Claims and Policy Processor Jobs in Florida

Currently, there are no Claims and Policy Processor jobs available in Florida which match this search. You may wish to explore similar job titles on the Business jobs in Florida page or view related jobs below.
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Job description: Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Provides regulatory and correct coding research on change requests and makes recommendations on correct payment policy and edit functionality. Manages the external Provider Dispute Process, supporting the frontline Provider Resolution Team,...
Description: Utilize your leadership skills to lead a growing and dynamic team! This position can be based out of Orlando, FL or Tampa, FL Travel is required for this role 50-75% of the time to Orlando, Tampa and Treasure Coast, FL. The Director of Care Management is responsible for planning, organizing, and directing the assigned regional operations for Care Management services. The Director ...
Description: Utilize your leadership skills to lead a growing and dynamic team! This position can be based out of Orlando, FL or Tampa, FL Travel is required for this role 50-75% of the time to Orlando, Tampa and Treasure Coast, FL. The Director of Care Management is responsible for planning, organizing, and directing the assigned regional operations for Care Management services. The Director ...
Aon Corporation Orlando, FL, 32801
Job Description About Aon Aon plc (NYSE:AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 66,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global res...
Aon Corporation Orlando, FL, 32801
Job Description About Aon Aon plc (NYSE:AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 66,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global res...
UnitedHealth Group Inc Tampa, FL
Position Description Utilize your leadership skills to lead a growing and dynamic team! This position can be based out of Orlando, FL or Tampa, FL Travel is required for this role 50-75% of the time to Orlando, Tampa and Treasure Coast, FL. The Director of Care Management is responsible for planning, organizing, and directing the assigned regional operations for Care Management services. The D...
UnitedHealth Group Inc. Tampa, FL, 33602
Utilize your leadership skills to lead a growing and dynamic team! This position can be based out of Orlando, FL or Tampa, FL Travel is required for this role 50-75% of the time to Orlando, Tampa and Treasure Coast, FL. The Director of Care Management is responsible for planning, organizing, and directing the assigned regional operations for Care Management services. The Director coordinates du...
UnitedHealth Group Inc. Orlando, FL, 32801
Utilize your leadership skills to lead a growing and dynamic team! This position can be based out of Orlando, FL or Tampa, FL Travel is required for this role 50-75% of the time to Orlando, Tampa and Treasure Coast, FL. The Director of Care Management is responsible for planning, organizing, and directing the assigned regional operations for Care Management services. The Director coordinates du...
Centene Corporation Sunrise, FL
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical re...
UnitedHealth Group Inc. Miami, FL, 33196
Position Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work .(sm) The EDI Business Analyst is responsible for designing and m...
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 ...
Multiple part-time -time and full-time customer service positions available in our Gainesville, Florida Claims Call Center taking auto/homeowner claim loss reports from policyholder members and others. Qualified candidates must be able to work (Saturday or Sunday) holidays, catastrophes and additional hours as needed and complete 4-5 week full-time training program. **Preferred Qualifications: Pr...
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 ...
Liability Claims Team Lead - Location TBD CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, S...
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...
ABOUT HOMEOWNERS CHOICE Homeowners Choice was founded in 2006 by individuals who were themselves Florida homeowners and recognized the need for a quality, stable, service-oriented homeowners’ insurance provider in Florida. Today, we serve approximately 170,000 policyholders throughout Florida. Our management has worked in the Florida homeowner insurance business for over 25 years and is well acqu...
ABOUT HOMEOWNERS CHOICE Homeowners Choice was founded in 2006 by individuals who were themselves Florida homeowners and recognized the need for a quality, stable, service-oriented homeowners’ insurance provider in Florida. Today, we serve approximately 170,000 policyholders throughout Florida. Our management has worked in the Florida homeowner insurance business for over 25 years and is well acqu...
Description: Position Description: Your job shouldn't define you, it should reflect you. You've been seeking a new challenge, and the chance to unleash your talents and energy in new, more impactful ways, ways that make a difference, and maybe even change the world. You've got big plans; always looking to innovate and improve your performance. But you also plan on succeeding by doing things rig...
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 be respo...

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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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