Claims and Policy Processor Jobs in Florida

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1000+ Florida Claims and Policy Processor jobs found on Monster.

Jobs 1 to 20 of 2243
Wellcare Health Plans Inc Tampa, FL
Claims Coding Specialist - CPC Preferred/Claims Processing Exp Required - 1407573 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescriptio...
POSITION PURPOSE: To analyze and evaluate claims and assure that the adequate amounts are paid, denied, and/or applied toward deductible. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Review claim to verify claim entered with correct information vs submitted physical bill Confirm policy eligibility, review against policy permanent exclusions, and/or general policy exclusions, as well as identify ...
Cross Country Home Services (CCHS) is dedicated to making home management easy by offering a full selection of hassle-free, cost-effective home solutions, including warranty products and maintenance plans. Since 1978, the company has built a reputation for excellence and today is one of the nation's leading providers of these products and services.Headquartered in Fort Lauderdale, Florida, with a ...
Job Family Summary We are the Good Hands: We help people realize their hopes and dreams through products and services designed to protect them from life’s uncertainties and to prepare them for the future. The Allstate Corporation is the largest publicly held personal lines property and casualty insurer in America. Allstate was founded in 1931 and became a publicly traded company in 1993. As of ye...
Allstate® Good Work. Good Life. Good Hands.® Voted one of the World’s Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Have an eye for detail? Do you have strong organizational and time management skills? Are you looking to accelerate your career at a renowned company? Allstate Insurance Company has an exceptional career opportunity for an Inside Claims Se...
Job Title: Senior Claims Field Adjuster Reports to: Field Services Manager Classification: Exempt Position Type: Full-Time Job Description Who we are Built on a foundation of traditional community values, Sawgrass Mutual is a policyholder owned insurance company - neighbors helping neighbors. Sawgrass Mutual exists solely to serve the insurance needs of our policyholders, not to provide ...
What does a Property Claims Examiner do for Homeowners Choice Insurance? The Claims Examiner/Inside Adjuster has direct responsibility for homeowners’ property and casualty claims, starting with contacting the insured upon the loss through claims resolution. The Claims Examiner provides world class customer service to our policyholders by empathetically handling each claim, and working as efficie...
What does a Property Claims Examiner do for Homeowners Choice Insurance? The Claims Examiner/Inside Adjuster has direct responsibility for homeowners’ property and casualty claims, starting with contacting the insured upon the loss through claims resolution. The Claims Examiner provides world class customer service to our policyholders by empathetically handling each claim, and working as efficie...
Description: Don't wait to apply - we have training classes starting soon that are designed to set you up for success! 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 leadi...
POSITION SUMMARY The medical director (MD) or senior medical director is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on Medicare clinical and payment policy. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review,...
POSITION SUMMARY The medical director (MD) or senior medical director is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on Medicare clinical and payment policy. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review,...
POSITION SUMMARY The medical director (MD) or senior medical director is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on Medicare clinical and payment policy. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review,...
UnitedHealth Group Inc. Saint Petersburg, FL, 33701
Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Associate Employee Installation Specialist will be responsible for the...
UnitedHealth Group Inc St Petersburg, FL
Position Description Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Associate Employee Installation Specialist will ...
At Gallagher Bassett Services, Inc. (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...
Job Location Tampa, FL Job Description Job Summary: Performs a variety of clerical support functions in a field claim office. Functional Responsibilities: Performs a variety of general clerical support functions within the claims organization which may include filing and maintaining files, processing certified mail and mail file entry, order supplies Technical ability including working know...
Univita Health Miramar, FL, 33023
Primary Duties / Responsibilities / Accountabilities Manually price downstream provider pharmacy claims per contract fee schedule and MediSpan Ensures all necessary documentation accompanies claim. Identify patient insurance carrier. Verify that claim has not already been processed. Under the direction of a pharmacist, create an order and corresponding prescription in CPR+ Submit electronic NCPCP...
Bupa Latin America Miami, FL, 33196
Job Purpose: Reviews, evaluates and processes international and domestic claims for payment in accordance with the terms and conditions of the policy and within established deadlines and company objectives. Ensures the appropriate amounts are paid for each claim. Accountabilities & Activities: Runs query for assigned region, checks volume and dates of claims, ensures that all pending claims are...
UnitedHealth Group Inc. Tampa, FL, 33602
Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. Reporting to the Payme...
DaVita, Inc. Deland, FL
Description GENERAL PURPOSE OF THE JOB The Specialist I, Claims Processing (Lab) ensures the integrity of payments and/or denials issued for all dialysis services provided by non-DaVita facilities. This position reports to the Supervisor, Patient Accounting. ESSENTIAL DUTIES & RESPONSIBILITIES • Interprets vendor invoices • Researches and assigns appropriate facility • Posts transaction lev...

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Business Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Florida
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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