- Walmart (Orlando, FL)
- …to determine root cause of issues (for example, systems, insurance , stock); processing information for third-party insurance claims ; coordinating with ... to resolve rejections; interpreting third-party return messages, reject codes, and insurance problem descriptions; reprocessing third-party claims using the… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...from each qualified appointment. - Submits qualified submissions for processing to Underwriter in complete form with a request… more
- Orlando Utilities Commission (Orlando, FL)
- …+ Low-cost medical , dental, and vision benefits and paid life insurance premiums with no probationary period. + OUC's Hybrid Retirement Program includes a ... be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement.… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …change as determined by the needs of the business. BENEFITS for full time employees + Medical , Dental, and Vision insurance + 401 (k) (available for Part Time & ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Select Medical (Pensacola, FL)
- …employment status reports for payroll, HR and/or compliance purposes. + Processing and maintaining all workers' compensation claims , unemployment requests, ... experience)** At Select Specialty Hospitals, a division of Select Medical , we care for chronically and critically ill or...Extended Illness Days (EID). + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage. + A… more
- Robert Half Office Team (Bradenton, FL)
- …Requirements * Proven experience in human resources administration, including risk management and claims processing . * Strong knowledge of property and casualty ... strong analytical and administrative skills, along with the ability to manage claims and insurance -related processes effectively. Responsibilities: * Develop and… more
- AdventHealth (Maitland, FL)
- …Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager ... and patient accounts. Under general supervision, is responsible for processing insurance and billing insurance ...insurance in a timely manner. Reviews assigned electronic claims and submission reports. Resolves and resubmits rejected … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient ... requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to member… more
- Walmart (La Belle, FL)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Robert Half Technology (Clearwater, FL)
- …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more