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...
Litigation Manager
UPC Insurance - 23 reviews - Saint Petersburg, FL 33701
The Litigation Manager is responsible for the daily supervision of Litigation Specialists who handle litigated claims....
Restoration Specialist
Welter Construction - Florida
$100,000 a year
Restoration Specialist Responsibilities*. Review Welter Construction's credentials with homeowner. If you believe you are a qualified candidate for our...
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Claims Analyst

Greenway Health - 96 reviews - Tampa, FL 33607 (Carver City area)
Resolves outsource vendor’s escalates claims and claim rework. Prepare and analyze reports of audit reviews and performance issues with a focus on identifying...

Ophthalmology Billing Specialist

Healthy Vision Institute - New Port Richey, FL 34652
Billing Specialist for Ophthalmology. Seeking an Ophthalmology (mostly Retina) billing and collections specialist....
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STD/FMLA Claims Specialist

MetLife - 3,426 reviews - Tampa, FL
Reviews medical documentation. Manages assigned caseload of STD claims. Determines whether to pend, deny or pay claims....


University of South Florida Health - 18 reviews - Tampa, FL
Reviews assigned accounts, determines appropriate action to resolve outstanding balances. Responsible for prompt and accurate submission and follow-up of all...

Provider Relations Representative

WellCare - 895 reviews - Tampa, FL 33607 (Carver City area)
Provides oversight on claims issues. Provides continual training to assigned providers on portal and other resources to assist with claims,...

Billing & Reimbursement Specialist I

Express Scripts - 2,899 reviews - Tampa, FL 33607 (Carver City area)
Prepares and reviews straightforward claims to ensure billing accuracy. Escalates delinquent and/or complex claims to Sr....

Claims Audit Specialist

WellCare - 895 reviews - Tampa, FL 33614
Supv, Claims Audit. Conducts daily quality reviews of operations department processes (i.e. Eligibility, enrollment, claims processing and pricing,...

Benefits Specialist - CWIC

ServiceSource Inc. - 12 reviews - Clearwater, FL
These five duties and responsibilities will be rated on the Annual Performance Review. ServiceSource is committed to hiring and retaining a diverse workforce ....

Medicare Set - Aside Specialist

UnitedHealth Group - 11,413 reviews - Tampa, FL 33646 (Downtown area)
Liability claims experience. Works with Case Administration Specialists and various departments within the business unit in coordinating daily work deadlines...

Coding & Auditing Specialist

Bluestone Physician Services - 35 reviews - Tampa, FL 33606
Researches and updates denied claims with correct coding information. Reviews and assigns modifiers according to established procedures and guidelines....
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HEDIS Abstractor
2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...
Recovery/Subrogation Specialist
SECOND LOOK INC - 6 reviews - Palm Harbor, FL
Arbitration, claims handling:. Guide claims through process, diary and conducts reviews of losses to determine potential for each claim....
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