- Molina Healthcare (Jacksonville, FL)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- Zurich NA (Maitland, FL)
- Claims Team Manager , General Liability 125560 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring ... moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims ....- Gold River, AM - Omaha, AM - Maitland Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Humana (Tallahassee, FL)
- …first** Are you ready to lead and make a real impact? Join us as our Manager , Claims Research & Resolution-a key leadership role where you'll drive critical ... claims operations, oversee complex investigations, and ensure fair settlements...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- USAA (Tampa, FL)
- …makes us special and impactful. **The Opportunity** As a dedicated **Product Development Manager ** , you will join our New Business Ventures and Innovation team, ... environment, building, and testing new products and capabilities within the auto telematics claims space and helping chart the course for the future of USAA's… more
- Zurich NA (Tallahassee, FL)
- Marine Claims Specialist II 126114 Zurich North America is...preferred) to join our team! We are open to remote work for the right candidate located within the ... hiring a Marine Claims Senior Claims Specialist Role (With Hull...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- City of Jacksonville (Jacksonville, FL)
- …public service and on-time payments. This position reports to the General Liabilities Claims Manager and is responsible for investigating all general liability ... settlement authority under the direction of the General Liability Claims Manager . + Responds to on call...is located in an office and is not a remote location. + I have read and understand the… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... Performs computations. Typically works on semi-routine assignments. The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy … more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Molina Healthcare (Miami, FL)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more