- Sedgwick (Jacksonville, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To ... investigate losses or claims internationally on any size National Account (Maintaining a...total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property… more
- Elevance Health (Miami, FL)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- Robert Half Management Resources (Jacksonville, FL)
- …medical billing operations, ensuring timely and accurate processing. * Handle medical claims by reviewing, validating, and resolving discrepancies. * ... knowledge of medical billing processes and practices. * Familiarity with medical claims management and resolution. * Excellent analytical skills and… more
- CVS Health (Largo, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- HCA Healthcare (Jacksonville, FL)
- …from EOBs and works to correct the errors in a timely manner. + Monitors insurance claims by running appropriate reports and contacting insurance companies ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Humana (Tallahassee, FL)
- …in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary, Analytics/Forecasting ensures data integrity ... community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative** **Our teams ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking ... OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Surveyor Sr **PRIMARY PURPOSE** : To inspect damaged cargo to determine ... collisions or motor failures. + Receives and reviews new claims and maintains data integrity in the claims...college or university preferred. Valid driver's license and current insurance coverage required, along with motor vehicle record that… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + 2+ years of supervisory experience in healthcare reimbursement or medical insurance /billing + Clear understanding of how Collections and ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more