- Elevance Health (Miami, FL)
- …is responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful ... databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers… more
- CDM Smith (West Palm Beach, FL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Kemper (Doral, FL)
- …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... the Downers Grove and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and conducting and/or… more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... that we are investing in growth across Natural Resources, Property , Casualty, Technical and Special Risks and Marine. As...of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team… more
- Marriott (Riviera Beach, FL)
- …operations on a daily basis. Areas of responsibilities include protection of property assets, employees, guests and property , accident and fire prevention ... and response. Ensures that all areas of the property are safe and secure. Maintains logs, certifications and...Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings… more
- Elevance Health (FL)
- …corrective action plan implementation and monitoring education and non-routine claim issues. + May coordinate Provider Manual updates/maintenance. + Identifies ... of Microsoft Excel and Word preferred. + Experience with claims /provider systems (ie Facets, WGS, and/or SPS) preferred. _For...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Lake Mary, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (FL)
- …special projects such as understanding changes in cost and utilization at a claim level + Responsible for educating and making recommendations on changes in expense ... and actuarial software tools. + Experience working with large administrative claims datasets and healthcare cost/utilization metrics. + Ability to apply actuarial… more
- Elevance Health (Lake Mary, FL)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Altamonte Springs, FL)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... and specialty care procedures. + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more