2632 Case Writer jobs in Miami,FL

Customer Care Advocate (Remote)

Hire Standard Staffing

Miami, FL

Comfortable using Zoom and other online communication tools.
No prior insurance experience is required — only a strong drive to succeed and a willingness to learn.
Must be a U.S. or Canadian citizen.

Apex Focus Group

Miami, FL

Molina Healthcare

Miami Beach, FL 33139

Possesses a strong knowledge in quality in order to implement effective interventions that drive change
Demonstrates flexibility when it comes to changes and maintains a positive outlook
Demonstrated ability to lead and influence cross-functional teams that oversee implementation of quality interventions
Excellent communication and presentation skills, communicating to all levels within the organization and external to the organization
Bachelor's degree in Business, Healthcare, Nursing or a related field or equivalent combination of education and relevant experience
Has excellent conflict resolution and problem-solving skills
Minimum 5-7 years of experience in managed healthcare, including at least 4 years in health plan quality or process improvement or equivalent/related experience
Operational knowledge and experience with Excel and Visio (flow chart equivalent)

Adecco

Miami, FL 33186

ChenMed

Miami, FL 33186

USAA

Miami, FL 33135

Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
US military experience through military service or a military spouse/domestic partner
Expert knowledge and understanding of fraud investigations as well as application of case law and state laws and regulations.
Experience in concurrent handling of specialty/complex/litigated claims/cases as well as mediation/arbitration/trial preparation and participation.
Ability to capture broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
4+ years of P&C; SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience.
Experience using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
High School Diploma or General Equivalency Diploma.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event.