- Molina Healthcare (Miami, FL)
- …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- City of Boca Raton (Boca Raton, FL)
- …Location FL 33432, FL Job Type Full-Time Job Number 4258 Department City Manager - Admin, IT, MS Division Human Resources 04/02201 Opening Date 06/10/2025 Closing ... and retiree coverage. Under the administrative direction of the Benefits Manager , the Benefits Analyst applies professional expertise to analyze business processes,… more