• Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    … Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
    DOCTORS HEALTHCARE PLANS, INC. (08/23/25)
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  • Senior Examiner , Claims (Remote)

    Molina Healthcare (Orlando, FL)
    …types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and production standards. + Meet ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
    Molina Healthcare (08/27/25)
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  • Examiner , Claims (Remote)

    Molina Healthcare (Miami, FL)
    …a caseload of claims . Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution. + ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
    Molina Healthcare (08/27/25)
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  • Financial Examiner /Analyst II

    MyFlorida (Tallahassee, FL)
    FINANCIAL EXAMINER /ANALYST II - 42005562 Date: Aug 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859292 Agency: Agriculture and Consumer Services Working Title: FINANCIAL EXAMINER /ANALYST II - 42005562 Pay Plan: Career Service Position Number: 42005562… more
    MyFlorida (08/26/25)
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  • Medical Disability Examiner

    MyFlorida (Tallahassee, FL)
    …any follow-up correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... MEDICAL DISABILITY EXAMINER - 64083389 Date: Aug 20, 2025 The...claimants and our employees. We look for opportunities to support employees while simultaneously meeting our business needs. Your… more
    MyFlorida (08/22/25)
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  • Injury Examiner

    USAA (Tampa, FL)
    …documentation to support accurate outcomes. + Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides ... special and impactful. **The Opportunity** As a dedicated **Injury Examiner ** , you will be responsible to adjust complex...you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to… more
    USAA (08/22/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    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 (08/23/25)
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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 (08/08/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Orlando, FL)
    …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related… more
    CDM Smith (08/01/25)
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  • Physician (Primary Care)

    Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
    …include but are not limited to: Collaborating with clinical and administrative support to provide timely, quality, coordinated care. Utilizes and promotes approved ... clinical background. Preferred experience as Medical Review Officer, Certified medical examiner for commercial motor vehicle drivers, and certification as an… more
    Veterans Affairs, Veterans Health Administration (06/14/25)
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