- Sedgwick (Tallahassee, FL)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | OH Jurisdictional Knowledge Are you looking for an… more
- Sedgwick (Tallahassee, FL)
- …of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an opportunity… more
- Sedgwick (Tallahassee, FL)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required Are you… more
- IQVIA (Miami, FL)
- …responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should ... **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location...documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining… more
- MetLife (Tampa, FL)
- …by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately ... calls, clear communication, accuracy of decisions and financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA… more
- MetLife (Tampa, FL)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are… more
- CRC Insurance Services, Inc. (FL)
- …for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports ... accuracy in reporting. Audit invoices for accuracy. 5. Process incoming and outgoing claims and vendor payments. 6. Perform claim status requests and updates.… more
- The Hartford (Lake Mary, FL)
- …the Claims customer journey by aligning AI capabilities with the Claims strategy, enabling enhanced claim outcomes, process and experience. This leader ... team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring...develop, test, and maintain robust AI capabilities across the claim lifecycle, including routing work to the appropriate resources,… more
- Molina Healthcare (Jacksonville, FL)
- …**Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim ... issues, and researching, investigating and ensuring appropriate resolution of claims . **Knowledge/Skills/Abilities** + Responds to incoming calls from providers… more
- Zurich NA (Maitland, FL)
- Claims Specialist II (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join our ... is an exciting opportunity to manage complex, multi-party commercial Workers' Compensation claims with moderate to high exposure and make a meaningful impact through… more