- Allied Universal (Cape Coral, FL)
- …Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of… more
- Molina Healthcare (Miami, FL)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Oracle (Tallahassee, FL)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... 1-2 years of experience in hospital audits preferred + Associate or bachelor's degree in nursing from an accredited...and Appeal Drafting:** Conduct in-depth clinical reviews of denied claims , utilize medical records, medical … more
- Intermountain Health (Tallahassee, FL)
- …follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...aging levels by prompt review and follow up of claims . Performs all duties in a manner which promotes… more
- Sarasota County Government (Sarasota, FL)
- …Grow Here. Stay Here. The Twelfth Judicial Circuit is seeking an Administrative Specialist III to join our Citizen Dispute Settlement Program (CDSP) in Venice. In ... attorneys, court staff, referral sources, and the public. If you have an associate degree (or equivalent experience), strong administrative skills, and a passion for… more
- MyFlorida (Doral, FL)
- INVESTIGATION SPECIALIST II - 79000972 Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 863202 Agency: Business and Professional Regulations Working Title: INVESTIGATION SPECIALIST II - 79000972 Pay Plan: Career Service Position Number: 79000972… more
- Guidehouse (Tampa, FL)
- …payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims . + Proficiency in determining ... 5 years' experience in Revenue Integrity Coding and Billing + Hospital medical billing and auditing experience + Associate 's degree\#IndeedSponsored\#LI- Remote… more
- NANA Regional Corporation (Panama City, FL)
- The CAC & Fingerprinting Support Specialist will provide Identification Card Administration (ICA) and electronic fingerprinting services at the Visitor Reception ... personnel, dependents, civilian employees, and verified contractors via the Trusted Associate Sponsorship System (TASS). + Process CACs and other DoD identification… more
- Allied Universal (Tampa, FL)
- …Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies… more
- Kemper (Doral, FL)
- …the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or ... related matters; or an authorized medical professional to evaluate medical related claims . + Must have a working knowledge of Digital photo and document… more