- Sedgwick (Jacksonville, FL)
- …+ Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary ... documentation with state agency. + Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims, determines benefits due, and manages… more
- Sedgwick (Jacksonville, FL)
- …Education & Licensing: 3+ years of claims management experience or equivalent combination of education and experience required. + High School Diploma or GED required. ... Bachelor's degree from an accredited college or university preferred. + Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Active adjusters license highly preferred. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Jacksonville, FL)
- …Summary** To analyze complex or technically difficult environmental claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy… more
- City of Jacksonville (Jacksonville, FL)
- …+ Benefits + Questions Job Description Are you looking for a position with a work/life balance? Do you want to earn four (4) weeks off during your first year of ... employment? Do you want low and no cost health insurance options? If you answered "yes" to any of these questions, you need to complete your application now. Work for the city you love The Risk Management Division is actively seeking a Workers' Compensation… more
- Insight Global (Jacksonville, FL)
- …Insight Global is seeking an Insurance Collector/Follow-up Representative to work in the Revenue Cycle department for a large regional rehab client. As an Insurance ... Collector/Follow-up Rep you will work remotely to minimize our client's backlog of outstanding invoices with insurance companies to be paid. You will be responsible for ensuring efficient resolution of billing discrepancies and denials/rejection by promptly… more
- Sedgwick (Jacksonville, FL)
- …+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy… more
- Zurich NA (Jacksonville, FL)
- …listed for this position. As a Senior Environmental Underwriter,(Sr. Level III or AVP Level IV)you will handle complex new and renewal domestic Environmental accounts ... and serve as a Subject Matter Expert on the team. As a member of Zurich's Underwriting Team, you will enjoy the opportunity to fully apply and hone your underwriting and marketing skills while building relationships with Select Brokers focused in the southern… more
- HUB International (Jacksonville, FL)
- …+ Market all lines of commercial insurance and directly impact revenue goals through the acquisition of new business and the retention of renewals. + Assist in the ... **About HUB** In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world's largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters… more
- Molina Healthcare (Jacksonville, FL)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. ... This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a… more
- Sedgwick (Jacksonville, FL)
- …+ Answers approximately 40 inbound calls per day in a professional and timely manner. + Supports a wide range of customer needs, including: + General policy support + ... Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle and garaging updates + Delivers empathetic, knowledgeable service that builds trust and reinforces our client's brand values. + Responds to AI-transferred calls with… more
- Molina Healthcare (Jacksonville, FL)
- …**Work hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, ... focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and provider),… more
- Sedgwick (Jacksonville, FL)
- …+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy… more
- Molina Healthcare (Jacksonville, FL)
- …Responsible for comprehensive contract review and target claim audits review. This includes but not limited to; deep dive contract review and targeted claim audits ... related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider… more
- HUB International (Jacksonville, FL)
- …for new business development and existing client perpetuation, and is expected to maintain a book of accounts based on location practice. **In this role, you will:** ... **About HUB** In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world's largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters… more
- Sedgwick (Jacksonville, FL)
- …+ Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. + Conducts thorough ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy… more
- Sedgwick (Jacksonville, FL)
- …+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy… more
- Sedgwick (Jacksonville, FL)
- …+ Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files ... necessary documentation with state agency. + Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims, determines benefits due, and… more
- Allied Universal (Jacksonville, FL)
- …Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As… more
- Thrivent Financial (Jacksonville, FL)
- …Thrivent is a different kind of financial services firm, one that puts generosity at the center of saving and investing. Here, you'll make an impact in the lives of ... the people you serve, helping them build, grow and protect financial well-being through purpose-based advice, investments, insurance, banking and generosity. At Thrivent, you'll receive the support, stability and opportunity of a Fortune 500 leader. We offer… more
- Sedgwick (Jacksonville, FL)
- …+ Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum four) technical operations colleagues for a wide span of control; ... may delegate some duties to others within the unit. + Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates… more