- Molina Healthcare (Orlando, FL)
- …regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must be able to identify and troubleshoot claim discrepancies ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- USAA (Tampa, FL)
- …collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- MyFlorida (Tallahassee, FL)
- …- Disbursements section management. The incumbent in this position will also research outstanding obligations for the certification process of encumbrances at the ... agencies + Special catergory payments - Real Estate Recovery claims , Construction Recovery claims , etc. + Back...Process vendor invoices for payment via MFMP as invoce manager + Reconcile MFMP and FLAIR balance prior to… more
- Elevance Health (FL)
- …quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research , a minimum of 3 years direct experience ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- MyFlorida (Port Charlotte, FL)
- …the use of web-based software. + Ability to work independently. + Ability to research policies and procedures and communicate findings. + Ability and desire to work ... Knowledge of local, state and federal requirements related to business office operations , financial reporting and financial record keeping. + Experience in a… more
- MyFlorida (Land O' Lakes, FL)
- …Excel, Word, and Outlook. + Ability to work independently. + Ability to research policies and procedures and communicate findings. + Ability and desire to work ... others on matters involving human resources. + Knowledge of and ability to research the State of Florida Personnel Rules (Florida Administrative Code 60L-29-40) and… more
- Air National Guard Units (Tyndall AFB, FL)
- …principles, procedures and guidelines. Provides executive direction and review of budgetary operations . Serve as principal staff advisor to the senior leadership and ... maintaining a balance in the efficiency and economy of operations in accomplishing programmed objectives. Directs the review and...of the Florida National Guard. NOTE: Must be Financial Manager Level 2 qualified within 2 years of employment.… more
- The ODP Corporation (Boca Raton, FL)
- …installation schedule dates; identifying back charges; managing punch lists; initiating the claims process for warranty issues; and tracking proof of deliveries. + ... to RFP. Participate in client presentation meetings and explain the project manager role throughout the projects duration. Develop a relationship with the client… more
- TEKsystems (Daytona Beach, FL)
- …+ Career Advancement : Promotions available from Day 1 - mentor, team lead, supervisor, manager , and more. + Part of Brown & Brown Insurance : After 1 year, explore ... more. What You'll Do + Navigate multiple systems to research and resolve issues. + Liaise between homeowners, lenders,...lenders, and Proctor. + Document everything clearly in our claims system. + Make outbound calls when needed. ✅… more