- Zurich NA (Maitland, FL)
- … claims career with our General Liability team. As a General Liability (GL) Senior Claims Specialist on our IPZ (international Program) team you will ... Sr. Claims Specialist , General Liability (IPZ) 122438...For more information about our Total Rewards, please clickhere (https://www.zurichna.com/careers/ benefits ) . Additional rewards may encompass short-term incentive bonuses… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final… more
- The Hartford (Coral Gables, FL)
- …Location: Miami, FL (In-Office-Hybrid Schedule) Job Description: We are seeking a Major Claims Specialist - Latin American Financial Lines to handle large and ... exposures and ensure prompt evaluation and reporting internally and externally. + Escalate claims to Senior Management and stakeholders as needed. + Act as the… more
- CVS Health (Tallahassee, FL)
- …all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates ... May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Senior Revenue Cycle Specialist at LogixHealth, you will provide oversight to internal team leads and ... bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payments are...Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement + Conduct follow-up on outstanding and… more
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- Fujifilm (Tallahassee, FL)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Molina Healthcare (Tampa, FL)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more