Claim Operations Specialist Jobs in Tampa, FL | Glassdoor
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Claim Operations Specialist Jobs in Tampa, FL

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  • 3.2
    WellCare – Tampa, FL
    3 days ago 3d
    Department: Operations - Claims Reports to: Operations Supervisor Location: 5301 Idlewid Ave, Tampa FL 33634 Position is… experience in claim coding, claim processing or billing in a healthcare environment Preferred 1 year of experience in claims coding…
  • 3.1
    MetLife – Tampa, FL
    Est. Salary $36k-$53k
    1 days ago 1d
    Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project… on a claim. As the sole owner of the LTD claim, determine return to work potential and strategy, identify a likely claim progression…
  • 3.4
    USF Health – Tampa, FL
    Est. Salary $25k-$35k
    18 days ago 18d
    CLAIMS RESOLUTION SPECIALIST Clerical 20172251 Active-Full-Time N/A CUSTOMER SERVICE: Demonstrate adherence to the Group’s… prompt and accurate submission and follow-up of all third party claims. Reviews assigned accounts to determine appropriate action to…
  • 2.4
    Global TPA LLC – Tampa, FL
    Est. Salary $36k-$54k
    17 days ago 17d
    POSITION TITLE: Claims Specialist GENERAL PURPOSE: The Claims Specialist serves Medicare insurance customers by determining… plan departments in the resolution of claims issues across department lines. • Ensures claims are processed in compliance with governmental…
  • 3.2
    Aetna Inc. – Tampa, FL
    Est. Salary $29k-$44k
    18 days ago 18d
    to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist. * Proofs claim or referral… In the Claim Benefit Specialist position, you will review and adjudicates routine claims in accordance with claim processing…
  • 3.1
    MetLife – Tampa, FL
    Est. Salary $31k-$45k
    1 days ago 1d
    rendering decisions based on the provisions of the policy. Claim Specialist Trainees will be routinely evaluated for increases in their… Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project…
  • 3.2
    UnitedHealth Group Inc. – Tampa, FL
    1 days ago 19hr
    network additions in the pharmacy claim adjudication system * Research and respond to all claims processing inquiries from Client… other OptumRx internal departments * Perform claim testing to ensure accurate claim adjudication * Run queries out of the RxCLAIM…
  • 3.4
    CoAdvantage – Tampa, FL
    Est. Salary $32k-$50k
    1 days ago 18hr
    . • Scanning/filing and other special projects as needed. • Claims resolutions and employee assistance. • Cobra. • Regular attendance… employees in an efficient and professional manner. • Ability to operate computer hardware and to work with software applications. •…
  • 3.2
    WellCare – Tampa, FL
    Est. Salary $37k-$62k
    5 days ago 5d
    such as Health Services, Provider Relations, Sales, Vendors, Claims Beginner Other Demonstrate ability to implement process improvements… process improvement, etc. Department: Operations-Enrollment Reports to: Mgr, Operations Location: Henderson Rd, Tampa, FL 33634…
  • 3.4
    Liberty Mutual – Tampa, FL
    Est. Salary $60k-$92k
    18 days ago 18d
    automated appraisal systems, shop repair process, and overall claims operations. Field investigative experience strongly preferred.… relation to the claims appraisal process and vehicle repairs. Leading the training and evaluation of the DRP in the claims appraisal…
  • 3.1
    MetLife – Tampa, FL
    Est. Salary $36k-$53k
    1 days ago 1d
    Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project… on a claim. As the sole owner of the LTD claim, determine return to work potential and strategy, identify a likely claim progression…
  • 2.9
    State of Florida – Tampa, FL
    Est. Salary $27k-$51k
    12 days ago 12d
    Agency: Management Services Working Title: BUILDING OPERATIONS SPECIALIST - 72001545 Position Number: 72001545 Salary: Up… ,000 Posting Closing Date: 05/30/2017 Building Operations Specialist Division of Real Estate Development and Management…
  • 3.8
    Zelis Healthcare – Clearwater, FL
    10 days ago 10d
    company and market-leading provider of end-to-end healthcare claims cost management and payment solutions. COMPANY BACKGROUND… which utilizes an end-to-end technology platform to fulfill the claims cost management and payments needs of healthcare payors including…
  • 2.6
    Medi-Weightloss – Tampa, FL
    Est. Salary $35k-$58k
    3 days ago 3d
    and knowledge of the unique needs of a specialist practice, including billing and claims management. The Manager will be responsible… credentialing information for the physician · Appeals and corrects claims in a timely manner to avoid past filing limit write-offs REQUIREMENTS…
  • 3.1
    MetLife – Tampa, FL
    Est. Salary $36k-$53k
    3 days ago 3d
    insurance claims in a timely and accurate manner. Key Responsibilities: Manages assigned caseload of STD claims. Determines… accuracy and timeliness. Follows established claim policies and practices to resolve claims and issues. Essential Business Experience…
