- Sedgwick (Tallahassee, FL)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical...rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical… more
- Sedgwick (Orlando, FL)
- …for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes ... Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult...medical review of all claims to ensure information substantiates disability. + Provides clear… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...inclusive of litigation planning and execution, budgeting and bill review ; + Attending trials and mediations as necessary; +… more
- Molina Healthcare (FL)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts members/providers as needed via written and verbal ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- HCA Healthcare (Jacksonville, FL)
- …this opportunity compelling, we encourage you to apply for our Collections Specialist opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central… more
- HCA Healthcare (Tampa, FL)
- …you want to join an organization that invests in you as a Collections Legal Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... a difference. We are looking for a dedicated Legal Specialist like you to be a part of our...and procedures, special projects, and to track results + Review contracts and writes demand letters for SSC under… more
- Molina Healthcare (Miami, FL)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts providers as needed via written and verbal ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise… more
- HCA Healthcare (Miramar, FL)
- …find this opportunity compelling, we encourage you to apply for our Collections Specialist CBO opening. We promptly review all applications. Highly qualified ... is recognized. Submit your application for the opportunity below:Collections Specialist at the East Florida CBO with HCA Surgery...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- HCA Healthcare (Pensacola, FL)
- …satisfaction and personal growth, we encourage you to apply for our Billing Specialist opening. We promptly review all applications. Highly qualified candidates ... integrity. We care like family! Jump-start your career as a(an) Billing Specialist today with HCA Florida West Cardiology Specialists. **Benefits** **HCA Florida… more
- MyFlorida (Panama City, FL)
- ELIGIBILITY SPECIALIST II - 60052529 Date: Nov 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865951 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60052529 Pay Plan: Career Service Position Number: 60052529 Salary:… more