- CHS (Clearwater, FL)
- …approval status. * Developing and implementing strategies for greater automation in the claims process , including electronic receipt of claims and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process , including clearinghouses, claims cost control… more
- Travel + Leisure Co. (Orlando, FL)
- … and loss data within the RMIS. + Ensure data integrity throughout the claims process . + Collaborate with HR, Operations, Loss Prevention, adjusters, brokers, ... compensation insurance renewals through data collection and analysis. + Audit TPA performance, contribute to process improvements,...Degree or equivalent work experience + AIC (Associate in Claims ) or ARM (Associate in Risk Management)… more
- Sedgwick (Miami, FL)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Orlando, FL)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Jacksonville, FL)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …regulations, and company policies. Provide oversight to contract and consultant resources in audit conduct and reporting. + ** Risk -Based Audit Planning** : ... Support the development and maintenance of a global audit schedule based on risk assessments, regulatory...or for payment of money during the job application process . We do not require any financial, credit card… more
- USAA (Tampa, FL)
- …Compliance and Risk Management, as well as Business Operations, IT, Audit Services, and Regulators to support risk and compliance-based initiatives. ... process , accurate regulatory reporting and filing, document governance, risk control self-assessments, procedure governance, control design, new product controls,… more
- Humana (Tallahassee, FL)
- …the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit , and risk adjustment operations related to Provider Reconciliation and ... and external auditors + Evaluate Provider Data Validation, Provider Reporting, Quality Audit , and core risk adjustment operational business areas monthly… more
- Sedgwick (Orlando, FL)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Walmart (Lakeland, FL)
- …relevant to assigned function or unit Documents the key steps of a unitspecific risk management process and associated procedures Implements or manages risk ... evaluating air water and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and… more