- Sedgwick (Miami, FL)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Molina Healthcare (Jacksonville, FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- MyFlorida (Tallahassee, FL)
- …any follow-up correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... MEDICAL DISABILITY EXAMINER - 64083389 Date: Aug 20,...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... claims status either by phone, written correspondence and/or claims system. * Reviews medical information to determine if the claimant meets the requirements… more
- Molina Healthcare (Miami, FL)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... as the professional scope of a Payment Integrity Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate… more
- City of Coral Gables, FL (Coral Gables, FL)
- …Track certificates of insurance and contractual insurance requirements. Assist with the processing of liability insurance claims . Performs other related tasks as ... risk management. Considerable knowledge of the clerical procedure involved in the processing of workers' compensation. Knowledge of medical terminology in the… more
- Molina Healthcare (Miami, FL)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more