• Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours ** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
    CHS (11/06/25)
    - Related Jobs

  • Senior Triage Examiner

    ICW Group (Orlando, FL)
    …best interest of all parties and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims coding is correct. + Refers ... and further education as required. _California Only:_ California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional… more
    ICW Group (12/02/25)
    - Related Jobs

  • Ops Medical Disability Examiner

    MyFlorida (Tallahassee, FL)
    …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64802101 Date: Nov 18, 2025 The...home or emails to check on weekends or after hours + After 12 successful months in the trainee… more
    MyFlorida (12/01/25)
    - Related Jobs

  • Injury Examiner

    USAA (Tampa, FL)
    …what truly makes us special and impactful. **The Opportunity** As a dedicated **Injury Examiner ** , you will be responsible to adjust complex bodily injury claims ... confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible… more
    USAA (12/05/25)
    - Related Jobs

  • Ops Records Analyst

    MyFlorida (Tallahassee, FL)
    …perform duties that assist us with the processing of Social Security disability claims . This position requires the incumbent have good oral and written communication ... technical electronic records management activities relating to Social Security disability claims . The incumbent must be productive under tight deadlines and have… more
    MyFlorida (12/04/25)
    - Related Jobs

  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …This is a full-time career service position, with regularly scheduled hours of Monday-Friday 8:00 am to 5:00 pm This Medical Health ... engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of...employer contributions * Ability to earn up to 104 hours of paid annual leave as a new employee… more
    MyFlorida (12/05/25)
    - Related Jobs