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and place stop loss policies, negotiating terms based upon claims data, strategy, relationships, and cost avoidance/reduction efforts. +… more
- BayCare Health System (Clearwater, FL)
- …+ Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with ... Or - 1 year - Customer Service (or similar) within a healthcare or insurance environment with Associates. **Facility:** BayCare Health System, Admin - Non… more
- CVS Health (Largo, FL)
- …in problem-solving. **Preferred Qualifications** + 1-2 years of experience in health insurance , healthcare services, or client/account management. + Familiarity ... your support has on the client experience. **Required Qualifications** + Active Florida Health , Life, and Variable Annuity Insurance License (or ability to… more
- Travelers Insurance Company (Fort Lauderdale, FL)
- …or underwriting or legal related experience. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... of applicable law and local office expectations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National … more
- Intermountain Health (Tallahassee, FL)
- …Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + ... facets of credit resolution, including self-pay, commercial, and government insurance credits. Maintaining credit resolution outsourced vendor performance and… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...and Columbus, OH In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more