- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- City of Coral Gables, FL (Coral Gables, FL)
- …Investigates complaints regarding alleged code violations, determines validity of claims and recommends remedial action. Re-inspects as necessary. Assists and ... appointment as a Chief Building Inspector or Building Plans Examiner . Shall be certified by the Board of Rules...agreement and the City's Personnel Rules & Regulations. MEDICAL INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- 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 Plan: Career Service Position… more
- Kemper (Doral, FL)
- …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are ... College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** +… more
- Sedgwick (Tallahassee, FL)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the… more
- Prime Therapeutics (Tallahassee, FL)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Highmark Health (Tallahassee, FL)
- …reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in… more