- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- 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
- 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 ... No: 859292 Agency: Agriculture and Consumer Services Working Title: FINANCIAL EXAMINER /ANALYST II - 42005562 Pay Plan: Career Service Position Number: 42005562… more
- 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 State Personnel System is an E-Verify employer. For more information click on our E-Verify Website… more
- MyFlorida (Tallahassee, FL)
- FINANCIAL EXAMINER /ANALYST I - 43004865 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 849175 Agency: Financial Services Working Title: FINANCIAL EXAMINER /ANALYST I - 43004865 Pay Plan: Career Service Position Number: 43004865… more
- Molina Healthcare (Orlando, FL)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
- 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
- Sedgwick (Tallahassee, FL)
- …support systems . + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …physician to assigned physicians and NP/PAs. Performs expanded single organ/ system compensation and pension exams as indicated. Requests consultations and/or ... clinical background. Preferred experience as Medical Review Officer, Certified medical examiner for commercial motor vehicle drivers, and certification as an… more
- MyFlorida (Tallahassee, FL)
- …INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data… more