• Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... appropriateness, eligibility and coordination of benefits + Documents fully claims referred to senior staff for review...benefits + Documents fully claims referred to senior staff for review and determination + Maintains company… more
    CHS (08/08/25)
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  • Senior Appeals Examiner

    CVS Health (Tallahassee, FL)
    …recommend solutions. **Required Qualifications** + 1 plus years knowledge of plan documents, claims research, letter writing. + 1 plus years working with appeals, ... claims , or compliance. (and/ or) + 1 plus years experience working with documenting and interpreting Health Insurance plans. + Understand excel and word. + Able to… more
    CVS Health (10/15/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Tallahassee, FL)
    …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting… more
    Sedgwick (09/25/25)
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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 ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
    CHS (08/08/25)
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