- Sedgwick (Tampa, 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
- Zelis (St. Petersburg, FL)
- …call center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill Navigator ... financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of...their Explanation of Benefits (EOB) to verify accuracy of claim processing and provider billing + Manage and resolve… more
- Allied Universal (Jacksonville, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Sedgwick (Orlando, 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 ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- USAA (Miami, FL)
- …using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect ... accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge… more
- Sedgwick (Orlando, FL)
- …MN 55344 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Tallahassee, FL)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more
- Sedgwick (Orlando, FL)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- GE Aerospace (Jacksonville, FL)
- …In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology. ... and plan + Perform desk and/or field audits of reinsured claims , policies or administrative processes, documenting findings and recommendations using established… more
- Travelers Insurance Company (Tallahassee, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more