- PharmaCord (Orlando, FL)
- …helping them navigate the tricky process of getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per ... and coding, excellent communication skills, and the ability to navigate complex reimbursement processes. The Executive Case Manager provides expertise on insurance… more
- Terumo Medical Corporation (Orlando, FL)
- Field Clinical Specialist - EMBO Date: Oct 1, 2025 Req ID: 5127 Location: Orlando, FL, US Company: Terumo Medical Corporation Department: TIS Sales - North Florida ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DEConsultant Claims...Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant ... handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the...matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- Zurich NA (Maitland, FL)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...Ability to assess the scope and exposure of moderately complex claims + Expertise in the reserving… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... expected. Zurich is seeking an experienced Workman's Compensation Sr. Claims Specialist to join our team! This...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- AssistRx (Orlando, FL)
- …of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...enrollment discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …and settle more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light of facts; Affirm ... as a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate… more
- Travelers Insurance Company (Orlando, FL)
- …claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most assigned ... negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim … more
- Travelers Insurance Company (Orlando, FL)
- … claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim … more
- Travelers Insurance Company (Orlando, FL)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life ... does not manage staff. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims...legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent… more
- Sedgwick (Orlando, FL)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- CDM Smith (Orlando, FL)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- MyFlorida (Orlando, FL)
- INVESTIGATION SPECIALIST I - 60060474 Date: Oct 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858739 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60060474 Pay Plan: Career Service Position Number: 60060474… more
- Otsuka America Pharmaceutical Inc. (Orlando, FL)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... to improve patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business Lead, coordinating with… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a **HR Specialist - Leave of Absence** to join the Employee Experience division. At OUC, we don't ... program enrollments, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, loans, hardships and compliance testing. +… more
- Sedgwick (Orlando, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Project Specialist **PRIMARY PURPOSE OF THE ROLE:** To develop project presentation material; to ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- AssistRx (Orlando, FL)
- …Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. + Collaborative Environment: Work ... referral bonus! A Day in the Life as a Bilingual Patient Access Specialist : This role works directly with healthcare providers & insurance plans/payers to gather… more
- CDM Smith (Orlando, FL)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... infrastructure projects. * Prepares complex project worksheets for the purposes of determining project...a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the… more
- AssistRx (Orlando, FL)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... and billing and navigating complex reimbursement issues. This position also provides support for...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
