- ICW Group (Orlando, FL)
- …This position is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement. This ... gaps. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Develops and provides oversight of the Claims Audit & Compliance program. + Develops and executes end-to-end… more
- Molina Healthcare (St. Petersburg, FL)
- …(eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... state regs). + Designs and embeds controls, SLAs, and quality checks to support audit readiness and reduce rework. + ** Process Improvement & Change Management**… more
- 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
- 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
- USAA (Tampa, FL)
- …of NAIC regulations and have knowledge of life, annuity, and health insurance claims . Experience with risk assessment, including Risk and Control ... degree. + 6 or more years experience in compliance, risk , legal or audit within the financial...regulations. + Knowledge of life, annuity, and health insurance claims . + Risk assessment experience; RCSA and… more
- USAA (Tampa, FL)
- …**The Opportunity** There is 1 position available. As a dedicated, Business Process Owner Senior you will plan, direct, and coordinate activities for complex ... of business processes. You will be responsible to understand the process operating objectives, business rules, performance requirements, risks, and controls and… 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 (Tampa, 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
- Ryder System (Tallahassee, FL)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up,… more
- Sedgwick (Jacksonville, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This… more