- Travelers Insurance Company (Tampa, FL)
- …is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment ... multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Sedgwick (Jacksonville, FL)
- …Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets ... PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with… more
- Elevance Health (Naples, FL)
- …+ Coordinates prompt claims resolution through direct contact with providers, claims , pricing and medical management department. + Identifies and reports on ... + Coordinates communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to… more
- Sedgwick (Tallahassee, FL)
- …**PRIMARY PURPOSE** **:** To handle complex or high exposure claim issues; to provide medical knowledge of the health care system and health care ... issues; to independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; to provide information… more
- MyFlorida (Spring Hill, FL)
- …correctness and completeness of payments. Payments are posted to receivable accounts in the Health Management System. Any claims not paid in full are noted and ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 853691 Agency: Department of Health Working Title: ACCOUNTANT SUPERVISOR II - SES -… more
- Publix (Lakeland, FL)
- …developing and enhancing processes and policies for litigated and attorney-represented claims . Additionally, this role involves managing legal costs, providing legal ... with applicable laws and regulations. + Oversee the handling and resolution of claims to minimize legal risks and financial exposure. + Provide expert legal advice… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including ... Support resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more
- NTT America, Inc. (Tallahassee, FL)
- …developing, monitoring, and enforcing the corporate-wide personnel safety, environmental, health and regulatory management programs. This position has the ... **ESSENTIAL DUTIES & RESPONSIBILITIES** + Develops, organizes, and implements Environmental Health and Safety programs that meet or exceed local, regional, and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply… more