Sr. Claims Specialist Jobs in Florida

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23 Florida Sr. Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 23
Sr. Casualty Claim Representative Location: Tampa or Orlando FL Job Summary Works within significant limits and authority on casualty claim assignments of higher technical complexity and coordination. Determines coverage and investigates, analyzes, negotiates and settles claims while delivering quality customer service in a moderate to high volume, moderate complexity work environment. Essenti...
Department: Operations, Claims Coding Reports To: Sr. Manager, Operations Claims Coding Location: Tampa, 33643 or Remote Hours: M-F Day Shift 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 ...
Department: Operations - Claims Reports: Sr. Director Location: Tampa, FL 33634 Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives and make recommendations. Maintains and configures claims coding rule software. Oversees and trains coding staff. Essential Functions: Manages claims coding rule initiatives ...
Wellcare Health Plans Inc FL, FL
Claims Coding Research Analyst-1409343 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 prescription drug plans. The company serves approximat...
Wellcare Health Plans Inc FL, FL
Claims Coding Rules Supervisor-1409180 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 prescription drug plans. The company serves approximat...
University of Miami Miller School of Medicine Miami, FL, 33196
Position Number: 042202 Department/Hospital: MEDICINE: BILLING OFFICE The University of Miami Miller School of Medicine-UHealth is home to some of the brightest minds in the world. Our Faculty teach students who represent the future of medicine. Our researchers are discovering breakthrough patient treatments. As an academic medical center, we are proud to serve South Florida, Latin America and...
Marten Transport Balm, FL
Company Description: Your Full Service Healthcare Staffing Services Dean's Professional Services is a National, Award-Winning Staffing Staff Development and Consulting Company. We opened our doors in 1993, specializing in medical staffing and consulting, this is our foundation. Our reputation is and has always been professional. Our goal is to become a seamless extension of your organization, prov...
Department: Claims - Operations Reports to: Claims Supervisor Location: Tampa, FL 33634 Position is primarily responsible for answering escalated claim adjustment requests and resolving issues received through transferred provider phone calls, customer service management and miscellaneous special project work. Essential Functions: Answers CSR claim inquiries via live transfer and resolves iss...
Step 7 Orlando, FL
Follows standard operating procedures to edit, bill and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work. ESSENTIAL FUNCTIONS: Prepares and reviews claims to ensure billing accuracy according to payor requirements, including but not limite...
Express Scripts Orlando, FL
ABOUT EXPRESS SCRIPTS: Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ra...
Wellcare Health Plans Inc Tampa, FL
Provider Resolution Specialist - 1408254 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 prescription drug plans. The company serves approxim...
Position Summary Utilizes advanced knowledge to prepare and review claims to ensure billing accuracy. Requires complete understanding of the billing and collection processes and little supervision for routine work. Outstanding claims resolution actions to include regular phone contact with health plan and client customer service teams and expected to resolve claims directly with clients through a...
Position Summary Follows standard operating procedures to edit, bill and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work. ESSENTIAL FUNCTIONS: Prepares and reviews claims to ensure billing accuracy according to payor requirements, includ...
Wellcare Health Plans Inc FL, FL
Configuration Specialist, Sr-1409165 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 prescription drug plans. The company serves approximatel...
Wellcare Health Plans Inc FL, FL
Provider Resolution Specialist-1409091 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 prescription drug plans. The company serves approximat...
Express Scripts Orlando, FL
ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine rank...
Step 7 Orlando, FL
Utilizes advanced knowledge to prepare and review claims to ensure billing accuracy. Requires complete understanding of the billing and collection processes and little supervision for routine work. Outstanding claims resolution actions to include regular phone contact with health plan and client customer service teams and expected to resolve claims directly with clients through an experienced awar...
Express Scripts Orlando, FL
ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine rank...
Navy Federal Credit Union Pensacola, FL, 32501
To review fraud activity reports, and identify risk exposures identified from transaction activities, internal/external inquiries. To protect Navy Federal financial assets, control and mitigate potential financial loss. MAJOR RESPONSIBLITIES 1. Identifies fraud activities /cases, reported or alleged loss of assets (e.g. ATM, ACH and other fraud forms, forged Share checks and other forgeries, NFO...
Wellcare Health Plans Inc FL, FL
Corporate Counsel - Employment Litigation-1409418 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 prescription drug plans. The company serves...

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Insurance Career Tools

Sr. Claims Specialist

Salaries

$30,000.00 - $92,547.00
Typical Salary for Sr. Claims Specialist in Florida
(59 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
34.6%
Bachelor's
30.8%
High School
9.6%
Master's
9.6%
Associates
7.7%
Doctorate
3.8%
(52 Respondents)
Source: Monster.com Careerbenchmarking Tool

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