- MetLife (Tampa, FL)
- …meaningful impact in the lives of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term ... within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking skills,… more
- MetLife (Tampa, FL)
- …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're… more
- Walmart (Wimauma, FL)
- …leave, family care leave, bereavement, jury duty, and voting. Other benefits include short- term and long - term disability , company discounts, Military ... Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you… more
- AON (Tampa, FL)
- …per year, paid sick leave as provided under state and local paid sick leave laws, short- term disability and optional long - term disability , health ... to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international),...provided under state and local paid sick leave laws, short- term disability and optional long -… more
- Walmart (Wimauma, FL)
- …leave, family care leave, bereavement, jury duty, and voting. Other benefits include short- term and long - term disability , company discounts, Military ... level training and execution of asset protection, safety functions, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- USAA (Tampa, FL)
- …new products and implementation of process improvements. + Provide short and long - term planning recommendations for unit objectives by developing and analyzing ... Opportunity As a dedicated Director, P&C Pricing and Reserving Actuary leading a Claims Insights Analytics team, you will plan, organize, direct, and staff actuarial… more
- Walmart (Riverview, FL)
- …For information about PTO, see https://one.walmart.com/notices . - Other benefits include short- term and long - term disability , company discounts, ... area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... are all pharmacy processes and processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How you… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in… more
- TECO Energy (Tampa, FL)
- …as mentor for less senior personnel. Proven ability to successfully manage long term , complex and large budget projects. Preferred: Demonstrated understanding ... (CPM scheduling) c) Budgeting Systems and Cost Controls d) Contractor Claims Negotiations Preferred: Electric Delivery (ED) System Infrastructure (Design and/or… more
- Black & Veatch (Tampa, FL)
- …professionals are empowered to drive not only their personal growth, but the company's long - term achievements - and they share in the financial rewards of the ... for QA/QC . + Leads in evaluating change requests, claims , and cost proposals from contractor, coordinates responses with...pounds. * Stand, Kneel, Bend, Stoop, Move, and Walk long distances in and around confined, cluttered places, and… more
- MUFG (Tampa, FL)
- …organization, and community we serve. We stand for our values, building long - term relationships, serving society, and fostering shared and sustainable growth ... US compliance regulation checks/screening/data entry; and (c) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives,… more
- Jabil (St. Petersburg, FL)
- …a changing, fast-paced, and energetic environment; ability to establish and meet short-and long - term deadlines. . A self-starter and mulit-tasker able to handle ... and implementing effective resolution strategies for global commercial and employment claims , disputes and litigation. . Think creatively and provide daily tactical… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... + Associate must identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product types, pursuant to State… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... Care and Enterprise organizations focusing efforts on explaining medical cost trends, lowering claims costs, and improving the quality of care. **How you will make… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding,… more
- Elevance Health (Tampa, FL)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more