- Sedgwick (Miami, FL)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation (REMOTE - MUST RESIDE IN FL) ... **PRIMARY PURPOSE** : To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within… more
- WTW (Miami, FL)
- **Description** The Claims Associate will be responsible for supporting the WTW claim consultants with day-to-day needs to manage the account. Note: ... estate client + Assist WTW Claim Consultants in reporting/monitoring of claims , which includes reviewing loss notices, reporting to appropriate TPA/carrier, secure… more
- Sedgwick (Miami, FL)
- …but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), ... Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred.… more
- Molina Healthcare (Miami, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more
- Elevance Health (Hialeah, FL)
- **Pharmacy Customer Associate II** **Location:** This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Customer Associate II** is responsible for educating the member on the benefits… more
- Walgreens (Weston, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Miami, FL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Concierge Performance Associate (11a-8p or 12p-9pm with weekends required) **PRIMARY PURPOSE:** To ... year of experience in construction management, restoration and/or insurance claims and customer service required. Chronicle software experience preferred._**… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Associate Director of Pharmacy & Dispensing is responsible for the operation of the ... also responsible for execution and implementing policies and procedures. The Associate Director, Pharmacy communicates effectively with providers and staff, makes… more
- Walmart (Miramar, FL)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Walmart (Miramar, FL)
- …area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, ... cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Provides Member… more
- CVS Health (Plantation, FL)
- …Operations Supervisor is responsible for fostering relationships with those outside of the claims department to continue to fulfill the company purpose of aiding our ... **What you will do** + Ensures the efficient and timely processing of claims by effectively managing the workflow processing and completion within the department. +… more
- Molina Healthcare (Miami, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- The Hartford (Sunrise, FL)
- …team as we help shape the future. The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for benefits and works with ... customers to retrieve and relay information relevant to leave management claims . + Provide exceptional customer service using professional written and verbal… more
- Sysco (Pompano Beach, FL)
- …delivery impacts. + Communicate daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation Leads, and Transportation ... company policies (ie attendance, Code of Business Conduct and Ethics, Associate Handbook, etc.). + Accept additional responsibilities or special projects as… more
- University of Miami (Miami, FL)
- …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. + ... potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation and assist… more
- Walgreens (Hollywood, FL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Allied Universal (Fort Lauderdale, FL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the industry.** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- Allied Universal (Miami, FL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the industry.** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- CARMAX (Miami Lakes, FL)
- …a liaison between the customer and retail technician (Traditional), or mechanical associate (Flow) on the phone before, during, and after the service/repair ... ♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders… more
- Molina Healthcare (Miami, FL)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... and referral **JOB QUALIFICATIONS** **Required Education** Bachelors degree or Associate 's Degree, in criminal justice or equivalent combination of education… more