• Claims Examiner - General Liability

    Sedgwick (Tallahassee, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability **PRIMARY PURPOSE** : To analyze complex or ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
    Sedgwick (08/01/25)
    - Related Jobs

  • Claims Examiner - Workers…

    Sedgwick (Tallahassee, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE -FL, GA, AL, and TN exp) Are ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
    Sedgwick (07/25/25)
    - Related Jobs

  • Claims Examiner , Auto (Commercial…

    Sedgwick (Tallahassee, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Auto (Commercial Trucking Bodily Injury) **PRIMARY PURPOSE** : ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
    Sedgwick (08/01/25)
    - Related Jobs

  • Claims Examiner - Workers…

    Sedgwick (Tallahassee, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
    Sedgwick (07/15/25)
    - Related Jobs

  • Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
    CHS (05/07/25)
    - Related Jobs

  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
    DOCTORS HEALTHCARE PLANS, INC. (07/31/25)
    - Related Jobs

  • Claims Manager

    CHS (Clearwater, FL)
    **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
    CHS (05/09/25)
    - Related Jobs

  • Commercial Auto Team Lead

    Sedgwick (Tallahassee, FL)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (07/19/25)
    - Related Jobs

  • FEMA Disaster Management Accountant

    CDM Smith (Orlando, FL)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
    CDM Smith (08/01/25)
    - Related Jobs

  • RN Crisis Care Triage

    Sedgwick (Tallahassee, FL)
    … claim . + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... guidelines. + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite.… more
    Sedgwick (07/25/25)
    - Related Jobs