• Workers Compensation Claims Examiner | NC,…

    Sedgwick (Tallahassee, FL)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (11/22/25)
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  • (Remote) California Claims Examiner…

    Sedgwick (Tallahassee, FL)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (11/21/25)
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  • Workers Compensation Claims Adjuster | OH…

    Sedgwick (Tallahassee, FL)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (11/06/25)
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  • Claims Examiner | Commercial Trucking…

    Sedgwick (Tallahassee, FL)
    …level of expertise. This role will be responsible for analyzing and processing **complex commercial trucking transportation claims ** by reviewing coverage, ... of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are… more
    Sedgwick (10/30/25)
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  • Workers Compensation Claims Examiner | NY…

    Sedgwick (Tallahassee, FL)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (10/22/25)
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  • Adjudicator, Provider Claims -On The Phone…

    Molina Healthcare (Orlando, FL)
    …member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * ... Job Summary Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim more
    Molina Healthcare (11/21/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...total per household per month (PHPM) and per inbound claim cost so that improvements in productivity and efficiency… more
    CHS (11/06/25)
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  • Payment Claims Analyst

    Aston Carter (Deerfield Beach, FL)
    …The Claims Payment Analyst is responsible for reviewing, analyzing and processing claims payment requests for automotive repairs. The individual will ... to work overtime, Saturdays and holidays as needed. Skills Claim , Data entry, auto Top Skills Details Claim...(may include, but not all encompassing): * Reviewing and processing claims payment requests for automotive repairs.… more
    Aston Carter (11/21/25)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims more
    CHS (11/06/25)
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  • BILINGUAL Claims Research & Resolution Rep…

    Humana (Tallahassee, FL)
    …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve… more
    Humana (11/21/25)
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