- Zurich NA (Tallahassee, FL)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience ... We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role...industry. + Administer and monitor underwriting rules and guidelines, insurance laws and regulations, and rating manuals. + Work… more
- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative** **Our teams ... from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not… more
- Sedgwick (Orlando, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Program Implementation Advisor **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- The Hartford (Sunrise, FL)
- …- KR08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering... and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (FL)
- … claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- MyFlorida (Miami, FL)
- …develop contract modifications, The role will also handle public concerns, review claims , recommend project acceptance, and work with FHWA on inspections and ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more
- AdventHealth (Altamonte Springs, FL)
- …skills is essential. Additionally, working knowledge and understanding of major medical claims , insurance contracts, and the traditional actuarial functions, eg, ... Actuarial Services housed in the Finance Department. The role reports to Manager , Actuarial Services, and enhances the support provided by Actuarial Services to… more