• Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, ... and compliance with appropriate policies, procedures, and regulations + ** Health , Dental, Vision, and Life Insurance as...school diploma or equivalent is required + Experience in medical customer service, quality assurance, or insurance more
    CHS (05/10/25)
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  • Commercial Auto Claims Adjuster

    Kemper (Lake Mary, FL)
    …it all? We have an immediate opening for an experienced Commercial Auto insurance professional with the ability to investigate and adjust first-party and third-party ... automobile claims . We are offering the opportunity to work in...and witnesses + Obtain and review evidence, reports, and medical records + Investigate losses and identify coverage issues… more
    Kemper (05/16/25)
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  • Victim Compensation Claims Analyst

    MyFlorida (Tallahassee, FL)
    …or benefits eligibility determination; social or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing ... utilize correspondence from victims, applicants, attorneys, centers, financial institutions, insurance carriers, medical providers, and/or criminal justice… more
    MyFlorida (05/20/25)
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  • Claims Research and Resolution…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Claims Research and Resolution Representative 2 manages claims operations that ... contact, investigation, and settlement of both for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance more
    Humana (05/23/25)
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  • Pharmacy Claims Auditor CPhT

    Conduent (Orlando, FL)
    …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?**...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
    Conduent (04/22/25)
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  • P&C Senior Director - Pricing, Product,…

    WTW (Miami, FL)
    …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... WTW is looking for a senior leader with personal and/or commercial lines insurance experience to join as a Property & Casualty (P&C) Senior Director in… more
    WTW (05/09/25)
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  • Claims Agent

    Aston Carter (Palm Beach Gardens, FL)
    …management for resolution. Perform other customer support tasks such as claims processing, contractor invoices, enrollment, billing, and fulfillment. A minimum of ... in a relevant field (customer service, sales, customer accounting, claims , and/or revenue recovery) is required. A high school...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
    Aston Carter (05/22/25)
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  • Auto Claims Adjuster Trainee

    Kemper (Miami, FL)
    …Negotiate settlements with claimants and claimant's attorneys. + Research state laws and medical terms. + Attends Basic Claims training, together with any other ... + Take statements from insureds, claimants, and witnesses Obtain and review evidence, reports, and medical records Investigate losses and identify coverage issues. +… more
    Kemper (05/21/25)
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  • Claims / Surveillance Hybrid Investigator…

    Command Investigations (FL)
    …are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance : Medical , Dental, Vision + Paid time off + ... possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, with… more
    Command Investigations (03/05/25)
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  • Claims Business Analyst - Remote

    Cognizant (Tallahassee, FL)
    …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... duties as assigned. Maintain and particpate in all Mass Health forums to understand, translate and implement Mass ...Health forums to understand, translate and implement Mass Health guidelines to remain compliant with all regulations and… more
    Cognizant (05/20/25)
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