- MyFlorida (Miami, FL)
- …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64801357 Date: Dec 9, 2025 The...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- MyFlorida (Fort Lauderdale, FL)
- FINANCIAL EXAMINER /ANALYST II - 79012289 Date: Dec 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 862222 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79012289 Pay Plan: Career Service Position Number: 79012289… more
- MyFlorida (Doral, FL)
- FINANCIAL EXAMINER /ANALYST II - 79001480 Date: Dec 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 863232 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79001480 Pay Plan: Career Service Position Number: 79001480… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- Sedgwick (Miami, FL)
- …management of claims + Ensures appropriate recommendations are made on claims . + Assists with clinical training, onboarding, examiner presentations, and ... RESPONSIBILITIES** + Performs and completes complex clinical reviews of referred medical claims to ensure accurate information is received by employees and providers… more
- Molina Healthcare (Miami, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Kemper (Doral, FL)
- …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... the Downers Grove and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and conducting and/or… more
- CDM Smith (Jacksonville, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Sedgwick (Orlando, FL)
- …processes and products + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to manage workload and monitors ... GED required **Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years of… more
- Air National Guard Units (Tyndall AFB, FL)
- …type, sequence, and extent of required training. Performs as instructor and/or examiner , evaluating and examining AOC personnel to determine preparation for the ... you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more