- CRC Insurance Services, Inc. (FL)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- The Hartford (Lake Mary, FL)
- Claims Representative - CH09CNAssociate Claim Representative - CH10DN We're determined to make a difference and are proud to be an insurance company that goes ... help shape the future. As a General Liability Associate Claims Representative for all business lines, you're at the...customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after… more
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** A Complex Claims Manager - Environmental is responsible for investigating, evaluating, and resolving ... insurance claims related to environmental damage, as well as ...precedents, and environmental regulations. + Calculate and assign appropriate claim reserves based on the potential damages and liability… more
- CVS Health (Tallahassee, FL)
- …regarding urgent processing, pricing disputes, and escalated issues. + Manage pending claims , claim follow-ups, and complex claim research scenarios, ... all with heart, each and every day. **A Brief Overview** The ** Claims Research** **Consultant** handles escalated customer service inquiries and issues for clients… more
- IQVIA (Miami, FL)
- …responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should ... **Patient Support Medical Claims Processing Representative** _Contract Remote Role -...documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Pay Plan: Career Service Position...in this position serves the primary role of processing claim and payment determinations in the Bureau of Victim… more
- Humana (Tallahassee, FL)
- …backdrop, we are seeking an accomplished executive to join our team and lead our claims horizontal. The VP, Claims Process & Operations will play an essential ... To support Humana's customer growth, retention, and satisfaction, the Claims Operations team ensures Humana's 9+ million Medicare and...members receive the access to care they need and claim payments associated with their care are paid accurately… more
- USAA (Tampa, FL)
- …operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claim 's strategies supporting enterprise ... and impactful. **The Opportunity** As a dedicated AVP, Property Claims Operations, you will be accountable for our property...off program with paid holidays plus 16 paid volunteer hours , and various wellness programs. Additionally, our career path… more
- NBC Universal (Orlando, FL)
- …effects including strobe lights, fog, artificial smells, and more. The working hours will be unique, typically spanning over late evenings/nights and weekends ... leave, and a variety of other discounts and perks. JOB SUMMARY: The Manager, Claims and Legal Administration is responsible for overseeing liability claims and… more