• 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 (11/06/25)
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  • Senior Triage Examiner

    ICW Group (Orlando, FL)
    …the file, all in preparation for assigning the file to an examiner for permanent handling. **ESSENTIAL DUTIES AND RESPONIBILITIES** Administers benefits to injured ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
    ICW Group (01/01/26)
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  • Sr . Medicare Associate

    Sedgwick (Orlando, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Medicare Associate **Job Description** + Set up new Medicare Lien Resolution ... processes and products + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to manage workload and monitors… more
    Sedgwick (11/12/25)
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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 (12/19/25)
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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 (11/06/25)
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