- 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
- 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
- Sedgwick (Tallahassee, FL)
- …Great 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 ...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Tallahassee, FL)
- … Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze complex or technically difficult miscellaneous professional liability claims ; to ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
- Lincoln Financial (Tallahassee, FL)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... by investigating & obtaining a wide range of complex information. Apply claim policies & procedures...to ensure fair, ethical, & timely management of assigned claims . + Analyze and interpret complex coverage… 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
- Zurich NA (Tallahassee, FL)
- Marine Claims Senior Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- Lincoln Financial (Tallahassee, FL)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... managers and consulting physicians to make appropriate and timely claim determinations. + Reviewing complex medical records...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… 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
- Nestle (Palm Beach Gardens, FL)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS...is expected to be an independent thinker who troubleshoots complex issues, determines and performs the actions needed to… more
- CVS Health (FL)
- …all with heart, each and every day. **Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with plan processing ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… 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 (Tampa, 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 (Tampa, 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
- USAA (Pensacola, FL)
- …liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ... complex policy terms and contingencies. + Determines and negotiates complex claims settlement within authority limits. Develops recommendations and… more
- City of Jacksonville (Jacksonville, FL)
- …advanced technical work in the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, ... methods and policies. Examples of Work + Monitors, reviews, and processes complex workers' compensation claims that include primarily lost time, permanent… more
- Sedgwick (Tampa, 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
