Claims Review Specialist jobs in Tarpon Springs, FL

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Claims - Casualty Specialist II
Assess actual damages associated with claims and conduct negotiations to settle claims. Assigned claims may involve routine to more complex soft tissue injuries...
Reimbursement Specialist
Diagnostic Clinic Medical Group - Largo, FL 33770
Utilize available and appropriate online payer system to expedite the claims process. The Reimbursement Specialist will be responsible for meeting collection...
Payroll and Client Services Specialist
Administers workers’ compensation claims; Reviews all data entry to assure accuracy. Gathers information necessary for workers’ compensation audits & reviews...

Claims - Casualty Specialist II

Acceptance Insurance - 133 reviews - Tampa, FL 33614
Assess actual damages associated with claims and conduct negotiations to settle claims. Assigned claims may involve routine to more complex soft tissue injuries...

CLAIMS RESOLUTION SPECIALIST

University of South Florida Health - 6 reviews - Tampa, FL
Resubmit denied claims when appropriate, via electronic or paper resubmission. Reviews assigned accounts to determine appropriate action to resolve such as:....

Economic Self Sufficiency Specialist I

PeopleFirst Florida HR - 24 reviews - Largo, FL 33778  +1 location
Equivalent experience where the major responsibility was conducting interviews, recruiting, determining eligibility, conducting investigations, processing...

Grievance/Appeals Representative I

Anthem, Inc. - 1,993 reviews - Tampa, FL
Claims knowledge is preferred. Prepares files for internal or external review by analysts, medical staff or outside consultant....

Provider Relations Specialist

Insurance Administrative Solutions - 2 reviews - Clearwater, FL
Process electronic claims in a special provider mailbox. Handles all provider-related claims issues with internal and external customers, processes electronic...
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Reimbursement Specialist - Central Intake

Kindred At Home - 87 reviews - Tampa, FL
As a Reimbursement Specialist , you will:. Review benefits/services requested to determine whether coverage is available for insurance payment....

Claims Audit Specialist

WellCare - 631 reviews - Tampa, FL 33614
Claims Audit Manager. Conducts daily quality reviews of operations department processes (i.e. Eligibility, enrollment, claims processing and pricing,...

Fraud Verification Specialist

Zelis - Clearwater, FL
The FV Specialist will work under general supervision and demonstrate subjective judgment capability to review and investigate various suspected fraud...
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Bankruptcy Specialist II

FAY SERVICING, LLC - 6 reviews - Tampa, FL
Review and execute signaturerequired documents for court proceedings. Review plans anddetermine whether the plan is acceptable to investor and recommend action...

LTD Claims Supp Specialist

MetLife GTO - 2 reviews - Tampa, FL 33647
6+ years’ long term disability claims experience. Performs EA reviews on decisional and financial elements as needed....
Grievance/Appeals Representative I-II - Tampa, FL - 127208
Anthem, Inc. - 1,993 reviews - Tampa, FL 33601
Claims knowledge is preferred. Prepares files for internal or external review by analysts, medical staff or outside consultant....
Litigation Examiner
Security First Managers LLC - Florida
The Litigation Specialist is responsible for the oversight of defense counsel as well as the investigation, adjustment and settlement of First Party Property...

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