Claims Specialist-WC Crawford & CompanyClaims Specialist-WCTampa, FLFull timeKeeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Experienced Call Center Quality Assurance Supervisor MCI CareersExperienced Call Center Quality Assurance SupervisorMacDill AFB, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Contact Center Operations Supervisor MCI CareersContact Center Operations SupervisorTampa, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Staff Accountant MCI CareersStaff AccountantOrlando, FloridaFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Experienced Call Center Recruiter MCI CareersExperienced Call Center RecruiterTampa, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Contact Center Trainer MCI CareersContact Center TrainerTampa, FloridaFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Debt Recovery Director MCI CareersDebt Recovery DirectorTampa, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Debt Recovery Manager MCI CareersDebt Recovery ManagerTampa, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Physician Reviewer Independent Living Systems LLCPhysician ReviewerMiami, FLReview requests for prior authorizations, inpatient and concurrent review, outpatient and procedural requests, and long term care services by analyzing medical records, clinical data, and treatment plans to assess the necessity and appropriateness of healthcare services. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
Senior Examiner, Claims Molina Healthcare IncSenior Examiner, ClaimsFLProvides senior level support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. At least 2 years of experience in claims, and/or customer service experience in a clerical role - preferably in a managed care setting, or equivalent combination of relevant education and experience.
Revenue Cycle Specialist - Claims Follow Up Guardian Dentistry PartnersRevenue Cycle Specialist - Claims Follow UpMiami, Florida$35,000–$50,000 / yearThe RCS will be required to follow up on assigned outstanding claims utilizing high-level problem-solving, consistently meet daily goals and project deadlines, and establish and maintain strong relationships with partner offices and various leaders in the organization. Guardian Corporate We are looking for a dynamic, experienced Revenue Cycle Specialist to join our fast-growing dental partnership network (“DPN”)!
Regional Warranty Manager Rush EnterprisesRegional Warranty ManagerOrlando, FloridaFull timeMonitor warranty performance metrics, recovery rates, claim trends, rejections, aged write-offs, and financial results; identify root causes and implement corrective actions to maximize recovery and reduce claim denials. Advertised Job Description: The Regional Warranty Manager oversees warranty operations across multiple dealership locations within an assigned region, ensuring compliance, maximizing warranty recovery, and improving claim processing efficiency.
NewSenior Claim Adjuster - Workers' Comp FCCI Insurance GroupSenior Claim Adjuster - Workers' CompLake Mary, FL office, FL$62,419–$96,126 / yearCurrently seeking an experienced Senior Work Comp Claim Adjuster to provide quality, cost efficient, and timely investigation of liability claims and provide exceptional customer service. The selected candidate will evaluate coverage/compensability and may need to complete field investigations with a focus on quality claim handling leading to file resolution.
New(USA) Optician, Licensed - Sam's Club Walmart Inc(USA) Optician, Licensed - Sam's ClubApopka, FL$33–$41 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Operates hardware such as cash registers or related equipment processes member purchases and assists in payments returns refunds and exchanges using appropriate procedures for different membership and payment types.
NewPayroll & Benefits Administrator I-Tech Resources Inc.Payroll & Benefits AdministratorJacksonville, FLWe are particularly interested in candidates who have experience processing payroll for 100 or more employees , using ADP Workforce Now , administering employee benefits, managing garnishments and payroll taxes, reconciling payroll to the General Ledger, and handling Open Enrollment, FMLA, COBRA, ACA, and other benefits compliance requirements. The ideal candidate is a hands-on payroll professional with experience independently processing payroll for 100+ employees , administering employee benefits, reconciling payroll and benefit records, managing deductions and garnishments, and maintaining accurate HRIS data.
Property & Casualty Claims Executive HigginbothamProperty & Casualty Claims ExecutiveOldsmar, FloridaNotice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Position Summary: The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes.
Automation Engineer Talent Software Services, Inc.Automation EngineerJacksonville, FL$50–$55 / hourDevelop and maintain EDI X12 transactions, including 834, 271, 276/277, and other HIPAA transactions. Automate on-premises server builds for Windows Server and Red Hat Enterprise Linux (RHEL) environments.
New(USA) Optical Associate, Certified (ABO) - Sam's Club Walmart Inc(USA) Optical Associate, Certified (ABO) - Sam's ClubWEST PALM BEACH, FL$27.50–$35.50 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Operates hardware such as cash registers or related equipment processes member purchases and assists in payments returns refunds and exchanges using appropriate procedures for different membership and payment types.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantFL$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
Grievance/Appeals Representative I Elevance HealthGrievance/Appeals Representative IMiami, FloridaResponds to appeals from CS Units, Provider Inquiry Units, members, providers and/or others for resolution or affirmation of previPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.