- Molina Healthcare (St. Petersburg, FL)
- …technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, process, ... and measurable success criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: … more
- Elevance Health (Tampa, FL)
- …on strategic enterprise-impacting issues. **How you will make an impact:** + Support Cost of Care and other claims -based root-cause investigations leveraging ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity,… more
- Sedgwick (Tallahassee, FL)
- …level examiner with a strong background in insurance coverage analysis to support insurance carriers by evaluating claims and loss complaints, interpreting ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...looking for an opportunity to join a global industry leader where you can bring your big ideas to… more
- CHS (Clearwater, FL)
- … as well as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...us and enjoy a robust benefits package designed to support your well-being!** **_Full Time employees can enjoy:_** *… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... while providing flexibility to support productivity and work-life balance. This approach combines structured...required by law. The **Business Architect Sr. - Government Claims ** will be part of Elevance Health's National Operations… more
- CRC Insurance Services, Inc. (FL)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...whole you, offering a wide range of coverage and support . Eligible full-time teammates enjoy access to medical, dental,… more
- Carrington (Jacksonville, FL)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... to confirm the proper decision rationale and approve evidentiary support is included and written summaries are accurate. +...non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems… more
- Cognizant (Tallahassee, FL)
- …and performance of payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims solutions to meet ... **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment...for configurations and processes. + Monitor post-implementation performance and support issue resolution. + Provide regular updates to stakeholders… more
- USAA (Tampa, FL)
- …are seeking a dedicated Business Process Owner Senior - Advanced Capabilities - Claims Optimization We offer a flexible work environment that requires an individual ... + Stays current with emerging technologies and evaluates business processes to lead continuous process improvement efforts. + Lead solution development including… more
- Carnival Cruise Line (Miami, FL)
- …crew return-to-work planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to ... reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates… more
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