- Zurich NA (Tallahassee, FL)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship...North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is… more
- Wells Fargo (Miami, FL)
- …+ Interact with team, functional area, internal peers outside work group, and manager on planning and performing analysis, trends for ATM service, vendor branch ... and resources to support the line of business in managing third party risk . + Develops specific, customized reports, ad hoc analyses and/or data visualizations,… more
- Zurich NA (Tallahassee, FL)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge...collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies… more
- Elevance Health (Tampa, FL)
- …II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Sedgwick (Tallahassee, 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 ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- USAA (Tampa, FL)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:**...claims processes. + Demonstrated knowledge of new and emerging… more
- Elevance Health (Tampa, FL)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Evolent (Tallahassee, FL)
- …the manage and report risk , issues, and decisions with the lead / manager + Responsible to attend and if required, lead test team meetings for technical testing ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Truist (Orlando, FL)
- …following job description:** Under minimal supervision of the Operations Manager , responsible for handling electronic payment exceptions, escalations, and ... related to Wire within established timeframes in order to mitigate risk . ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Independently analyze, research, and process… more