- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- Sedgwick (Tallahassee, FL)
- …combination of education and experience required to include two (2) years claims supervisor experience including litigation supervision experience. **Skills & ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
- Sedgwick (Tallahassee, FL)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements and quality standards. +… more
- Healthfirst (FL)
- …+ Recommend business controls to improve business results + Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project ... as performance of the Business/Project Analyst team. + Regularly meet with supervisor , peers, and stakeholders to drive high performance results. + Collaborate… more
- Highmark Health (Tallahassee, FL)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives… more
- Acosta Group (Bradenton, FL)
- **DESCRIPTION** **Overview** The Retail Supervisor -Events is responsible for the management of effective, efficient and quality event execution in a designated ... location. They are to audit , train and coach Event Specialists on proper team...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related… more
- Acosta Group (Clearwater, FL)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...* Assists with preparation for client visits and completes audit corrections. * Builds and maintains rapport with store… more
- Walgreens (Lynn Haven, FL)
- …and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with… more
- Walgreens (Orlando, FL)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in analyzing and… more