Claims Case Investigator Jobs in Florida

581 jobs

Description: Position Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you d...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare ...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, legal, clinical, and business communities. We empower our customers with accurate, comprehensive information to make informed, reliable business decisions. We work collaboratively with our clients to develop strategies that increase profits, enhance p...

Description: Position Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you d...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

The Field Claims Representative will handle property claims and appraisals for clients in the North Eastern Florida area, primarily Duval, St. Johns and Clay Counties. This position will require the candidate to have excellent investigative skills, property estimating and negotiation skills. Responsibilities include handling property claims and providing a strong technical expertise with exception...

Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...

The Residential Property Claims Adjuster is responsible for the investigation, evaluation, negotiation and resolution of property claims including lightening, contents, theft, water, wind and other desk handled claims. Provide a high level of technical expertise, exceptional customer service, a thorough analysis of coverage and effective management of experts. Assist in completion of contents adju...

The Casualty Claims Manager is the Claims Leader, Insurance Manager and Risk Advocate for the local Hertz region/territory. The position will provide oversight and management for a world class third party claims team, provide local insurance advice and be the advocate of risk management strategy and culture for Hertz. Key responsibilities include ensuring compliance with claim handling according t...

The Technical Claims Manager is the Technical Claims Leader, Insurance Manager and Risk Advocate for the local Hertz region/territory. The position will provide oversight and management for a world class third party claims team, provide local insurance advice and be the advocate of risk management strategy and culture for Hertz. Key responsibilities are to be the Technical Claims Leader to comply ...

The Field Claims Representative will handle property claims and appraisals for clients in the St. Lucie County Florida area. This position will require the candidate to have excellent investigative skills, property estimating and negotiation skills. Responsibilities include handling property claims and providing a strong technical expertise with exceptional customer service, a thorough analysis of...

SIU Investigator-1502329 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans...

Conduct healthcare fraud and abuse investigations as a member of the Special Investigations unit within the Corporate Compliance department. Essential Functions: Investigates allegations and issues pertaining to potential health care fraud by providers or members. Documents investigations, including preliminary and final case reports, for both internal tracking and regulatory reporting purposes...

Conduct healthcare fraud and abuse investigations as a member of the Special Investigations unit within the Corporate Compliance department. Essential Functions: Investigates allegations and issues pertaining to potential health care fraud by providers or members. Documents investigations, including preliminary and final case reports, for both internal tracking and regulatory reporting purposes...

SIU Investigator, Sr-1502290 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health p...

Description Job duties include but are not limited to the following: Identify potential fraud, waste and abuse by performing complex medical record reviews related to SIU case investigations and activities. Medical record review will consist of reviewing/auditing prepayment and post-payment claims associated with medical records received from the provider to determine if the correct CPT and ICD-...

Description Job duties include but are not limited to the following: Identify potential fraud, waste and abuse by performing complex medical record reviews related to SIU case investigations and activities. Medical record review will consist of reviewing/auditing prepayment and post-payment claims associated with medical records received from the provider to determine if the correct CPT and ICD-...

The Senior Investigator investigates cases of health care fraud and abuse within the Special Investigations Unit (SIU). He or she will assume responsibility for higher profile and more complex cases and will also be expected to serve as a resource to more junior SIU staff. Reports to Manager SIU Department: Compliance- SIU Location: Tampa, FL 33634 Essential Functions: Investigates allegation...