- Sedgwick (Orlando, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions + Negotiates claim ...required. Professional certification as applicable to line of business preferred . **Experience** Six (6) years of claims … more
- Sedgwick (Tallahassee, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...required. Professional certification as applicable to line of business preferred . **Experience** Six (6) years of claims … more
- Sedgwick (Tallahassee, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim .... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Sedgwick (Tallahassee, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim .... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Travelers Insurance Company (Tampa, FL)
- …claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred . + Able to make independent decisions on most assigned ... and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the...cases without involvement of supervisor preferred . + Thorough understanding of business… more
- Sedgwick (Tallahassee, FL)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... claim status; and provides written resumes on specific claims as requested by client. + Maintains frequent diaries...required. Professional certifications as applicable to line of business preferred . **Experience** Six (6) years of claims … more
- Sedgwick (Tallahassee, FL)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... claim status; and provides written resumes of specific claims as requested by client. + Assures that direct...required. Professional certifications as applicable to line of business preferred . **Experience** Six (6) years of claims … more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Senior Management and clients. * Management of relationships with Preferred Provider Organizations and Reference-Based Pricing vendors which are… more
- Molina Healthcare (Miami, FL)
- … EDUCATION:** Bachelor's Degree or equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 6+ years previous claims adjusting and customer ... expertise to co-workers and handles complex calls. + Assists supervisor with development with staff. + Recognizes trends and...services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO,… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...with accuracy, and work with the MPS Call Center Manager/ Supervisor /Team Lead and analyze the data for training purposes.… more