- Sedgwick (Tallahassee, FL)
- …accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +… more
- MyFlorida (Tallahassee, FL)
- 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 865623 Agency: Agency for Health Care Administration Working Title: 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064693… more
- MyFlorida (Tallahassee, FL)
- 68900202 - OPS MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency for Health Care Administration Working Title: 68900202 - OPS MEDICAL /HEALTH CARE PROGRAM ANALYST Position Number: 68900202 Salary: $20.00 Hourly Posting… more
- Molina Healthcare (FL)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
- Molina Healthcare (Tampa, FL)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems + Understanding of datamining… more
- Sedgwick (Orlando, FL)
- …or GED required **Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years ... + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more