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Darwin Claim Analyst
6 days ago
Abarca Health Doral, United StatesWhat you'll do · In a few words... · Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning... · The Darwin Claims Administration team provides high qual ...
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Darwin Claims Analyst
3 weeks ago
Abarca Health Doral, United StatesAbarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning... · The Darwin Claims Administration team provides high quality services to clients and beneficiarie ...
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Medical Claim Analyst
3 weeks ago
Secure Eclaims LLC Doral, United StatesJob Description · Job Description · Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. · Performs hospital length of stay reviews to determine reasonable and neces ...
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Medical Claim Analyst
2 weeks ago
Secure Eclaims LLC Miami, United StatesJob Description · Job DescriptionReviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. · Performs hospital length of stay reviews to determine reasonable and necessary ...
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Claims Data Analyst I
2 weeks ago
Florida Peninsula Insurance Boca Raton, United StatesJob Details · Job Location · Corporate Office - Boca Raton, FL · Position Type · Full Time · Education Level · 4 Year Degree · Travel Percentage · None · Description · Position Summary: · The Claims Data Analyst I will assist the Senior Claims Business Analyst in drafti ...
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Claims & Rejections Senior Analyst
1 week ago
Delmonte Fresh Produce Coral Gables, United StatesThis role will be a key member of NA finance team and financial business partner for the business operations. This position will be responsible for overseen several functions/ Processes on the NA Accounting department for assigned locations/processes Senior Analyst, Claims, Busin ...
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Claims & Rejections Senior Analyst
5 days ago
The Judge Group Coral Gables, United StatesPurpose of Position:This role will be a key member of NA finance team and financial business partner for the business operations. This position will be responsible for overseen several functions/Processes on the NA Accounting department for assigned locations/processes within the ...
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Claims & Rejections Senior Analyst
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Del Monte Fresh Produce Company NA Inc Miami, United StatesJob Description · Job DescriptionPurpose of Position: · This role will be a key member of NA finance team and financial business partner for the business operations. This position will be responsible for overseen several functions/Processes on the NA Accounting department for ass ...
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Claims Data Analyst I
1 week ago
Florida Peninsula Insurance Company Boca Raton, United States OTHERPosition Summary: The Claims Data Analyst I will assist the Senior Claims Business Analyst in drafting and distributing reports to Claims leadership. They will prepare and review reports with Claims leadership to promote understanding of KPI's and perform ad hoc analysis as need ...
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Clinical Data Analyst
2 weeks ago
DOCTORS HEALTHCARE PLANS, INC. Coral Gables, United StatesThe **Clinical Data Analyst** is accountable to use their knowledge of data processing software and business development strategies to provide sound business recommendations to company leaders. This position is responsible for accurately collaborating with other data professional ...
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Long Term Disability Ability Specialist
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The Hartford Sunrise, United StatesAbility Specialist - C409BNSr Ability Analyst - C409AN · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish ...
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Software Operations Analyst
1 day ago
Convey Health Solutions Fort Lauderdale, United States Full timeConvey Health Solutions is seeking a Data Operations Analyst who understands client portfolio regarding business, data knowledge, and end-to-end processes. Collaborates with implementation and operations teams to identify and resolve bugs. Completes processing and validations wit ...
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Long Term Disability Ability Specialist
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The Hartford Fort Lauderdale, United StatesAbility Specialist - C409BN · Sr Ability Analyst - C409AN · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomp ...
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Replenishment Supervisor
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DFASS Group Hialeah, United States**SUMMARY** · The Replenishment Supervisor is responsible for overseeing and managing the replenishment team performance and replenishment across the company. Ensuring the team is suggesting comprehensive replenishments to meet company inventory and revenue targets. Overseeing th ...
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Senior Data Analyst
1 day ago
Convey Health Solutions Fort Lauderdale, United States Full timeSenior Data Analysts collaborate with engineers, QA, data scientists and product team members using scrum methodology. The teams operate on a 2-week sprint cycle and are responsible for delivering new features and enhancements for our products that include things like data visual ...
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Medical Billing Specialist
1 week ago
Central Reach Fort Lauderdale, United StatesCentralReach is the #1 provider of SaaS software solutions for autism and IDD care. Trusted by more than 150,000 users, we enable therapy providers, educators, and employers scale the way they deliver Applied Behavior Analysis and related therapies with innovative technology, mar ...
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Health Data Analyst
2 weeks ago
Avenica Fort Lauderdale, United StatesPosition: Health Data Analyst (HYBRID) · Location: Fort Lauderdale, FL · Salary: $25/hour · About Avenica · Avenica is a career-launching platform that uses data science, behavioral psychology, and performance coaching to unleash human potential and launch careers. By getting ...
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Technical Support Analyst
2 days ago
Southeast Utilities of Georgia, a Congruex company Fort Lauderdale, United StatesJob Description · Job DescriptionJob ProfileTechnical Support Analyst · Ft. Lauderdale, FL · Based on Experience · Southeast Utilities of GA, a Congruex Company, is looking for a Technical Support Analyst to join our construction team.Who is CongruexCongruex designs and builds br ...
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Medical Billing Specialist
3 days ago
CentralReach Fort Lauderdale, United StatesJob Description · Job DescriptionCentralReach is the #1 provider of SaaS software solutions for autism and IDD care. Trusted by more than 150,000 users, we enable therapy providers, educators, and employers scale the way they deliver Applied Behavior Analysis and related therapie ...
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Administrative Analyst 12+ month Contract
3 weeks ago
Pivotal Solutions Inc Fort Lauderdale, United StatesJob Description · Job Description · Administrative Analyst · JOB RESPONSIBILITIES: · Organize the receipt, validation and processing of all government rebate programs, such as Medicaid Fee-for-Service, Managed Medicaid and State Supplemental Rebates. · Process all claims inclu ...
Claims Analyst - Fort Lauderdale, United States - Workforce Connections
Description
Short-term Contract RolePay Rate:
$18-$20/hr
Location:
Ft. Lauderdale, FL (100% onsite)
Education And Work Experience
Strong written and oral communication skills required
Apply expert problem-solving skills to the most complex issues
Superior organizational skills
Highly motivated and must be able to work in a fast paced team-oriented environment.
POSITION SCOPE AND ORGANIZATIONAL IMPACT
Claims Analyst will perform various functions which primarily involve analyzing, advising, and managing workers' compensation, general liability, property, builders' risk, auto claims and general liability.
Essential Job Duties And Responsibilities
Manage litigation; evaluate and negotiate claims involving both property damage and bodily injury exposure
Review requests for claim denial, clear data and claim exceptions, and ensure deficiencies are flagged correctly
Assess and authorize claim settlements when provided with a given limit of authority
Review and track incident reports and follow up for additional information where necessary
Utilize client relationship software (Intelex) to document client conversations
Attend claim review with senior manager on quarterly basis or as needed
Consult with management on claims involving complicated negotiations, applicable compromise recovery agreements and complex liability litigation
Make effective use of loss management techniques, develop strategies to reduce companies' overall exposure
Review and audit estimates received
Establish procedures and processes to streamline claim functions
Coordinate with the Warranty Department for management of claims and arrange inspections
Build and maintain positive relationships with internal departments and external vendors
Negotiate and resolve claims of various exposures and complexities
Identify problems and provide solutions for quick claim resolution
Timely reports new losses to carriers and TPA's
Perform other duties as assigned
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