- CRC Insurance Services, Inc. (FL)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance, disability, accidental death and… more
- Conduent (Orlando, FL)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Lincoln Financial (Tallahassee, FL)
- …Role at a Glance** We are excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims organization. As a STAT / PFL ... initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations....diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- Kemper (Miami, FL)
- …Negotiate settlements with claimants and claimant's attorneys. + Research state laws and medical terms. + Attends Basic Claims training, together with any other ... claimants, and witnesses Obtain and review evidence, reports, and medical records Investigate losses and identify coverage issues. +...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- WTW (Miami, FL)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... America P&C propositions, especially in the business-focused areas of Pricing, Product, Claims and Underwriting. Our goal is to substantially increase our footprint… more
- Command Investigations (FL)
- …are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance: Medical , Dental, Vision + Paid time off + Paid Travel ... Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE,… more
- Cognizant (Tallahassee, FL)
- …or requested; and other duties as assigned. Maintain and particpate in all Mass Health forums to understand, translate and implement Mass Health guidelines to ... and in a team environment + Extensive knowledge of Massachusettes Medicaid Mass Health laws required + Experience with Mass Health governing policies and… more
- CHS (Clearwater, FL)
- …High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is preferred but not required. ... (Some plans vary by state.) Full Time employees can enjoy: * Health Coverage: Two flexible medical plans. * Dental & Vision: Comprehensive coverage by Sun Life.… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- AdventHealth (Maitland, FL)
- …preferred. + Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics required + Proficiency ... for the full spectrum of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10… more