- 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...and vehicle owners via phone and email to resolve claim -related inquiries. + Explain claim decisions clearly… more
- Molina Healthcare (Orlando, FL)
- …. + Manages a caseload of various types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
- Sedgwick (Tallahassee, FL)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Bodily Injury + PIP) **PRIMARY PURPOSE** : To supervise a team… more
- Sedgwick (Tallahassee, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (REMOTE - PIP/NO FAULT exp;...; manages reserve adequacy throughout the life of the claim . + Calculates and pays benefits due; approves and… more
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, ... evaluating, and resolving insurance claims related to environmental damage, as well as ...precedents, and environmental regulations. + Calculate and assign appropriate claim reserves based on the potential damages and liability… more
- 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 established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
- Sedgwick (Tampa, FL)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge… more
- Sedgwick (Tallahassee, FL)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim… more
- CVS Health (Tallahassee, FL)
- …Qualifications** . 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance ... Qualifications** . 5+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance… more
- Ryder System (Tallahassee, FL)
- …+ Comprehensive understanding of all relevant laws and regulations as well as related medical and legal terminology + Requires strong claim technical skills + ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily injury… more