- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Jacksonville, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… 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
- HCA Healthcare (Lake City, FL)
- …want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...difference. We are looking for a dedicated Workers Compensation Claims Resolution Specialist like you to be… more
- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist Senior Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4971840) Apply Workers' Compensation ... Specialist Senior Salary $58,703.40 Annually Location Jacksonville, FL Job Type...Manage complex workers' compensation litigation case files. + Reviews medical bills and other services for which claims… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Senior Billing Specialist at LogixHealth, you will work with a team medical billers, administrators, and ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of...perform the duties. Required: + Knowledge of third party medical billing for all major carriers + Prior word… more
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the ... claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance, disability, accidental death and… more
- Stryker (Weston, FL)
- We are seeking a ** Senior Regulatory Specialist ** to join our Mako and Enabling Technology business within the Joint Replacement Division to be based hybrid two ... per week in Mahwah, NJ or Weston, FL. **What you will do** As the ** Senior Regulatory Affairs Specialist ** , you will support Stryker's Mako and Enabling… 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
- Gilead Sciences, Inc. (Orlando, FL)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... with local cross-functional colleagues (Prevention Specialists, Community Liaisons, Market Access, Medical Scientists, and other field team members) to ensure a… more
- Molina Healthcare (Orlando, FL)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business… 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 ... a motivated, initiative-taker who would enjoy a fast-paced collaborative work environment! The claims specialist will enjoy working primarily on a caseload of… more
- HCA Healthcare (Jacksonville, FL)
- …individual is recognized. Submit your application for the opportunity below:Billing Specialist at the Jacksonville Central Billing Office of HCA Surgery Ventures ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Miramar, FL)
- …Do you want to join an organization that invests in you as a Collections Specialist ? At Surgery Ventures, you come first. HCA Healthcare has committed up to $300 ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Jacksonville, FL)
- …individual is recognized. Submit your application for the opportunity below:Collections Specialist at our Jacksonville Central Billing Office, part of HCA Surgery ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Sarasota, FL)
- …integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Atlantis, FL)
- …or limits? Our HCA Florida JFK Hospital team is looking for a(an) Senior Risk Manager. HCA Healthcare is an advanced healthcare network that has committed ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Monte Nido (Miami, FL)
- …people to realize their healthy selves. **Leave of Absence & Compliance Specialist ** **Monte Nido** **Remote** **Monte Nido** has been delivering proven treatment ... treatment. We are seeking a highly organized and detail-oriented HR Specialist : Leaves & Compliance Administrator to join our HR Operations team.… more
- Citigroup (Jacksonville, FL)
- The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA...support from those teams. + Provides timely feedback to senior management to identify client pain points and barriers… more