• Medical Director - Medicare Grievances…

    Humana (Tallahassee, FL)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health more
    Humana (08/26/25)
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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 ... ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of… more
    Elevance Health (08/14/25)
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  • Medical Insurance Claims Specialist

    HCA Healthcare (Port Charlotte, FL)
    …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to… more
    HCA Healthcare (08/30/25)
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  • Medical Biller/ Claims Processing…

    IQVIA (Miami, FL)
    **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position,… more
    IQVIA (08/21/25)
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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 ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
    CHS (08/08/25)
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  • Senior Claim Data Specialist (Provider…

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with heart, each and every day. **Position Summary** + Claims analysis related to disputes, legal matters, state complaints,… more
    CVS Health (08/21/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Tallahassee, FL)
    …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
    Sedgwick (07/10/25)
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  • Senior Claims Representative - REMOTE

    Ryder System (Tallahassee, FL)
    …salary for this position ranges from $75K to $80K Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life ... Information** : **For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision,… more
    Ryder System (08/14/25)
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  • Claims Adjuster I Workers Compensation I CA…

    Sedgwick (Tallahassee, FL)
    …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY… more
    Sedgwick (06/12/25)
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  • Major Case Unit Claims Specialist

    The Hartford (Lake Mary, FL)
    …regulatory and ethics requirements + Accurately and timely assess the indemnity, medical and expense exposure of assigned Specialized claims and manage ... Specialist Claims - CH07DE We're determined to make a...and Settlement Strategies, Efficient, Timely and Accurate Investigations and Medical Management are responsibilities of this position. The position… more
    The Hartford (08/20/25)
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