• Health Claims Specialists

    Sutherland Global Services (Tallahassee, FL)
    Health and Wellness programs including a personal trainer dedicated to Sutherland + Health or health insurance claims experience + Knowledge of medical ... performance. Delivering measurable results._ This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much… more
    Sutherland Global Services (01/21/25)
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  • Claims Representative I

    Elevance Health (FL)
    **Title: Claims Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The ** Claims Representative I** will be responsible for successfully completing...to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the… more
    Elevance Health (01/25/25)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Tallahassee, FL)
    …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and duration ... experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact of claimants' medical condition on… more
    Guardian Life (12/20/24)
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  • Stat / PFL Claims Specialist

    Lincoln Financial Group (Tallahassee, FL)
    …**The Role at a Glance** We are excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims organization. As a STAT / ... diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and...assistance program + A leadership team that prioritizes your health and well-being; offering a remote work… more
    Lincoln Financial Group (01/22/25)
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  • Coding Auditor - Inpatient

    BayCare Health System (Tampa, FL)
    …largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the State of Florida, Georgia, or North Carolina) + ... + **Days:** Monday - Friday The **Inpatient** **Coding Auditor** is a full-time remote position. This team member must currently reside in Florida, Georgia, or North… more
    BayCare Health System (01/22/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Tallahassee, FL)
    …program + Tuition assistance program + A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a… more
    Lincoln Financial Group (01/03/25)
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  • Dealer Experience Specialist

    Percepta (Melbourne, FL)
    …who are selling parts between themselves. + Assist dealerships with warranty/ESP claims concerns + Identify trends and report out on business improvement ... available resources, including, Subject Matter Experts', Field Service Engineers, and Resolution Specialists + Return all email and voice mail messages promptly and… more
    Percepta (01/07/25)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Tallahassee, FL)
    … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing to an… more
    Humana (01/07/25)
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  • Part-Time Weekend Medical Director

    Centene Corporation (Tallahassee, FL)
    …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (01/17/25)
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