- Sedgwick (Jacksonville, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Stryker (Weston, FL)
- We are seeking a ** Senior Regulatory Specialist ** to join our Mako and Enabling Technology business within the Joint Replacement Division to be based hybrid two ... per week in Mahwah, NJ or Weston, FL. **What you will do** As the ** Senior Regulatory Affairs Specialist ** , you will support Stryker's Mako and Enabling… more
- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist Senior Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4971840) Apply Workers' Compensation ... Specialist Senior Salary $58,703.40 Annually Location Jacksonville, FL Job Type...Closing Date 6/27/2025 11:59 PM Eastern + Description + Benefits + Questions Job Description Are you looking for… more
- CVS Health (Tallahassee, FL)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Gilead Sciences, Inc. (Orlando, FL)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... insurance plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in benefit… more
- Molina Healthcare (Orlando, FL)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- CRC Insurance Services, Inc. (FL)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- CVS Health (Tallahassee, FL)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Tallahassee, FL)
- …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Prime Therapeutics (Tallahassee, FL)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Publix (Lakeland, FL)
- …Pharmacy - Lakeland **Department:** Finance **Location:** Lakeland, FL **Description:** The Senior Collections Specialist - Pharmacy focus on collections, ... is accounted for and being collected from the insurance carriers, pharmacy benefits management (PBM) companies to reduce days sales outstanding (DSO) and prevent… more
- The Hartford (Lake Mary, FL)
- …theirs, too. Join our team as we help shape the future. The Claim Specialist role is crucial for handling claims within the Major Case team, specifically for ... Specialist Claims - CH07DE We're determined...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. This dynamic Claim Specialist role will be part of...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy… more
- Actalent (Miramar, FL)
- Description As an Environmental Health and Safety (EHS) Specialist , you will collaborate with the Senior EHS Manager to design and roll out training initiatives, ... Assist in overseeing the Workers' Compensation Program, ensuring effective claim handling and injury prevention strategies. Preventative Programs: Initiate and… more
- Monte Nido (Miami, FL)
- …people to realize their healthy selves. **Leave of Absence & Compliance Specialist ** **Monte Nido** **Remote** **Monte Nido** has been delivering proven treatment ... We are seeking a highly organized and detail-oriented HR Specialist : Leaves & Compliance Administrator to join our HR...career with us and enjoy an array of comprehensive benefits ! We prioritize your success and well-being, providing: +… more
- HCA Healthcare (Atlantis, FL)
- …or limits? Our HCA Florida JFK Hospital team is looking for a(an) Senior Risk Manager. HCA Healthcare is an advanced healthcare network that has committed ... incredible team members over the course of three years. ** Benefits ** HCA Florida JFK Hospital, offers a total rewards...save lives across the country? Apply today to our Senior Risk Manager and be a part of the… more
- Citigroup (Jacksonville, FL)
- The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA...support from those teams. + Provides timely feedback to senior management to identify client pain points and barriers… more
- Highmark Health (Tallahassee, FL)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Centene Corporation (Tampa, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Supports in handling escalations, handling problem tickets, and providing feedback to senior team members regarding member/provider issues. + Candidate will need to… more