- Travelers Insurance Company (Orlando, FL)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... of business or financial reports. Prepares operational reports for claim professionals and managers. Accurately documents pending and completed work activities… more
- USAA (Tampa, FL)
- …conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations , particularly Medicare Supplement claims handling ... us special and impactful. **The Opportunity** USAA Life Company's Claim Team is seeking a talented **Medical Specialist...Applies expert knowledge of fraud risk associated with health claims . + Ensures risks associated with business … more
- USAA (Tallahassee, FL)
- … coverage including potential legal liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve ... accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge… more
- Nestle (Palm Beach Gardens, FL)
- …for patients and consumers. **Job Description:** The Customer Solutions & Claims Supervisor (Medical Nutrition) will provide overall leadership to the Nestle ... and complexities in the O2C process. This role will collaborate closely with cross-functional business partners, as well as the Center of Scale (CoS). This is also a… more
- FirstBank PR (Miami, FL)
- …to customer service conducting daily data integrity and input. The Loan Operations Specialist Projects a professional image through phone interaction, ... Job Summary: Loan Operation Specialist performs a variety of routine and non-routine...impact. Effectiveness and accuracy are essential of the day-by-day operations of the business unit. Physical Demands,… more
- Percepta (Melbourne, FL)
- …parts delays, by 1) facilitating finding the part, 2) working with the operations , leadership, and business partners on process improvement ideas,3) ownership of ... we bring first-class service across each market we support. As a **Technical Specialist ** in **Melbourne Florida,** you'll be a part of creating and delivering… more
- MyFlorida (St. Augustine, FL)
- NURSING PROGRAM SPECIALIST - RM - 50950039 Date: May 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852297 Agency: Veterans Affairs Working Title: NURSING PROGRAM SPECIALIST - RM - 50950039 Pay Plan: Career Service Position Number: 50950039… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The Specialist , Pharmacy Operations is responsible for the oversight of delegated services, implementation of new products ... and services and maintenance of business . This role will be the primary contact for...Managers and Corporate shared services with respect to pharmacy operations . This role is very dynamic, and the department… more
- ChenMed (Miami, FL)
- … operations including billing, eligibility validation, provider credentialing, and claims lifecycle. + Strong written and verbal communication skills and ability ... people to join our team. The RCM (Revenue Cycle Management) Optimization Specialist supports operational enhancement of the revenue cycle by ensuring accurate… more
- MyFlorida (Lakeland, FL)
- INVESTIGATION SPECIALIST I - 60020468 Date: May 7, 2025 The...is a full-time position working 40 hours per week. Business hours are 8:00 am - 5:00 pm EST, Monday ... . Requisition No: 841231 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60020468 Pay Plan: Career Service Position Number: 60020468… more