- 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
- Zelis (FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating… more
- Zelis (St. Petersburg, FL)
- …achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits (EOB) to verify ... application with the ability to explain medical billing and insurance concepts in a clear and empathetic manner +...Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience + Strong analytical… 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
- Carnival Cruise Line (Miami, FL)
- …planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. + ... to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate to the… more
- Elevance Health (FL)
- …for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance ... building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, risk adjustment). + Cost of… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more