- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner I NY license required I Remote **PRIMARY PURPOSE** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge...+ Working knowledge of COB and MSP preferably + Medical terminology + Computer literacy + Knowledge of current… more
- MyFlorida (Tallahassee, FL)
- FINANCIAL EXAMINER /ANALYST II - 79001481 Date: May 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 850846 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79001481 Pay Plan: Career Service Position Number: 79001481… more
- 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
- MyFlorida (Tallahassee, FL)
- …claims or benefits eligibility determination; social or victim services; disability examiner ; claims adjuster; insurance adjuster; or case manager processing ... VICTIM COMPENSATION CLAIMS ANALYST - 41001136 Date: May 19, 2025...from victims, applicants, attorneys, centers, financial institutions, insurance carriers, medical providers, and/or criminal justice agencies to finalize determinations.… more
- Sedgwick (Tallahassee, FL)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- MyFlorida (Tampa, FL)
- …application / resume. + Three (3) years' employment experience as a Veterans' Claims Examiner or comparable title / experience counseling and handling veterans' ... request. Assist all accredited organizations, state, county or others in obtaining medical information necessary to support claims for benefits. Maintain rapport… more