- Wabtec Corporation (Jacksonville, FL)
- …assignments + System competencies include Microsoft Office suite. Experience with various insurance coverages, risks, and requirements _We would love it if you had:_ ... project letters, change orders, and internal memoranda + Maintain DBE compliance, claims , project logs and contract database **What about the physical demands of… more
- Surgery Care Affiliates (Tallahassee, FL)
- …401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca. health /why-sca) to learn more about ... insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain...payer and associated financial class. + When the patient's insurance is Out of Network notify the manager… more
- WTW (Miami, FL)
- **Description** Do you want to be at the forefront of insurance industry innovation and leadership? Do you want to partner with insurers across North America to help ... is looking for a pricing expert with Small Business insurance pricing experience in the US market to join...our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to… more
- Kemper (Doral, FL)
- …and external training programs to advance knowledge in the area of insurance claims . + Work closely with the Litigation Manager and/or Director and defense ... Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . The… more
- Community Health Systems (Naples, FL)
- …inappropriate care. + Serve as the primary liaison with CHS Corporate for insurance and legal program coordination. **Patient Safety & Incident Oversight** + Lead ... Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including… more
- NTT America, Inc. (Tallahassee, FL)
- … and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... developing, monitoring, and enforcing the corporate-wide personnel safety, environmental, health and regulatory management programs. This position has the...preserved so that claims will be resolved in a timely manner as… more
- Elevance Health (Tampa, FL)
- …strategies. + Strong knowledge of medical terminology, codes, and health insurance policies. + Proficient in using claims processing software. Please be ... process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing); or any combination of education… more
- Elevance Health (Miami, FL)
- …week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance ... Health family of companies, Carelon Insights, formerly Payment Integrity,...dollar volume of provider. + Analyzes data to select claims to be reviewed, conducts reviews using medical charts,… more
- Elevance Health (Naples, FL)
- …medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , pricing ... to worksite and other locations as necessary. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement… more
- Elevance Health (FL)
- …week. The **Provider Reimburse Admin Sr** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... with Federal and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. + May lead the… more