- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and ... internal team inquires. In order to determine if there are any claim payment or denial issues that may affect Utilization Management, Enrollment, Claims ,… more
- The Hartford (Lake Mary, FL)
- …our team as we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer ... SCLA or CPCU designation a plus This position may be filled as a Senior Claim Representative or Consultant commensurate with a candidate's experience: Senior… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized ... claims in accordance with plan processing guidelines. They will...all cost containment. + Measures to assist in the claim adjudication process. + Handles phone and written inquiries… 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
- CVS Health (Tallahassee, FL)
- …accountable for successfully managing high exposure and complex druggist and professional Risk claims . The Senior Liability Claims Adjuster will be ... responsible to handle all aspects of claim resolution, including outreach, financial reserving, investigations, negotiations and...claims against CVS throughout the United States. The Senior Liability Claims Adjuster will have extensive… more
- Ryder System (Tallahassee, FL)
- …here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high ... exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...claims . Ensures that claims are settled in a timely fashion and in...of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- USAA (Tampa, FL)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more
- USAA (Tampa, FL)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Sr Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented ... by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering… more