- Towne Park (Clearwater, FL)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- CDM Smith (Orlando, 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 categories. The specialist will conduct thorough forensic investigations… more
- Robert Half Technology (Clearwater, FL)
- …collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements, ... Responsibilities: * Gather and document detailed business requirements to support claims administration systems. * Create and maintain comprehensive documentation on… more
- Sedgwick (Tampa, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Evolent (Tallahassee, FL)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Molina Healthcare (Orlando, FL)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating… more
- HCA Healthcare (Palm Harbor, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Zelis (St. Petersburg, FL)
- …Claim Review. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and ... as it relates to the Itemized Bill Review product, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office… more
- AdventHealth (Maitland, FL)
- …and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager. Qualifications **EDUCATION ... or related areas such as registration, finance, collections, customer service, medical , or contract management **KNOWLEDGE AND SKILLS REQUIRED:** Ability to use… more
- AdventHealth (Maitland, FL)
- …and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager Qualifications **EDUCATION ... or related areas such as registration, finance, collections, customer service, medical , or contract management **KNOWLEDGE AND SKILLS REQUIRED:** Able to work… more