• Principal, Stars Enterprise Activation - Insurance…

    Humana (Tallahassee, FL)
    …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
    Humana (11/19/25)
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  • Ops Medical Disability Examiner

    MyFlorida (Tallahassee, FL)
    …POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION: ... home or emails to check on weekends or after hours + After 12 successful months in the trainee...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
    MyFlorida (11/19/25)
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  • Forensic Engineer

    The Falcon Group (Miami, FL)
    …preparation and expert testimony (in deposition and trial) specifically for construction defect claims , construction damage claims , and insurance claims and ... to prolonged periods outdoors, which might extend beyond 3 hours . + Ability to work in diverse weather conditions,...terrains. Flexibility in Scheduling + Ability to adjust lunch hours based on project-specific demands, which might include working… more
    The Falcon Group (11/15/25)
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  • Commercial Project Manager

    Stantec (Orlando, FL)
    …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
    Stantec (11/06/25)
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  • Estimate Review Consultant

    Sedgwick (Tampa, FL)
    …the justified services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the carrier. + Maintains contact with the client ... pounds + Be able to drive up to 4 hours per day. + Must have continual use of...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (11/25/25)
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  • Family Health Advocate - Remote

    Sharecare (Tallahassee, FL)
    …day) **Shift:** Monday - Friday, must be open to any 8-hour shift between the hours of 7am - 7pm CST. Exact shift will be assigned after training. **Training:** ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
    Sharecare (11/22/25)
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  • OPS Senior Clerk

    MyFlorida (Fort Myers, FL)
    …be used to fill multiple part-time Senior Clerk positions. $17.00/hour - 20 hours /wk. GENERAL POSITION DESCRIPTION: This position is a sales and marketing support ... service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This… more
    MyFlorida (11/22/25)
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  • Manager Patient Safety

    HCA Healthcare (Kissimmee, FL)
    …**Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Manager Patient Safety with HCA ... and Qualifications** **POSITION SUMMARY: Responsibilities include risk/CMS data management, claims management, education components of the facility's risk management… more
    HCA Healthcare (11/10/25)
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  • Program Controls Specialist

    HNTB (Miami, FL)
    …cost estimate to support and develop schedules reflective of the labor hours generated to input schedule activity durations and resource needs. + Participates ... databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Supports the preparation of… more
    HNTB (10/25/25)
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  • Vice President, Regulatory Affairs - Oncology

    Sumitomo Pharma (Tallahassee, FL)
    …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials....shut-down period during the last week of December, 80 hours of paid sick time upon hire and each… more
    Sumitomo Pharma (09/23/25)
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