- The Hartford (Lake Mary, FL)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- CVS Health (Tallahassee, FL)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… 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 + ... counsel, independent adjusters, experts, and other vendors in the claim -handling processes. + Supervises outside vendors retained for investigations,...+ Five (5) years or more experience in Casualty Claims required + Adjuster License(s) are a… more
- Amazon (FL)
- …3+ years claims leadership experience - Valid Property & Casualty Adjuster 's License - Strong interpersonal and communication skills, with ability to communicate ... each with a level of urgency. Preferred Qualifications - Fleet or commercial auto claims experience - Auditing experience within a claim organization - ARM, AIC,… more
- USAA (Tampa, FL)
- …seeking a dedicated Business Process Owner Senior - Communications Ecosystem - Claims Optimization. We offer a flexible work environment that requires an individual ... strategy. + Vendor and partner management experience. + Focus on enhancing adjuster and member communication experiences. + Agile delivery and backlog management… more
- City of Jacksonville (Jacksonville, FL)
- …for this classification is six months. LICENSING/CERTIFICATION/REGISTRATION: + Florida All Lines Claims Adjuster License is required prior to appointment and ... Manage complex workers' compensation litigation case files. + Reviews medical bills and other services for which claims...this experience. 13 A State of Florida All Lines Claims Adjuster License is required prior to… more
- Sedgwick (Jacksonville, FL)
- …Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted ... within the assigned team. + Investigates, evaluates and resolves claims ; identifies potential problems/trends in claim files... reports and state law or jurisdictional law in claim handling. + Applies jurisdictional and medical … more
- Sedgwick (Orlando, FL)
- …ensuring that each referral is deemed medically necessary and approved by the claim 's adjuster . + Confirms all required and relevant billing information exists ... to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reaches out to… more
- USAA (Tampa, FL)
- …multi-tasking, and problem-solving skills. + Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims . + Ability to ... you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to...and loss reserving. + Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. **What… more
- NextEra Energy (North Palm Beach, FL)
- …for state regulations and requirements + Assists with managing producer, broker, and claims adjuster licenses and renewals and database management + Periodically ... job offer requirements, consistent with federal, state, and local laws. Supporting medical or religious documentation will be required where applicable and permitted… more