- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims ... with TRICARE policy requirements. This role involves reviewing pre-payment, high dollar claims to assess payment accuracy and identify potential claim payment risks.… more
- USAA (Tampa, FL)
- …Auto Adjuster, you will be responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims ... and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include...may be performed in the job. **What we offer:** ** Compensation ** : The salary range for this position is:… more
- Sedgwick (Miami, FL)
- …remote GL Adjuster role puts you at the center of resolving complex claims with flexibility and autonomy. **PRIMARY PURPOSE:** To analyze mid- and higher-level ... general liability claims to determine benefits due; to ensure ongoing adjudication...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- Travelers Insurance Company (Tallahassee, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Travelers Insurance Company (Orlando, FL)
- …Imagine loving what you do and where you do it. **Job Category** Legal ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Sedgwick (Tallahassee, FL)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Sedgwick (Orlando, FL)
- …Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant ... absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs claimants of documentation… more
- USAA (Tampa, FL)
- …As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims ... and physical damage including total loss settlements for highly complex auto claims . + Negotiates liability for comparative negligence (claimant or adverse carrier).… more
- Molina Healthcare (FL)
- JOB DESCRIPTION **Job Summary** Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Travelers Insurance Company (Orlando, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more