- Carrington (Jacksonville, FL)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper ... is accurately completed on all liquidated loans. Key reviewer of loss analysis decisions which include validating the determined responsibility and root cause for… more
- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist | Medical Malpractice (PL) | Remote, Florida **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Elevance Health (Tampa, FL)
- ** Claims Auditor I, II and Senior **...system issues, where applicable. + Refers overpayment opportunities to Recovery Team. + ** Claims Auditor II** - ... specialized claims , working independently and without significant guidance. The ** Claims Auditor Senior ** is responsible for auditing of high dollar… more
- Travelers Insurance Company (Orlando, FL)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Tallahassee, FL)
- …a related field, or equivalent work experience. + Demonstrated experience in claims analysis , payment integrity, or healthcare data analytics, preferably within ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...to the investigations of fraud waste and our financial recovery . The Senior Payment Integrity Professional work… more
- ChenMed (Miami, FL)
- …in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing, Coding, IT, ... outcomes. + Develops and maintains internal controls to target revenue recovery throughout the organization by identifying operational, coding, billing, and… more