- Sedgwick (Tallahassee, FL)
- … claims ; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability . + Provides clear and ... appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on claims . + Makes timely,… more
- Carnival Cruise Line (Miami, FL)
- …crew return-to-work planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return ... duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of...Additional programs include company paid term life insurance and disability coverage + Financial Benefits: + 401(k) plan that… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management ** + Oversee legal claims processes, ... The **System Director of Risk Management ** is a key leader responsible for overseeing...resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly… more
- Humana (Tallahassee, FL)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep… more
- The Hartford (Lake Mary, FL)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures… more
- Suddath (Jacksonville, FL)
- …**General position summary:** This position involves assisting and monitoring the claims resolution process, ensuring fair and accurate settlements based on carrier ... Additionally, you will keep business units informed of updated Risk Management Department information and provide necessary resources. **Essential Duties &… more
- City of Jacksonville (Jacksonville, FL)
- …compensation claims that include primarily lost time, permanent total disability , and statutory presumption files. Work requires an advanced knowledge of ... claims that include primarily lost time, permanent total disability , and statutory presumption files. + Manage complex workers' compensation litigation… more
- Sedgwick (Orlando, FL)
- …combination of education and experience required. One (1) year of benefits or claims management experience preferred. **Skills & Knowledge** * Excellent oral and ... and/or client-specific process provisions. * Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of… more
- USAA (Tampa, FL)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
- Sedgwick (Tampa, FL)
- …and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the ... claim issues. + Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more