- CRC Insurance Services, Inc. (FL)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- Cognizant (Tallahassee, FL)
- …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative, Liability **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... compliance with appropriate policies, procedures, and regulations + **Health, Dental , Vision, and Life Insurance as well as Paid...medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits… more
- Elevance Health (Miami, FL)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor** **I** is responsible for pre and post payment and adjudication audits… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- TEKsystems (Deerfield Beach, FL)
- Job Title: Mechanical Claims Specialist Location: Remote (with initial onsite training in Deerfield Beach, FL) Start Date: August 18th Employment Type: Full-Time ... to a more comfortable, office-based role? We're seeking Mechanical Claims Specialists to join a growing customer contact team...this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital… more
- Cognizant (Tallahassee, FL)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to … more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... systems to collect and analyze data. **What sets you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. +… more
- Kemper (Doral, FL)
- …professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and ... currently looking for Commercial Auto Liability Adjusters to investigate claims , determine liability, confirm coverage, establishes damages, and negotiate settlement… more