  • 3.0
    Florida Department of Education – Tampa, FL
    Est. Salary $25k-$43k
    13 days ago 13d
    BUILDING OPERATIONS SPECIALIST - 72001545 Date: May 16, 2017 Location: TAMPA, FL, US, 33602 Apply now… Agency: Management Services Working Title: BUILDING OPERATIONS SPECIALIST - 72001545 Position Number: 72001545 Salary:…
  • PeopleFirst Florida HR – Tampa, FL
    Est. Salary $35k-$65k
    12 days ago 12d
    Agency: Management Services Working Title: BUILDING OPERATIONS SPECIALIST - 72001545 Position Number: 72001545 Salary:… $40,000 Posting Closing Date: 05/30/2017 Building Operations Specialist Division of Real Estate Development and Management…
  • 2.9
    STATE OF FLORIDA – Tampa, FL
    Est. Salary $27k-$51k
    10 days ago 10d
    Agency: Management Services Working Title: BUILDING OPERATIONS SPECIALIST - 72001545 Position Number: 72001545 Salary: Up to… $40,000 Posting Closing Date: 05/30/2017 Building Operations Specialist Division of Real Estate Development and Management…
  • 3.2
    Aetna Inc. – Tampa, FL
    30+ days ago 30d+
    POSITION SUMMARY The Senior Claim Benefit Specialist will work with the Meritain Adjustments and Recoveries team completing… for process improvement. Work with other areas of operations on improving claims processing. BACKGROUND/EXPERIENCE desired:…
  • 3.2
    Wellcare – Tampa, FL
    Est. Salary $37k-$62k
    20 days ago 20d
    such as Health Services, Provider Relations, Sales, Vendors, Claims Beginner Other Demonstrate ability to implement process improvements… LOCATION: Henderson Road, Tampa, Florida DEPARTMENT: Operations Enrollment & Billing REPORTING TO: Sr. Manager, Billing…
  • 4.0
    CS Recruiting – Tampa, FL
    1 days ago 14hr
    management, as well as, providing all documentation needed for claims resolution. Enter spot quotes in Ratemaster to provide historical… , customers will always be able to reach a live logistics specialist by phone. National Logistics Sales Representative: The National…
  • 2.4
    Freedom Health – Tampa, FL
    6 days ago 6d
    Representative-Concierge Specialist Beacon Health Solutions GENERAL PURPOSE: The Concierge Specialist role is to receive, investigate and respond… changing Primary Care Physicians (PCP). Answer entry level claims inquiries. Takes Over the Counter (OTC) orders for products…
  • 2.7
    QC Energy Resources – Tampa, FL
    4 days ago 4d
    workers comp claim into the claims system. When responding to accidents or incidents, the Call Center Specialist will be responsible… Call Center Specialist City Tampa State FL Description Quality Distribution, Inc. (QDI) is the operating company for…
  • 3.2
    Healthesystems – Tampa, FL
    Est. Salary $30k-$43k
    12 days ago 12d
    Supervisor and Manager to resolve phone inquiries related to claims adjudication, eligibility verification, prior authorization… The role of the Customer Service Specialist is to build trusted relationships with our clients, their claimants and pharmacies…
  • 3.4
    Quality Distribution – Tampa, FL
    3 days ago 3d
    workers comp claim into the claims system. When responding to accidents or incidents, the Call Center Specialist will be responsible… Call Center Specialist City Tampa State FL Description Quality Distribution, Inc. (QDI) is the operating company for…
  • 3.2
    WellCare – Tampa, FL
    Est. Salary $38k-$54k
    4 days ago 4d
    Identifies internal and external operational short-falls and researches and remediates claims. Executes internal business initiatives… experience in the managed Care industry with a focus on claims operations and best practices Required Other Previous experience…
  • 2.9
    Centene Corporation – Tampa, FL
    Est. Salary $54k-$76k
    6 days ago 6d
    provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting… standards Update provider and practitioners status to par by adding claims payment information Enroll par and non par providers and…
  • 3.2
    WellCare – Tampa, FL
    Est. Salary $42k-$61k
    6 days ago 6d
    Answers CSR claim inquiries via live transfer and resolves issues real time. Thoroughly researches post payment claims and takes… as it relates to claims processing. Resolve critical errors as it relates to rejections, coding denials, claims processing and…
  • NSN Revenue Resources – Tampa, FL
    Est. Salary $25k-$36k
    7 days ago 7d
    Completed cases are uploaded to our designated electronic claims clearinghouse. Clearinghouse rejections must be worked daily… Pulling operative notes from our designated transcription company. Prepping operative notes for transmission to our designated…
  • 4.1
    University of South Florida – Tampa, FL
    Est. Salary $31k-$47k
    1 days ago 1d
    Design & Construction, Operations, and Campus Services. Position Summary: The Fiscal & Business Specialist position provides fiscal… How to Claim Vet Preference This position allows eligible veterans and their spouses to claim Veterans’ Preference…
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