• Claims Manager

    CHS (Clearwater, FL)
    …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and… more
    CHS (08/08/25)
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  • Claims Specialist, Professional Liability

    Sedgwick (Tallahassee, FL)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist, Professional Liability **PRIMARY PURPOSE** **:** To analyze mid- and ... higher-level medical malpractice claims ; to provide prompt and fair resolution of mid...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (09/30/25)
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  • Claims Examiner Workers Comp I Remote I SE,…

    Sedgwick (Tallahassee, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **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 (09/28/25)
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  • Claims Specialist, General Liability…

    Sedgwick (Tallahassee, FL)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist, General Liability (Property) **PRIMARY PURPOSE** : To analyze complex ... or technically difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (09/18/25)
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  • Claims Examiner | General Liability BI…

    Sedgwick (Tallahassee, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
    Sedgwick (09/06/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
    CHS (09/13/25)
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  • Victim Compensation Claims Analyst - 1

    MyFlorida (Tallahassee, FL)
    …years of relevant clerical or administrative experience in the areas of: accounting; claims processing ; claims or benefits eligibility determination; social ... or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager ...(application) must be completed in its entirety. + Include supervisor names and phone numbers for all periods of… more
    MyFlorida (10/03/25)
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  • Sr. Supervisor , Clinical Chart Review

    Zelis (St. Petersburg, FL)
    …management of claims . + Ensure client turnaround times and specific processing guidelines are followed consistently. + Assess, track and report any delays in ... that shape who you are. Position Overview The Sr. Supervisor , Clinical Chart Review is focused on supervising a...a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to… more
    Zelis (09/19/25)
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  • Economist Supervisor - SES / Actuarial…

    MyFlorida (Tallahassee, FL)
    …about the operations of the Medicaid fiscal agent, including Medicaid claims processing , billing procedures, reimbursement methodologies and provider enrollment. ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep...the Florida Medicaid Management Information Systems (FMMIS), basic computer processing , statistical analysis software, and information retrieval and management… more
    MyFlorida (10/01/25)
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  • Eligibility Supervisor - SES - 1

    MyFlorida (Panama City, FL)
    …interviews, providing counseling, recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer ... ELIGIBILITY SUPERVISOR - SES - 60024959 1 Date: Sep...for the experience + Minimum of two years of processing experience in the ESS program as an Economic… more
    MyFlorida (09/30/25)
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