- Elevance Health (Tampa, FL)
- …payment. + Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Prime Therapeutics (Tallahassee, FL)
- …and initial handling of allegations of fraud, waste or abuse. Conducts preliminary investigation to assess the merit of an allegation through fact gathering and ... analysis of data. Uses independent judgment to conclude preliminary investigation in accordance with procedures or to present to...Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work… more
- MyFlorida (West Palm Beach, FL)
- …work experience relating to financial institutions, financial services companies, insurance companies, securities dealers or investment advisers, mortgage brokers or ... university with major course of study in accounting, finance, economics, business, insurance , or risk management. Preference: Preference will be given to individuals… more
- Mass Markets (FL)
- …established ourselves as a trusted partner in the industry. We are hiring licensed insurance agents who are positive, persuasive, and have the drive to succeed. In ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
- Cardinal Health (Tallahassee, FL)
- …support the needs of the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, ... level customer service + Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred +… more
- EFI Global (Tallahassee, FL)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized… more
- Travelers Insurance Company (Orlando, FL)
- …+ Insurance Contract Knowledge - Intermediate + Principles of Investigation - Intermediate + Value Determination - Intermediate + Settlement Techniques - ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, litigation management, negotiation and resolution) including… more
- MyFlorida (Tallahassee, FL)
- …Ordnance Disposal (EOD) Unit + EOD K-9 Unit + Honor Guard + Investigations Unit + Special Operations Team (SOT) + Promotional Opportunities (Sergeant / Investigator ... not on a performance improvement plan or currently under investigation . + Received at least a satisfactory rating on...vacation, and sick leave; + HMO and PPO health insurance options with premiums starting as low as $50… more
- CGI Technologies and Solutions, Inc. (Miami, FL)
- …without restriction. Let's talk about benefits * Competitive base salary * Comprehensive insurance options * 401(k) with company match * Share purchase plan with a ... will preparation * Health savings account * Disability, life, and accidental death insurance * Pet insurance * Work-life balance and flexibility * Tuition… more
- Highmark Health (Tallahassee, FL)
- …including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under ... and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the impacts of new and changing laws, regulations, and… more