- Travelers Insurance Company (Tallahassee, FL)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Allied Universal (St. Petersburg, FL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Sedgwick (Tallahassee, FL)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... , dental vision, 401K on day one. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written… more
- Sedgwick (Orlando, FL)
- …CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Orlando, FL)
- …Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Butterfly Effects (Deerfield Beach, FL)
- …of experience in medical billing and/or collections. + Strong understanding of claim denials, EOBs, and medical billing processes. + Excellent verbal and ... hour | Full Time | Full benefit package available for full-time employees Medical Collections Specialist Make a Difference. Grow Your Career. Join a Mission-Driven… more
- USAA (Tampa, FL)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Butterfly Effects (Deerfield Beach, FL)
- …You Be Doing? + Accurately input patient demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First-In / ... makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs....deadlines. + Identify and resolve billing errors to reduce claim denials. + Correct and resubmit denied claims… more
- Zelis (St. Petersburg, FL)
- …based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images...concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client… more
- AdventHealth (Altamonte Springs, FL)
- …clean claims rate + Performs peer-to-peer discussions with payer Medical Directors and/or discusses cases with payer representatives to facilitate claim ... as a liaison between UM and CM teams and medical staff, as well as, the medical ...Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care,… more