- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional service… more
- USAA (Tampa, FL)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II** , you will be responsible for managing ... and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes under the **Homeowner/Renter Policy Contract/Umbrella.** +… more
- Molina Healthcare (Tampa, FL)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span ... and measurable success criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead… more
- CDM Smith (Tampa, FL)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- USAA (Tampa, FL)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement...Injury and/or Litigation Claims processes. + Proven ability to use analytical tools… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- American Family Insurance - Corporate (Tampa, FL)
- You will work in the field and report to the Property Claim Manager , and handle homeowner property field claims in the Tampa area. You must be located within ... eligible candidates._ Primary Accountabilities *Investigates origin and cause of claims by contacting the appropriate parties including insureds, agents, attorneys,… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... required by law. The **Business Architect Sr. - Government Claims ** will be part of Elevance Health's National Operations...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Allegion (Tampa, FL)
- …+ Ensure all Fleet Services policies are being followed and manage all vehicle damage claims . + Participate in the weekly Field Manager 's Call, BI Call, Weekly ... which recognizes the most engaged workplace cultures in the world._ **Branch Manager - Stanley Access Technologies, Tampa, FL** Stanley Access Technologies is… more
- Molina Healthcare (Tampa, FL)
- …cluster components and services (like HDFS, YARN, ZOOKEEPER, AMBARI/CLOUDERA MANAGER , SENTRY/RANGER, KERBEROS, etc.) * Ability to participate in troubleshooting ... technical issues while engaged with infrastructure and vendor support teams. **Job Qualifications** **REQUIRED QUALIFICATIONS:** * 3 years of progressive experience using data, building ETLs (extract, transform, load), using disparate data sources for data… more
- ABM Industries (Clearwater, FL)
- …and coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain ... shuttle equipment and fuel use logs * Maintain a clean work environment, disinfecting shuttle after each use * Performs pre-inspection and post-inspection activities to ensure proper operating conditions, adherence to prescribed Department of Transportation… more
- Sedgwick (Tampa, FL)
- …General Liability / Casualty Adjuster **PRIMARY PURPOSE** **:** To be an Account Manager with General Liability Claims experience responsible for the end-to-end ... management of liability claims involving both primary and excess coverage. This role ensures timely and accurate claim handling, mitigates financial exposure,… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and ... oversees necessary correspondence in accordance with regulatory requirements. * Ensures claims production standards set by the department are met. * Maintains… more
- Sedgwick (Tampa, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Capture Manager **PRIMARY PURPOSE OF THE ROLE** **:** The Capture Manager serves ... Partnership team with responsibility across the full sales cycle. The manager gathers and analyzes business intelligence, develops pipeline forecasts, and leverages… more
- Sedgwick (Tampa, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the subject matter ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- Jacobs (Tampa, FL)
- …If so, we have an incredible career opportunity for you as a Commercial Manager , Design/Build Water Market! We are looking for a dynamic Commercial Manager ... is an excellent negotiator with outstanding analytical leadership skills. As a Commercial Manager , you can expect to: * Collaborate closely with the Project … more
- HUB International (Tampa, FL)
- …support and involvement through HUB Gives **SUMMARY:** The Employee Benefits Account Manager markets and services accounts in accordance with company objectives and ... resolution with insurance companies and insureds on problems with policy services, claims or coverage concerns. + Assist advisor in insurance business, quotes, and… more
- Molina Healthcare (Tampa, FL)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- IQVIA (Tampa, FL)
- …budget and forecast analysis and presentations for senior management. + Responsible for ** claims reconciliations and claims processing** . + Identify and manage ... **payment data related to claims , rebill, and manage overrides.** + Audit readiness and...Excel, and EHR systems** preferred. + **Experience with third-party claims adjudication and reconciliation tools such as Opus, and… more
- Walgreens (Palm Harbor, FL)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more