- Humana (Tallahassee, FL)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims … more
- Sedgwick (Miami, FL)
- …and experience required to include five (5) years project management, claims operation management, managed care, insurance -related and/or statistical analysis ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance AVP Strategy **PRIMARY PURPOSE** **:** To develop and manage strategic project… more
- Highmark Health (Tallahassee, FL)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in nature or… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance VP Client Services | Carrier, Captive, MGA | Remote We are seeking candidates ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more
- HCA Healthcare (Kissimmee, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...and Qualifications** **POSITION SUMMARY: Responsibilities include risk/CMS data management, claims management, education components of the facility's risk management… more
- Sedgwick (Jacksonville, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director - Workforce Absence **PRIMARY PURPOSE** : To determine ... Identifies and solicits cross-selling opportunities. + Participates in local insurance community through advanced education and affiliation memberships. + Supervises… more
- Community Health Systems (Naples, FL)
- …Offer** + Competitive Compensation + Comprehensive Benefits: Medical, Dental, Vision, Life Insurance + Generous PTO & Extended Illness Bank (EIB) + Career ... inappropriate care. + Serve as the primary liaison with CHS Corporate for insurance and legal program coordination. **Patient Safety & Incident Oversight** + Lead… more
- AON (Tampa, FL)
- …medical plans for PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance premiums. + Collaborate ... PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance... claims experience, and premium history to calculate insurance premiums. + Collaborate with insurance carriers… more
- LCEC (North Fort Myers, FL)
- …including property, liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing, broker relationships, and cost ... + Excellent leadership and team management skills (Required) + Experience working with insurance markets and claims processes. (Required) + Knowledge of risk… more