• Risk Manager, Logistics Claims Management

    Amazon (FL)
    …program around the world across all of its various use cases. Amazon's Logistics Claims Management team is seeking a talented claims professional to support our ... fleets. You will have experience adjudicating both litigated and non-litigated claims in a time-efficient and cost-effective manner. You will help build… more
    Amazon (06/03/25)
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  • Commercial Auto Claims Rep

    Sedgwick (Tallahassee, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process low to mid-level auto ... and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (08/13/25)
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  • Grievances & Appeals Representative

    Humana (Tallahassee, FL)
    …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
    Humana (08/19/25)
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  • Appeals and Grievance Analyst

    Point32Health (FL)
    …and Federal regulatory requirements + Manage the collection of documents and records ( medical , claims , administrative) needed to fully research the appeal or ... Colleagues a competitive and comprehensive total rewards package which currently includes: + Medical , dental and vision coverage + Retirement plans + Paid time off +… more
    Point32Health (08/16/25)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (07/29/25)
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  • Medical Director - NorthEast Region

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
    Humana (07/25/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
    Elevance Health (08/14/25)
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  • Claims Adjudication Specialist

    Cognizant (Tallahassee, FL)
    …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
    Cognizant (08/20/25)
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  • Long Term Disability Claims Specialist II

    MetLife (Tampa, FL)
    Long Term Disability Claims Specialist II Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * Cary, NC * ... Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS… more
    MetLife (07/10/25)
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  • Commercial Auto Claims Adjuster

    Kemper (Miami, FL)
    …professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and ... currently looking for Commercial Auto Liability Adjusters to investigate claims , determine liability, confirm coverage, establishes damages, and negotiate settlement… more
    Kemper (08/14/25)
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