- Walmart (Wesley Chapel, FL)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more
- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation… more
- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... under ADA, state, and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims or makes a recommendation… more
- Walmart (Coral Springs, FL)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims andor rejections assisting… more
- Walgreens (Kissimmee, FL)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical… more
- Walgreens (Bradenton, FL)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical… more
- Walgreens (Miami, FL)
- …to pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports… more
- GAP Solutions Inc (Tallahassee, FL)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- MyFlorida (Tallahassee, FL)
- …* Experience in auditing, data analysis, or fraud detection. * Knowledge of claims processing and medical terminology. * Experience in creating, supporting, or ... HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug...implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile… more
- Robert Half Technology (Clearwater, FL)
- …Factory, or other Azure data services. Industry Knowledge: Deep understanding of P& C insurance concepts, such as claims processing , underwriting, and policy ... SSRS, with a strong background in the Property & Casualty (P& C) insurance industry. This role will focus on designing, developing, and maintaining business… more