- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... of Clearwater, FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical … more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner I NY license required I Remote **PRIMARY PURPOSE** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Tampa, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- USAA (Tampa, FL)
- …multi-tasking, and problem-solving skills. + Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims . + Ability to ... special and impactful. **The Opportunity** As a dedicated **Injury Examiner ** , you will be responsible to adjust complex...you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to… more
- CHS (Clearwater, FL)
- … claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...re-pricing entities, unable to be systematically "matched", auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either… more
- MyFlorida (Tampa, FL)
- …application / resume. + Three (3) years' employment experience as a Veterans' Claims Examiner or comparable title / experience counseling and handling veterans' ... all accredited organizations, state, county or others in obtaining medical information necessary to support claims for...in obtaining medical information necessary to support claims for benefits. Maintain rapport and liaison with VA… more
- Sedgwick (Tampa, FL)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... + We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- Molina Healthcare (Tampa, FL)
- …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud… more