- Molina Healthcare (St. Petersburg, FL)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... Oversee requirements, configuration, and testing for platforms such as Salesforce ( case management, integrations), QNXT (or similar core claims ), RPA/automation,… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Tampa, FL)
- …Monday - Friday, 9am - 5:30pm (4 days) 11:30am - 8pm (1 day) EST** The **Nurse Case Manager Senior ** is responsible for care management within the scope of ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of...provides services in multiple states. + Certification as a Case Manager is preferred. For URAC accredited… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... + Participate in the 24/7 duty schedule for crew medical support. + Support the Senior Manager of Case Management in developing and maintaining policies and… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return...duty schedule for crew medical support. + Support the Senior Manager of Case Management… more
- Stryker (Miami, FL)
- The Senior Manager , Compliance Investigations (Americas) is an integral part of the strategic expansion of Stryker's compliance and ethics function. The position ... analyzing evidence, conducting interviews, drafting memos, preparing concise reports for senior leadership and key stakeholders. + **Strategic Case Management:**… more
- Travelers Insurance Company (Orlando, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
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