• Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** ** Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and...members and providers as needed + Initiates and completes claim investigations when indicated including pre-existing conditions, accidents, medical… more
    CHS (08/08/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Tallahassee, FL)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote ... as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive) insurance ...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
    Sedgwick (08/27/25)
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  • Claims Examiner Workers Comp…

    Sedgwick (Tallahassee, FL)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
    Sedgwick (06/29/25)
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  • Claims Examiner , Auto Bodily Injury…

    Sedgwick (Tallahassee, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Auto Bodily Injury (Litigation Required) **PRIMARY ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
    Sedgwick (08/22/25)
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  • Claims Examiner - Workers…

    Sedgwick (Tallahassee, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
    Sedgwick (08/23/25)
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  • Financial Examiner /Analyst II

    MyFlorida (Tallahassee, FL)
    …+ Nine paid holidays and one Personal holiday each year; + State Group Insurance coverage options, including health , life, dental, vision and other supplemental ... FINANCIAL EXAMINER /ANALYST II - 42005562 Date: Aug 25, 2025...with major course of study in accounting, finance, economics, insurance , or risk managementandone (1) year of professional experience… more
    MyFlorida (08/26/25)
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  • Medical Disability Examiner

    MyFlorida (Tallahassee, FL)
    …. Requisition No: 859201 Agency: Department of Health Working Title: MEDICAL DISABILITY EXAMINER ... any follow-up correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION… more
    MyFlorida (08/22/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Tallahassee, FL)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp...projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles… more
    Sedgwick (08/23/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... re-pricing entities, unable to be systematically "matched", auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either...results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies… more
    CHS (08/08/25)
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  • Health Insurance Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay… more
    MyFlorida (08/20/25)
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