• Claims / Surveillance Hybrid Investigator…

    Command Investigations (FL)
    …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + P&C investigations + Accident scene investigations + Writing accurate and detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Ability to prioritize and organize multiple… more
    Command Investigations (06/03/25)
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  • Director, Business Process Ownership…

    USAA (Tampa, FL)
    …reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work ... requirements that may be performed in the job. **Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k),… more
    USAA (08/22/25)
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  • Technical Specialist, Construction Defect

    Travelers Insurance Company (Tampa, FL)
    …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
    Travelers Insurance Company (08/14/25)
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  • Senior Technical Specialist, Construction Defect

    Travelers Insurance Company (Tampa, FL)
    …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
    Travelers Insurance Company (07/30/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (St. Petersburg, FL)
    …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
    Molina Healthcare (07/24/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …disputes as they relate to DRG validation, itemized bill review, and/or clinical claim review Expert Claim Review. They will be responsible for reviewing ... facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...Chief Medical Officer in managing disputes related to clinical claim reviews. This position will also be responsible for… more
    Zelis (08/20/25)
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  • Account Consultant- Remote Opportunity- Flood…

    Sedgwick (Jacksonville, FL)
    …Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted ... table discussions within the assigned team. + Investigates, evaluates and resolves claims ; identifies potential problems/trends in claim files and takes… more
    Sedgwick (08/21/25)
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  • Experienced Desk Adjuster - Remote

    Sedgwick (Tallahassee, FL)
    …an expected caseload efficiently. + Utilizes technology and automation tools for efficient claim handling. + Sends claims exceeding $15,000 gross loss amount to ... Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the… more
    Sedgwick (07/11/25)
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  • Service Center Representative

    Sedgwick (Tallahassee, FL)
    …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (08/14/25)
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  • Customer Service Representative- Orlando Hiring…

    Sedgwick (Orlando, FL)
    … for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service… more
    Sedgwick (08/26/25)
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