- Lincoln Financial (Tallahassee, FL)
- …reviews for multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. ... You will analyze and manage a caseload of appeals claims . You will review, investigate, and...+ Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims… more
- Elevance Health (FL)
- **Manager II Grievance/ Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The **Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals departmental… more
- Molina Healthcare (Tampa, FL)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific… more
- Humana (Tallahassee, FL)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Robert Half Accountemps (Plantation, FL)
- Description We are looking for an experienced Medical Claims Analyst to join our team in Plantation, Florida. This contract position offers an exciting ... opportunity to work within the insurance industry, focusing on claims processing, auditing,...to accuracy and efficiency. Responsibilities: * Analyze and process medical claims using platforms such as Allscripts… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- MetLife (Tampa, FL)
- …* Organizational and time management skills * Minimum 1 year LTD/IDI Insurance Claims experience Preferred: * Bachelor's degree Business Category Operations ... Long Term Disability Claims Specialist II Job Location: Virtual but must...environment and in accordance with state and department of insurance regulations. * Develop actions plans and identify return… more
- MetLife (Tampa, FL)
- Long Term Disability Claims Specialist I Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * Cary, NC * ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Robert Half Accountemps (Melbourne, FL)
- …Florida area. In this role, you will play a vital part in managing insurance claims , processing payments, and ensuring the accuracy of billing information. This ... claim submissions. * Input accurate data into financial systems to generate and process insurance claims . * Investigate and resolve outstanding insurance … more
- Cardinal Health (Doral, FL)
- …Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of ... outstanding balances from insurance payers, working to reduce aging accounts receivable and...+ Analyze denials and underpayments to determine appropriate action ( appeals , corrections, resubmissions). + Track and follow up on… more
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