- CRC Insurance Services, Inc. (FL)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- The Hartford (Lake Mary, FL)
- … Claims Specialist is the highest claim handling designation within the Complex Claims Unit - Construction Defect (CCU-CD) and is a visible and important ... all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim...WRAP policies for general contractor, developer, owner, and construction manager claims * Experience in handling affirmative/defensive… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Sr. Manager , CTA Regulatory Strategy is responsible for providing critical support in developing global regulatory strategy, planning, and execution of global ... options to effect innovative regulatory pathways and solutions to complex global requirements and regulatory challenges. + Serves as...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... effective relationships and gain their trust and respect. * Resolve complex problems through project management, data analytics, and stakeholder collaboration. *… more
- Valvoline Global (FL)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... of automotive and industrial solutions. **How You'll Make an Impact** The **Senior Manager , Identity and Access Management (IDAM)** is a key leader in the… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and Project * Experience partnering with various levels of leadership across complex organizations * Strong quantitative aptitude and problem solving skills *… more
- Guardian Life (Tallahassee, FL)
- …experience. + A minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent professional ... and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who reports to… more
- Sharecare (Tallahassee, FL)
- …training** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Prime Therapeutics (Tallahassee, FL)
- …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- Lincoln Financial (Tallahassee, FL)
- …closely with medical and vocational operations and serve as a consultant to the claim operations team for complex clinical issues. **What you'll be doing** * ... Fort Wayne, IN (Indiana); Omaha, NE (Nebraska) **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is...We are excited to bring on a Clinical Operations Manager to our organization. As a Clinical Operations … more
- Celestica (Orlando, FL)
- Req ID: 125668 Remote Position: Yes Region: Americas Country: USA State/Province: New Hampshire City: Remote Employee US **General Overview** **Functional Area** ... : Supply Chain Management (SCM) **Career Stream** : Supply Chain (SC) **Role** : Senior Manager (SMG) **Job Title** : Senior Manager , Supply Chain **Job Code** :… more
- Sedgwick (Miami, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** **Looking for** ... **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Orlando, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our Orlando region and must ... knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- **Overview** Bombing and Gunnery Range Site Manager (PTR-2024-21975): Bowhead seeks to network withBombing and Gunnery Range Site Managers for an upcoming/potential ... daily operations of the permanent site and its associated remote site locations. + Available, during scheduled hours of...problem areas. After scheduled hours of operations, the site manager is required to be available within 2 hours,… more
- GE Aerospace (Clearwater, FL)
- **Job Description Summary** As a contract performance manager you will have a major impact on GE Aerospace profitability through owning overall contract performance, ... conditions (T&Cs) of the contract, and the management of claims . This role is responsible for ownership of contract...required to achieve outcomes. This role is eligible for remote work - preference is in EST or on… more
- NASCO (Tallahassee, FL)
- **Overview** Under general direction, the Customer Success Manager (CSM) role is principally responsible for overseeing the delivery of NASCO's customer commitments, ... meet customer's success requirements. The CSM is responsible for resolving customer's complex technical issues, working with NASCO teams to achieve precut and… more
- Celestica (Orlando, FL)
- Req ID: 126169 Remote Position: Yes Region: Americas Country: USA State/Province: New Hampshire City: Remote Employee US **Summary** The Global Customer Business ... Unit General Manager 2 leads a team of multiple Global Customer...and Cloud Solutions business. The GM must deal with complex and controversial negotiations, problem resolution, and project/program implementations… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Mass Markets (Tampa, FL)
- …for the day-to-day activity and development of 5-10 supervisors within a complex call center environment. The Operations Manager position is responsible ... POSITION OVERVIEW OPERATIONS MANAGER SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS Our...subject matter expert on your client's business + Manage remote employees as needed. + Other duties and responsibilities… more
- Elevance Health (Tampa, FL)
- …line of business** _Location: This position will work a hybrid model ( remote and office)._ _Alternate locations may be considered._ _The Ideal candidate must ... is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover… more