- Sedgwick (Jacksonville, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE- Home State License required) ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- 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 III ensures that claims are processed according to department standards and assists the Claims manager in ... builds teamwork + Ensure that the team utilizes the system capabilities to its maximum potential + Performs other...School Diploma or GED + 3+ years as Medical Claims Examiner + Experience in contract interpretation… more
- MyFlorida (Tallahassee, FL)
- SR WORKERS' COMPENSATION EXAMINER - 43001337 Date: Jan 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 865912 Agency: Financial Services Working Title: SR WORKERS' COMPENSATION EXAMINER - 43001337 Pay Plan: Career Service Position Number: 43001337 Salary:… more
- 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 - 64858503 Date: Dec 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… 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
- MyFlorida (West Palm Beach, FL)
- …application / resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' ... STATE VETERANS' SERVICE OFFICER - 50202204 Date: Dec 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website… more
- Sedgwick (Tallahassee, FL)
- …resolution; to work in conjunction with and provide recommendations and education to the claims examiner , claimant, and clinical team; to work with the clinical ... + Assesses claimant's situation for psychosocial needs, cultural implications, and support systems in place. + Develops a plan to improve medical progression, return… 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
- Kemper (Doral, FL)
- …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... Grove and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and...in a thorough timely manner. + Maintains a diary system on all assigned files. Diary system … more