- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge **Workers ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- ICW Group (Orlando, FL)
- …with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- Sedgwick (Tallahassee, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... difficult liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (Tampa, FL)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Liability Bodily Injury Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex ... auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- ICW Group (Orlando, FL)
- …Examiner using computer to enter, access, search, and retrieve data. Assists Claims Examiner with complete post- claims resolution and related ... or provides referrals to outside vendors as requested by the Examiner . + Processes claims for indemnity payments and state mandated forms. + Processes… more
- Molina Healthcare (FL)
- …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II, or other relevant work ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines,… more
- MyFlorida (Bay Pines, FL)
- …application / resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans'...and obtain information in order to prepare and submit claims for any / all federal and state benefits… more
- Sedgwick (Orlando, FL)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Tallahassee, FL)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more