- Sedgwick (Orlando, FL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative** **Our teams connect! We collaborate… more
- Zelis (FL)
- …Identify new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department ... clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA… more
- CVS Health (Orlando, FL)
- … claims , provide new hire training, resolve escalations and claim payment denials while demonstrating excellent customer service to patients, healthcare ... Lead the team in collecting or requesting rework on claims (both paper and electronic) to insurance ...standards required by various payers. + Resolve escalations, complex insurance and claim issues that arise from… more
- Highmark Health (Tallahassee, FL)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- MetLife (Tampa, FL)
- …and technology resources Preferred: * Bachelor's degree * 7+ years of STD Insurance Claims experience * knowledge of STD, group disability, Workers Compensation, ... office for meetings Key Responsibilities: * Effectively manage a team of STD Claim Specialists in a fast-paced environment to ensure individual and team performance… more
- Sedgwick (Tallahassee, FL)
- …smaller and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims… more
- Cardinal Health (Doral, FL)
- …Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of ... School Diploma, GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with… more
- The Hartford (Lake Mary, FL)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... the state. The selected individual will be required to work closely with our claim centers and insureds to deliver the best possible result in pending litigation.… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Construction Defect Adjuster **PRIMARY PURPOSE** **:** To investigate and adjust ... property and casualty claims , both residential and commercial, with little to no...parties in a timely manner. + Investigates circumstances of claim (s) as required for coverage determination, cause, and compensable… more
- Elevance Health (Tampa, FL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... 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