- Health First (Rockledge, FL)
- …Customer inquiries related to: Authorization requests, decisions and extensions; * Benefit coverage and exclusions; Eligibility; Plan Providers; Claims payments ... Management* **Organization:** **HF Administrative Plan Inc* **Title:** *Prior Authorization Nurse Specialist HFHP - Clinical Operations * **Location:** *Florida -… more
- MyFlorida (Tallahassee, FL)
- …(relocation benefits are not available for this position) OPERATIONS REVIEW SPECIALIST Internal www.floridajobs.org/ Your Specific Responsibilities: ... 833700- OPERATIONS REVIEW SPECIALIST - 40031062 Date:...while helping the citizens of Florida prosecute ID theft claims . FloridaCommerce is a fast-paced work environment in which… more
- CVS Health (Jacksonville, FL)
- …to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines....offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- MetLife (Tampa, FL)
- …a meaningful impact in the lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in ... prescribed time service standards. In this role, the LTD Claims Specialist is required to exercise independent...while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan… more
- Crawford & Company (Fort Lauderdale, FL)
- …which focuses primarily in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a third party, intermediary ... Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's Content … more
- Molina Healthcare (FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting ( benefit and provider), network management, credentialing, prior authorizations, fee...authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- AON (FL)
- Billing and Payroll Customer Service Benefit Specialist This is a virtual role with the flexibility to work anywhere in the continental United States Aon is in ... skills. Team oriented, be able to multi-task between all operations within the department on a need to basis....any time. #LI-DD1#LI-REMOTE 2549373 Billing and Payroll Customer Service Benefit Specialist This is a virtual role… more
- USAA (Crestview, FL)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... what makes us so special! **The Opportunity** As a Property Adjuster Specialist you will work within defined guidelines and framework, investigates, evaluates,… more
- USAA (Jacksonville, FL)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... what makes us so special! **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- MyFlorida (Tallahassee, FL)
- …interested parties relating to potential issues and chargeability of employer accounts for benefit payments on claims . Handles a heavy load of correspondence ... 841333 - EMPLOYMENT PROGRAM SPECIALIST - 40034312 Date: Nov 15, 2024 The...FULL TIME / Career Service POSITION LOCATION: Tallahassee,FL (relocation benefits are not available for this position) Employment Program… more