- Kemper (Doral, FL)
- …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... Grove and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and...of all investigations and makes recommendations to the responsible manager or other designee in a timely manner to… more
- Polk County Public Schools (Bartow, FL)
- …maintaining a risk management program for all phases of School Board operations , using a combination of conventional insurance and self-insurance programs, as ... Reviews and audits all policies and invoices for payment of premiums/ claims . Investigates and reviews accidents involving School Board personnel, students, and… more
- Public Consulting Group (Tallahassee, FL)
- …posted timely. (20%) **Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations ** **Key Qualifications and ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- CDM Smith (Jacksonville, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …HCP engagement over time. This position reports into the Medical Excellence & Operations Vendor and Contracts Management Lead and directly manages the Manager , ... and Operational Oversight** + Directly manage, coach, and develop the Manager , HCP Engagement Lead, overseeing their performance, workload, and adherence to… more
- MyFlorida (Largo, FL)
- …in medical billing (billing third-party health insurance) and processing electronic claims . + Experience in accounts receivables and collections. + Experience in ... posting. POSITION DESCRIPTION : Under the general supervision of the Billing Manager , the incumbent performs duties involving the independent application of revenue… more
- TEKsystems (Tampa, FL)
- …empathetic resolution of issues related to bill review, payment status, and claims processing. This role requires problem-solving skills to research complex issues ... exceptional service. Skills Customer service, healthcare, billing, bill review, claims , provider relations, provider calls Top Skills Details Customer… more
- Walgreens (Jacksonville, FL)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Fort Walton Beach, FL)
- …until satisfied, etc.). Develops strong relationships with most valuable customers. Operations Under the supervision by the pharmacist, assist in the practice ... Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of ... production takes place to meet market demands. + Lead regular Sales and Operations Planning (S&OP) meetings with all internal key functional areas to share… more