• Claims Manager

    CHS (Clearwater, FL)
    …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and… more
    CHS (08/08/25)
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  • Claims Resolution Analyst - Hybrid

    Acosta Group (Jacksonville, FL)
    **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
    Acosta Group (08/08/25)
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  • California Workers Compensation Claims

    Sedgwick (Tallahassee, FL)
    …Fortune Best Workplaces in Financial Services & Insurance California Workers Compensation Claims Examiner I Remote **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (08/08/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Tallahassee, FL)
    …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 coordinate case… more
    Sedgwick (07/10/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
    CHS (06/14/25)
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  • Eligibility Supervisor - SES

    MyFlorida (Tampa, FL)
    …interviews, providing counseling, recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer ... ELIGIBILITY SUPERVISOR - SES - 60023396 Date: Aug 7,...the experience. + Plus minimum of two years of processing experience in the Economic Self-Sufficiency Program as an… more
    MyFlorida (08/08/25)
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  • Eligibility Supervisor - SES

    MyFlorida (Quincy, FL)
    …interviews, providing counseling, recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer ... ELIGIBILITY SUPERVISOR - SES - 60023018 Date: Jul 24,...for the experience + Minimum of two years of processing experience in the ESS program as an Economic… more
    MyFlorida (07/25/25)
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  • Experienced Call Center Quality Assurance…

    Mass Markets (Macdill AFB, FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... as a trusted partner in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee… more
    Mass Markets (06/04/25)
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  • Fnw Program Specialist IV-DACS - (For Internal…

    MyFlorida (Tallahassee, FL)
    …and meetings. JOB DUTIES: General: Designs, implements, and coordinates the claims processing financial information management systems for Florida Department ... and execution of computer processing /management information system development for claims processing . Coordinates with USDA in obtaining funds through… more
    MyFlorida (08/08/25)
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  • General & Product Liability Complex Claim Examiner…

    Sedgwick (Miami, FL)
    …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
    Sedgwick (08/08/25)
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