• Claim Operations Specialist

    Travelers Insurance Company (Tampa, FL)
    …for further consideration. This role is hybrid (3 days in office/2 days remote ). **What Will You Do?** + CUSTOMER ENGAGEMENT: Serves as a customer service ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
    Travelers Insurance Company (06/18/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. * Experience in a ... established guidelines/procedures. **Use your skills to make an impact** **WORK STYLE:** 100% remote /work at home. While this is a remote position, occasional… more
    Humana (08/08/25)
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  • Senior Encounter Data Management Professional

    Humana (Tallahassee, FL)
    …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
    Humana (08/15/25)
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  • Associate Director, Medical Affairs Omnichannel

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …or not clearly defined. + **Travel & Collaboration:** + Although this is a remote role, 30% travel for in-person meetings will be essential, including travelling to ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Executive Director, CNS Strategy, Global Medical…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …25% travel is required, based upon business needs + Position can be remote based **Competencies** **Accountability for Results -** Stay focused on key strategic ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Licensed Life and Health Insurance Advisor

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
    Mass Markets (08/14/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Technical Customer Care Representative…

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Do you know what it means to "Pair a Remote "? + Trouble shoot data, video, and voice (VoIP...Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.… more
    Mass Markets (05/28/25)
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  • Virtual Assistant

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... seeking a highly organized and detail-oriented Virtual Assistant to join our remote team. The virtual assistant's primary responsibility is to be organized,… more
    Mass Markets (08/15/25)
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  • CPC Processor Customer Support

    Datavant (Tallahassee, FL)
    …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... and external customers while maintaining a high level of professionalism. This is a Remote role (Call Center). * Full-Time: Monday-Friday 8:00am to 4:30 pm EST *… more
    Datavant (08/08/25)
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