• PROFIT Plan Claims Processing

    Publix (Lakeland, FL)
    **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... System + 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer service experience in retirement related field… more
    Publix (07/16/25)
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  • Claims Specialist Sr - Commercial…

    Sedgwick (Tallahassee, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
    Sedgwick (07/10/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Tallahassee, FL)
    …Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
    CVS Health (08/01/25)
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  • Claims Specialist , Audit…

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more
    LogixHealth (07/11/25)
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  • Patient Claims Specialist

    Modernizing Medicine (Tampa, FL)
    …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
    Modernizing Medicine (08/08/25)
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  • Customer Solutions and Claims

    Nestle (Palm Beach Gardens, FL)
    …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS...Identify and resolve demand capture failures to ensure timely processing . + Monitor and address account specific issues upon… more
    Nestle (07/22/25)
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  • Wire Processing Senior Specialist

    Truist (Orlando, FL)
    …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...tools. 9. Support extended hours for same day wire processing for all channels. 10. Under minimal supervision, perform… more
    Truist (07/31/25)
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  • Mechanical Claims Analyst

    TEKsystems (Deerfield Beach, FL)
    Mechanical Claims Specialist - Job Description Are you an experienced automotive mechanic ready to transition from the shop floor to a dynamic office ... environment? We're seeking a Mechanical Claims Specialist to join our growing customer...benefits, we encourage you to apply. Key Responsibilities + Claims Evaluation & Processing + Use your… more
    TEKsystems (08/08/25)
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  • Workers' Compensation Specialist Senior

    City of Jacksonville (Jacksonville, FL)
    …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... laws, rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost time, disability,… more
    City of Jacksonville (07/10/25)
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  • Fnw Program Specialist IV-DACS - (For…

    MyFlorida (Tallahassee, FL)
    …and meetings. JOB DUTIES: General: Designs, implements, and coordinates the claims processing financial information management systems for Florida Department ... FNW PROGRAM SPECIALIST IV-DACS - 42003953 (FOR INTERNAL EMPLOYEES ONLY)...of computer processing /management information system development for claims processing . Coordinates with USDA in obtaining… more
    MyFlorida (08/08/25)
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