- ICW Group (Orlando, FL)
- …JOB** The purpose of this job is to supervise and provide guidance to the Claims Support staff and to assist in escalated Claims matters. This position exists ... that Company objectives and standards are met within the Claims Support team. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Manages a...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury **PRIMARY PURPOSE** : To analyze complex or technically ... difficult auto bodily injury claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental (Professional Liability) **Job Description Summary** To analyze ... complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Tallahassee, FL)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Leader - Liability **PRIMARY PURPOSE** : To...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- CHS (Clearwater, FL)
- … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims … more
- University of Miami (Medley, FL)
- …University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Supervisor , Medical Collections (H) to work in Miami, FL. The ... Supervisor , Medical Collections (H) oversees staff responsible...refers accounts to collection agencies. + Processes third-party insurance claims , requests and submits claim forms, and processes insurance… more
- Zelis (St. Petersburg, FL)
- …focused on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify ... billing accuracy and clinical appropriateness. The Supervisor will be responsible for monitoring the Clinical Reviewer's...output and queues for timely and proper management of claims . + Ensure client turnaround times and specific processing… more