- Sedgwick (Tallahassee, FL)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE:** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - FL, GA,... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to… more
- Sedgwick (Tallahassee, FL)
- …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ...working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established… more
- Sedgwick (Tallahassee, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (Remote) - Dedicated Account **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Molina Healthcare (Jacksonville, FL)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery,… more
- Cognizant (Tallahassee, FL)
- …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must ... ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**...is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for… more
- Sedgwick (Tallahassee, FL)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : To analyze ... and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- CRC Insurance Services, Inc. (FL)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more