- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines.… more
- USAA (Tampa, FL)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...medical expertise by serving as primary resource for Health Claims for the approach to … more
- HCA Healthcare (Miami, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like… more
- Elevance Health (Miami, FL)
- …The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- Orlando Utilities Commission (Orlando, FL)
- …commercial insurance and policy renewals. + Oversee the budget development for insurance claims , premiums, and payroll impacts; + Review and approve all ... **_Reliable_** **One** **,** is presently seeking a **Manager of Insurance & Claims ** to join the Risk...medical , dental, and vision benefits and paid life insurance premiums with no probationary period. + OUC's Hybrid… more
- CRC Insurance Services, Inc. (FL)
- …Claims Manager - Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as ... regulations, and compliance standards. + Proven experience in managing complex insurance claims , including investigation, evaluation, and resolution. + Ability… more
- Highmark Health (Tallahassee, FL)
- … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of ... necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Ascension Health (Orange Park, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + ... **Details** + **Department:** Medical Claims Cardiology + **Schedule:** Days...career growth opportunities._ **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement… more
- CRC Insurance Services, Inc. (FL)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... (United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured,… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Management (ERM). Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications**… more