- CRC Insurance Services, Inc. (FL)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …adjusting claims and other duties as necessary. Key Responsibilities: + Review , research, analyze and process professional claims by navigating multiple ... Position Purpose: The Claims Examiner is responsible for providing expertise and/or...+ Working knowledge of COB and MSP preferably + Medical terminology + Computer literacy + Knowledge of current… more
- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better serve USAA's members. They will closely collaborate with … more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of...and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,… more
- AssistRx (Orlando, FL)
- …operations and provide ongoing Copay program metrics for internal and external business review meetings. Responsible for forecasts and analyzing claims data to ... for the creation, design, set-up and administration of Pharmacy and Medical Copay programs for AssistRx manufacturer clients. Required engagement with client,… more
- Ascension Health (Jacksonville, FL)
- … claims for submission to third party payers and/or responsible parties. + Review claims for accuracy, including proper diagnosis and procedure codes. + ... **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri....Review claim rejections and communicates with payers to resolve… more
- USAA (Tampa, FL)
- …environment, building, and testing new products and capabilities within the auto telematics claims space and helping chart the course for the future of USAA's ... related to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system… more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
- USAA (Tampa, FL)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... + Travel may be required. **What sets you apart:** + P&C Claims Operational experience, industry knowledge of contract requirements and experience with oversight… more
- Sedgwick (Tallahassee, FL)
- … review of referred claims ; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. ... + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on claims .… more