- Guidehouse (Tampa, FL)
- …of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Sedgwick (Miami, FL)
- …records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property . + Interviews, telephones, or corresponds with ... Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability...claimant(s) and witnesses regarding claim . + Consults police and… more
- Travelers Insurance Company (Tallahassee, FL)
- …By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...on how developments in the broader medical environment impact Property & Casualty product lines. This role will serve… more
- Allied Universal (New Port Richey, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- City of Lakeland (Lakeland, FL)
- …for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property and casualty, general and automobile ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- USAA (Tampa, FL)
- …Auto Adjuster, you will be responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims ... defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end … more
- USAA (Tampa, FL)
- …As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims ... and physical damage including total loss settlements for highly complex auto claims . + Negotiates liability for comparative negligence (claimant or adverse carrier).… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Sedgwick (Tampa, FL)
- …+ Acts as liaison for payment-related concerns between carriers and Property Repair Solutions internal payment team. + Assists with research, review ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...CDM Smith Recruiting Center Team (RCT) will be considered property of CDM Smith. CDM Smith will not be… more