- USAA (Tampa, FL)
- …and impactful. **The Opportunity** USAA Life Company's Claim Team is seeking a talented ** Medical Specialist Principal** to play a crucial role in advising the ... claims . + Expert Advice: Ability to review complicated medical records and medical claims ,...complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement … more
- Sedgwick (Tampa, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze ... complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim settlement up… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned serious and complex Auto Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... regard to coverage or liability defenses). + Directly handle assigned severe claims . + Provide quality customer service and ensure file quality, timely coverage… more
- USAA (Tampa, FL)
- …guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will ... prepare claims estimates to manage complex property insurance claims . + Supports workload surges and...medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program… more
- USAA (Tampa, FL)
- …1 years claims adjusting experience. + Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts. + Intermediate ... comprehensive medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid holidays… more
- Sedgwick (Tampa, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- HCA Healthcare (Tampa, FL)
- …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... 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
- Sedgwick (Tampa, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist Job Description **This Vocational Specialist will ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- MyFlorida (St. Petersburg, FL)
- SANITATION AND SAFETY SPECIALIST - 79000344 Date: May 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Business and Professional Regulations Working Title: SANITATION AND SAFETY SPECIALIST - 79000344 Pay Plan: Career Service Position Number: 79000344 Salary:… more
- Option Care Health (Tampa, FL)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Chadwell Supply (Tampa, FL)
- …Monday-Friday, 8:00am - 5:00pm + Paid Holidays Off and No Weekends! + We offer medical , dental, vision, life insurance , disability, 401K, 104 hours paid time off ... 2019, 2020, 2021, 2022, 2023, and 2024! Overview The Purchasing Resolution Specialist (PRS) is responsible for all OS&D (overages, changes, shortages, and damages)… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Elevance Health (Tampa, FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Molina Healthcare (St. Petersburg, FL)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina...programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and… more