• 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 ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and… more
    CHS (08/08/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Tallahassee, FL)
    …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise the… more
    Sedgwick (08/23/25)
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  • Claims Team Lead, General Liability

    Sedgwick (Tallahassee, FL)
    …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To supervise a team of… more
    Sedgwick (08/22/25)
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  • Lead Adjudicator, Provider Claims

    Molina Healthcare (Miami, FL)
    …Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach ... new employees. Provide clear and concise results on the provider claims model across all states. Monitors and controls workflow. Provides support to leadership… more
    Molina Healthcare (08/28/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Tallahassee, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims ... YOU AN IDEAL CANDIDATE?** If you have experience as a **General Liability Claims Examiner involving property damage in residential construction** and would like to… more
    Sedgwick (08/27/25)
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  • Claims Specialist Sr , Professional…

    Sedgwick (Tallahassee, FL)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr , Professional Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
    Sedgwick (08/14/25)
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  • Claims Examiner Workers Comp I Remote I SE,…

    Sedgwick (Tallahassee, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (06/29/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...with accuracy, and work with the MPS Call Center Manager/ Supervisor /Team Lead and analyze the data for training purposes.… more
    CHS (06/14/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (FL)
    …+ Recommend business controls to improve business results + Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project ... as performance of the Business/Project Analyst team. + Regularly meet with supervisor , peers, and stakeholders to drive high performance results. + Collaborate… more
    Healthfirst (08/14/25)
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  • Supervisor Dental Government Business…

    Highmark Health (Tallahassee, FL)
    …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives… more
    Highmark Health (08/22/25)
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