• Claims Specialist - Complex Claims

    The Hartford (Lake Mary, FL)
    Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims...trials and mediations, as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects,… more
    The Hartford (07/31/25)
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  • Claims Adjuster I Workers Compensation I CA…

    Sedgwick (Tallahassee, FL)
    claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client. + Ensures claim more
    Sedgwick (06/12/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Tallahassee, FL)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
    Cognizant (08/26/25)
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  • Medical Claims Processor - Remote

    Cognizant (Tallahassee, FL)
    …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
    Cognizant (08/26/25)
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  • Senior Examiner, Claims (Remote)

    Molina Healthcare (St. Petersburg, FL)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...claims . Ensures that claims are settled in a timely fashion and in...of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of… more
    Molina Healthcare (08/27/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Tallahassee, FL)
    …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise the… more
    Sedgwick (08/23/25)
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  • Claims Examiner - (Remote - FL Experience…

    Sedgwick (Jacksonville, FL)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - (REMOTE - FL Experience and License...; manages reserve adequacy throughout the life of the claim . + Calculates and pays benefits due; approves and… more
    Sedgwick (08/20/25)
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  • Complex Claims Manager - Construction…

    CRC Insurance Services, Inc. (FL)
    …of America) **Please review the following job description:** A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, ... evaluating, and resolving insurance claims related to environmental damage, as well as ...precedents, and environmental regulations. + Calculate and assign appropriate claim reserves based on the potential damages and liability… more
    CRC Insurance Services, Inc. (08/16/25)
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  • Claims Adjuster- General Liability

    Sedgwick (Tallahassee, FL)
    …pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client. ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster- General Liability Are you looking for an...Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime… more
    Sedgwick (07/31/25)
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  • Claims Examiner, Auto Bodily Injury…

    Sedgwick (Tallahassee, FL)
    …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : To analyze… more
    Sedgwick (08/22/25)
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