• Medical Claims Processor - Remote

    Cognizant (Tallahassee, FL)
    …coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able to work ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
    Cognizant (08/26/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Tallahassee, FL)
    …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY...contract requirements, and quality standards. + Acts as second level of appeal… more
    Sedgwick (08/23/25)
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  • Claims Team Lead, General Liability

    Sedgwick (Tallahassee, FL)
    …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...contract requirements and quality standards. + Reviews… more
    Sedgwick (08/22/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Tallahassee, FL)
    …of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
    Cognizant (08/01/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Tallahassee, FL)
    …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
    Cognizant (08/26/25)
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  • Business Process Owner Senior - Advanced…

    USAA (Tampa, FL)
    …in a regulated environment. + Experience with self-auditing frameworks and data-driven quality improvement in claims operations. + Ability to translate technical ... are seeking a dedicated Business Process Owner Senior - Advanced Capabilities - Claims Optimization. We offer a flexible work environment that requires an individual… more
    USAA (08/23/25)
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  • Technical Specialist, Construction Defect

    Travelers Insurance Company (Tampa, FL)
    …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim life ... our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
    Travelers Insurance Company (08/14/25)
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  • Senior Technical Specialist, Construction Defect

    Travelers Insurance Company (Tampa, FL)
    …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life ... partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
    Travelers Insurance Company (07/30/25)
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  • Technical Specialist, General Liability

    Travelers Insurance Company (Orlando, FL)
    …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely… more
    Travelers Insurance Company (08/29/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all ... of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the following… more
    Elevance Health (08/13/25)
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