- Cognizant (Tallahassee, FL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- The Hartford (Lake Mary, FL)
- …the Claims customer journey by aligning AI capabilities with the Claims strategy, enabling enhanced claim outcomes, process and experience. This leader ... make a difference and are proud to be an insurance company that goes well beyond coverages and policies....team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring… more
- USAA (Tampa, FL)
- …and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for ... the operational execution of the member experience in claims . Creates and delivers a strategic focus on world class member experience and operational results.… more
- Elevance Health (Tampa, FL)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... searching for a motivated, positive individual to join our claims team as a Marine Claims Consultant....vendors to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. Develops and… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- Kemper (Lake Mary, FL)
- …in-depth auto coverage for non-standard claims preferred + Commercial auto claims handling experience a plus + Claim -related computer systems experience ... it all? We have an immediate opening for an experienced Commercial Auto insurance professional with the ability to investigate and adjust first-party and third-party… more
- Humana (Tallahassee, FL)
- …industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
- USAA (Tampa, FL)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more