- Sedgwick (Tampa, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …Finance Analyst (Contracts / Managed Care)!_ Devereux provides mental and behavioral health services as well as child welfare case management services for children, ... MMAs. + Coordinate with contract representatives and network providers to resolve claims issues. + Facilitate the credentialing process for new programs joining MMAs… more
- HCA Healthcare (Pensacola, FL)
- …Florida West Cardiology Specialists, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
- Ascension Health (Jacksonville, FL)
- …AHIMA or the AAPC. CPC-A-accepted** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match ... reimbursement from public/private payers. + Perform error analysis for disputed/denied claims and provides recommendations for process improvements. + Assist with… more
- Sedgwick (Orlando, FL)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or adjustments in compliance with… more
- Sedgwick (Orlando, FL)
- …OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting ... the claims process, and providing detailed claim notes on all...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more. **APPLICATION PROCESS**… more
- HUB International (Gainesville, FL)
- …and organization. We offer: + Competitive salaries and benefits offerings + Medical /dental/vision insurance and voluntary insurance options + Health Savings ... resolution with insurance companies and insureds on problems with policy services, claims or coverage concerns. + Assist advisor in insurance business, quotes, and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Tallahassee, FL)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more