• Supervisor , Member Services…

    Molina Healthcare (Tampa, FL)
    …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
    Molina Healthcare (10/11/25)
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  • Claims Advisor, Environmental…

    Sedgwick (Tallahassee, FL)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
    Sedgwick (10/07/25)
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  • Claims Examiner | General Liability BI…

    Sedgwick (Tallahassee, FL)
    …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
    Sedgwick (09/06/25)
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  • Claims Examiner | Multi-Line | Public…

    Sedgwick (Tallahassee, FL)
    …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... by investigating and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed action plans to an… more
    Sedgwick (10/15/25)
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  • Sr. Supervisor , Clinical Chart Review

    Zelis (St. Petersburg, FL)
    …the personal interests that shape who you are. Position Overview The Sr. Supervisor , Clinical Chart Review is focused on supervising a team of Clinician's performing ... clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to...records, to verify billing accuracy and clinical appropriateness. The Supervisor will be responsible for monitoring the Clinical Reviewer's… more
    Zelis (09/19/25)
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  • Economist Supervisor - SES / Actuarial…

    MyFlorida (Tallahassee, FL)
    68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Oct 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 863552 Agency: Agency for Health Care Administration Working Title: 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Pay Plan: SES Position Number: 68046114… more
    MyFlorida (10/21/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Tallahassee, FL)
    …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health ... including co-morbid and multiple diagnoses that impact functionality. + Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more
    CVS Health (10/15/25)
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  • Remote Licensed Property & Casualty…

    Mass Markets (FL)
    …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... you are sure to succeed. We offer many advancement opportunities, including Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for… more
    Mass Markets (10/07/25)
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  • Medical Billing Specialist Not a Remote

    National Health Transport (Miami, FL)
    …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... most efficient billing process. + Directs patient complaints to the Billing Operations Supervisor for completion and filing. + Manages workload in an ethical manner… more
    National Health Transport (10/22/25)
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  • Telephonic Case Manager

    Sedgwick (Tallahassee, FL)
    …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in your daily work, your location,… more
    Sedgwick (10/22/25)
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