- We review and adjudicate medical claims using our defined policies and procedures.
- _Investigate claims when indicated including pre-existing conditions, accidents or any other issues that may impact coverage_
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Manage complex workers' compensation claims and ensure strategic resolution and optimal cost management as a highly skilled professional. · ...
St. Petersburg1 month ago
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Overview · Claims Manager · Servicing Health Insurance Policies or Benefits · Summary · Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA) which provides a wide range of administrative services to insurance companies, sharing organizations, insurance mark ...
Clearwater1 week ago
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About the Company · Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company, is headquartered in Clearwater, Florida. IAS is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for in ...
Clearwater1 week ago
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A leading Third-Party Administrator (TPA) is seeking an experienced Claims Manager to oversee and elevate the performance of a high-volume Claims Department. · ...
Clearwater1 month ago
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The Risk Coordinator is responsible for assessing and reporting on property damage claims related to Underground and Aerial Construction. · ...
Clearwater Full time3 weeks ago
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Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. · ...
Clearwater1 month ago
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Analyze claims to determine the extent of insurance carrier liability. · Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. · Receive, organize and make daily use of information regarding benefits, contract coverage, and polic ...
Clearwater1 month ago
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Insurance Administrative Solutions · Clearwater, FL · About Insurance Administrative Solutions · Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company, is headquartered in Clearwater, Florida. IAS is a third-party administrator providing business process outsou ...
Clearwater1 week ago
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Overview · **Claims Manager · Servicing · Health Insurance Policies or Benefits · Summary** · Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA) which provides a wide range of administrative services to insurance companies, sharing organizations, insuranc ...
Clearwater, FL1 week ago
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Claims Adjuster · Insurance Administrative Solutions · Clearwater, FL · About Insurance Administrative Solutions · Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company, is headquartered in Clearwater, Florida. IAS is a third-party administrator providing busi ...
Clearwater Full time1 week ago
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Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. · Medical/Dental/Vision Insurance · ...
Clearwater Full time1 month ago
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Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Communicate problems identified relevant to the claims processing system to th ...
Clearwater Full time1 month ago
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Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. · A high school diploma or GED equivalent. · Two to four years of proven health insurance claims adjudication experience. · ...
Clearwater, FL1 month ago
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Analyze claims to determine the extent of insurance carrier liability. · Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. · Receive, organize and make daily use of information regarding benefits, contract coverage, and polic ...
Clearwater, FL3 weeks ago
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Insurance Administrative Solutions · Clearwater, FL · About Insurance Administrative Solutions · Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company, is headquartered in Clearwater, Florida. IAS is a third-party administrator providing business process outsou ...
Clearwater, FL1 week ago
-
Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. · Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. · Receive, organ ...
Clearwater, FL1 month ago
-
Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. · ...
Clearwater, FL1 month ago
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Examine and make decisions to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Maintain external contacts with policyholders and internal contacts with peers and management. · Claims Custome ...
Clearwater1 month ago
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Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. · ...
Clearwater1 month ago
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Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. · ...
Clearwater2 months ago
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Primary responsibility for remotely monitoring patients via audiovisual technology while using PortableConnect and other devices to ensure safe and positive experience with prescribed treatment plan in a 24/7 environment. · Maintain active licensure requirements in all applicable ...
Clearwater OTHER2 weeks ago
Medical Claims Examiner - Clearwater - Premier Administrative Solutions
Description
Health Insurance Medical Claims Examiner Role
This position adjudicates medical claims based on health policy provisions and established guidelines.
Main Responsibilities:
Upon receiving your application we will contact you if shortlisted for interview in Clearwater FL area due location preference please apply online given format below -
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Workers Compensation Claims Examiner II
Only for registered members St. Petersburg
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Claims Manager
Only for registered members Clearwater
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Health Insurance Claims Adjuster
Only for registered members Clearwater
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Claims Manager
Only for registered members Clearwater
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Risk Coordinator
Full time Only for registered members Clearwater
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Health Insurance Claims Adjuster II
Only for registered members Clearwater
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Health Insurance Claims Processor
Only for registered members Clearwater
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Claims Adjuster
Only for registered members Clearwater
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Claims Manager
Only for registered members Clearwater, FL
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Claims Adjuster
Full time Only for registered members Clearwater
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Health Insurance Claims Processor
Full time Only for registered members Clearwater
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Claims Customer Service Representative
Full time Only for registered members Clearwater
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Health Insurance Claims Adjuster II
Only for registered members Clearwater, FL
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Health Insurance Claims Adjuster II
Only for registered members Clearwater, FL
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Claims Adjuster
Only for registered members Clearwater, FL
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Health Insurance Claims Processor
Only for registered members Clearwater, FL
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Health Insurance Claims Processor
Only for registered members Clearwater, FL
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Claims Customer Service Representative
Only for registered members Clearwater
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Claims Customer Service Representative
Only for registered members Clearwater
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Health Insurance Call Center Representative
Only for registered members Clearwater
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Orthopedic Rehab Specialist
OTHER Only for registered members Clearwater