- Humana (Tallahassee, FL)
- …other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or InterQual… more
- USAA (Tampa, FL)
- …include comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid ... holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on… more
- Deloitte (Jacksonville, FL)
- …Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management, Insurance , Telecom, Media and Energy & Resources. Our AI & E team brings ... clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization. QualificationsRequired + Current… more
- University of Miami (Miami, FL)
- …and in assuring compliance with protocols and regulations. CORE JOB FUNCTIONS + Submits claims to insurance companies and follows up on outstanding claims . ... identifies any errors, and researches coverage policies. + Assists patients with insurance and billing questions. + Sets up budget plans on outstanding accounts,… more
- HCA Healthcare (Aventura, FL)
- …risk. The Risk Management Coordinator has a general knowledge of facility insurance programs, managing claims against the facility, interfacing with defense ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Exl Service (Palm Beach, FL)
- …Loss Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and ... Overview Commercial Insurance Inspector - Independent Contractor Overview EXL Risk...risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess excellent… more
- HCA Healthcare (Tampa, FL)
- …Provide format for obtaining third-party liability information for liens and workers compensation claims + Consolidate claims for insurance carriers in ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- EFI Global (Miami, FL)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large ... have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness...loss, large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported… more
- Pearle Vision (Lakeland, FL)
- …open communication with Optometrist. * Assists patients with self-pay process verifying insurance eligibility generating claims for billing insurance plans. ... * Other duties as assigned. SUPERVISORY RESPONSIBILITIES: * None more
- Molina Healthcare (Jacksonville, FL)
- …portals to validate state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + ... Facilitates administrative support, data entry, and accurate maintenance of other insurance records. **Job Duties** + Provides telephone, administrative and data… more