- 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 ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… 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 ( ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… 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 ... Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… 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
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the ... claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...or ability to secure same **General Description of Available Benefits for Eligible Employees of CRC Group:** All regular… 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
- 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
- Molina Healthcare (Orlando, FL)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and ... complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and… 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 ... a motivated, initiative-taker who would enjoy a fast-paced collaborative work environment! The claims specialist will enjoy working primarily on a caseload of… 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 ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… 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
- 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
- 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
- MyFlorida (Tallahassee, FL)
- … specialist with reviewing and evaluating medical-only workers' compensation claims , processing and paying medical and legal bills associated with workers' ... SENIOR WORKERS' COMPENSATION EXAMINER - 43000429 Date: Jun...OPPORTUNITY DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: High School… 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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more