• 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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
    Sedgwick (08/01/25)
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  • 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 ... 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 (07/25/25)
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  • 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)
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  • 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 ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...required. Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of… more
    Sedgwick (07/15/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Tallahassee, FL)
    …CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred . + Bachelor's degree preferred . + ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
    Prime Therapeutics (06/24/25)
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  • 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)
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  • 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 ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
    Sedgwick (07/19/25)
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  • 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)
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  • 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)
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  • Specialist, Configuration Oversight

    Molina Healthcare (FL)
    …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
    Molina Healthcare (07/18/25)
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