• Medical Claims Examiner

    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
    CHS (08/08/25)
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  • Claims Examiner II

    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
    DOCTORS HEALTHCARE PLANS, INC. (09/05/25)
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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 ... No: 859292 Agency: Agriculture and Consumer Services Working Title: FINANCIAL EXAMINER /ANALYST II - 42005562 Pay Plan: Career Service Position Number: 42005562… more
    MyFlorida (09/05/25)
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  • Senior Workers' Compensation Examiner

    MyFlorida (Tallahassee, FL)
    SENIOR WORKERS' COMPENSATION EXAMINER - 43000429 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 854932 Agency: Financial Services Working Title: SENIOR WORKERS' COMPENSATION EXAMINER - 43000429 Pay Plan: Career Service Position Number: 43000429 Salary:… more
    MyFlorida (09/05/25)
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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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  • Specialist, Configuration Oversight

    Molina Healthcare (Tampa, 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
    Molina Healthcare (09/07/25)
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  • Ops Operations Analyst I

    MyFlorida (Jacksonville, FL)
    OPS OPERATIONS ANALYST I - 64801493 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... perform support duties relating to the processing of Social Security disability claims . This position requires the incumbent have good oral and written communication… more
    MyFlorida (09/06/25)
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  • Telephonic Case Manager

    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
    Sedgwick (09/06/25)
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  • Ops Records Analyst

    MyFlorida (Miami, FL)
    …(MER) is needed. All required information must be reviewed in the appropriate systems (ie, Social Security Administration (SSA) system (DCPS), PCOMM and eView) ... - 64858466 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click...assist us with the processing of Social Security disability claims . This position requires the incumbent have good oral… more
    MyFlorida (09/06/25)
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  • Physician (Primary Care)

    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
    Veterans Affairs, Veterans Health Administration (06/14/25)
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