- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... Examiner adjudicates medical claims based on health policy provisions...coordination of benefits + Documents fully claims referred to senior staff for review and determination + Maintains company… more
- Highmark Health (Tallahassee, FL)
- …on all efforts. + Provide proactive guidance, education, and information to senior management, so that leaders remain informed and aware of risks, requirements, ... of the Board. Gathers data and prepares reports for senior management and Board of Directors as needed. Ensure...(CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) +… more
- MyFlorida (Fort Lauderdale, FL)
- SENIOR MANAGEMENT ANALYST SUPV - SES - 60069962 Date: Aug 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 859517 Agency: Children and Families Working Title: SENIOR MANAGEMENT ANALYST SUPV - SES - 60069962 Pay Plan: SES… more
- Publix (Lakeland, FL)
- **33915BR** **Position Title:** Senior Internal Auditor **Department:** Internal Audit **Location:** Lakeland, FL **Description:** Publix Super Markets tops the list ... recognized as a leader in the supermarket industry. The Senior Internal Auditor position is now available in the...or Certified Public Accountant (CPA) certification or Certified Fraud Examiner (CFE) + knowledge of Internal Auditing concepts +… more
- Truist (Orlando, FL)
- …Credit Review partners, Technology, and other internal and external audit and examiner functions. Decision-Making and Autonomy: Teammates in this role are charged ... offering the position. Truist offers medical, dental, vision, life insurance , disability, accidental death and dismemberment, tax-preferred savings accounts, and… more
- CHS (Clearwater, FL)
- **Overview** **Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... (TPA) which provides a wide range of administrative services to insurance companies, sharing organizations, insurance marketing organizations, and employers.… more
- MyFlorida (Tallahassee, FL)
- …This is a highly technical position, reporting to the Technology Services Section, Senior IT Analyst. Specific duties and responsibilities of this position are as ... * Seeks certifications associated with job duties such as Certified Fraud Examiner (CFE) Knowledge, Skills, and Abilities: Knowledge of principles and techniques of… more
- Prime Therapeutics (Tallahassee, FL)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... and use new software applications. + Knowledge of ICD-9/10, CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner… more