- Review and adjudicate medical claims
- Request additional information from members and providers
- Initiate claim investigations for pre-existing conditions, accidents, medical necessity, eligibility and coordination of benefits
- Detailed oriented
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Claims Examiner · Position Summary: · Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. ...
Tampa, FL , Tampa, FL, US1 week ago
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Job Title: Claims Adjudicator (Claims Examiner) · Location: Tampa Bay, FL (near the airport) · Schedule: Full-Time · Payrate- $19/hr. with Benefits · Note- Training: 8 weeks onsite (Full-time remote flexibility available after successful completion of training) · Position Overvie ...
Tampa, FL4 days ago
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Job Title: Claims Adjudicator (Claims Examiner) · Location: Tampa Bay, FL (near the airport) · Schedule: Full-Time · Payrate- $19/hr. with Benefits · Note- Training: 8 weeks onsite (Full-time remote flexibility available after successful completion of training) · Position Overvi ...
Tampa5 days ago
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The responsibility of a workers' compensation claims adjuster is to receive and organize all documents related to the employee and the injury in order to make a determination regarding the claim. This role requires excellent communication and customer service skills, strong motiv ...
Bradenton1 month ago
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It is the responsibility of a workers' compensation claims adjuster to receive and organize all documents related to the employee and the injury in order to make a determination regarding the claim. This role requires excellent communication and customer service skills, strong mo ...
Bradenton3 weeks ago
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· THIS ROLE IS FOR: · 1401 N Westshore Blvd, Tampa, FL 33607 · The Role is 100% ON SITE · Position Summary: · Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer servic ...
Tampa, FL , Tampa, FL, US1 week ago
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Job title: Claim Adjudicator · Location: Tampa, FL (Remote after 8 Week Onsite Training) · Duration: Full Time · Salary: $19/Hr. + Benefits · Job Overview:- · Key Responsibilities · Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring com ...
Tampa2 days ago
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· Overview · Health Insurance Medical Claims Examiner · Monday-Friday Schedule with daytime hours · Responsibilities · Summary: · The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. · Essential Duties and Responsi ...
Clearwater, Florida, United States $110,000 - $120,000 (USD) per year1 week ago
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If you have a passion for customer service and an active Claims Adjuster license we want to hear from you Apply today for our four-week training program to launch your career in Claims. · ...
Tampa Full time2 weeks ago
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Position: Claims Adjudicator/Examiner · Location: Remote-Tampa Bay, FL 33610(near the airport)- remote after 8 weeks of traning · Fulltime · Onsite-8 Weeks of training · Onsite training · Ideal candidate: Should have experience of Claims processing/adjudication in Firstpass/Newd ...
Tampa4 days ago
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We are seeking an entry-level Claims Examiner Trainee to join our team. This position will provide training and development opportunities to launch your career in Claims. · Manages a pending caseload of low to moderate severity and complexity homeowners claims in a team environme ...
Tampa, FL $38,000 - $52,000 (USD) per year2 weeks ago
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If you have a passion for customer service, an active Claims Adjuster license, and are seeking an entry-level position to kickstart your career as a Claims Examiner, we want to hear from you. · ...
Tampa2 weeks ago
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We are seeking a Claims Examiner Trainee to join our team. This is an entry-level position that will provide training in claims adjusting and customer service. · This role will involve managing a pending caseload of low to moderate severity and complexity homeowners claims in a t ...
Tampa2 weeks ago
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Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency.We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. · ...
Tampa1 month ago
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· MUST HAVE COMMERCIAL CLAIMS EXPERIENCE IN P&C, ACTIVE LICENSE AND BE WILLING TO COME INTO THE OFFICE FULL TIME. · We are located at 1401 N Westshore Blvd, Tampa, FL 33607 · Job Summary: · Investigates, evaluates, reserves, negotiates and settles assigned commercial claims i ...
Tampa, FL , Tampa, FL, US1 week ago
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· Litigation Liability Claims Examiner · Location: In the heart of the Westshore District, just minutes from Tampa International Airport · Are you a seasoned commercial liability claims professional who thrives in complex litigation environments? Do you bring sharp coverage ana ...
Tampa, FL , Tampa, FL, US1 day ago
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Commercial Litigation Liability Claims Specialist · Location: Tampa, Florida – In the heart of the vibrant Westshore District, just minutes from Tampa International Airport · Are you a seasoned commercial liability claims professional who thrives in complex litigation environment ...
Tampa, FL1 week ago
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Manage complex workers' compensation claims and ensure strategic resolution and optimal cost management as a highly skilled professional. · ...
St. Petersburg1 month ago
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+ · About this position: This position is located at MacDill Air Force Base Florida. · This is a Direct Hire Solicitation. · ...
Macdill AFB, FL1 month ago
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An ‚ rated specialty insurance carrier is seeking a Claims Attorney to join its collaborative claims team. This is a unique opportunity for someone already handling claims or transitioning from private practice into a client-focused family-friendly insurance environment. · ...
Greater Tampa Bay Area2 weeks ago
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The position organizes schedules coordinates and monitors a PSAV program to ensure effective operations and activities in compliance with state and federal standards and guidelines. · ...
Hillsborough County, FL1 month ago
Medical Claims Examiner - Clearwater Beach, FL - Premier Administrative Solutions
Description
Medical Claims Examiner
A Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. They review, request information, initiate investigations, document claims, maintain production standards, participate in training, adhere to company policies and confidentiality standards.
Responsibilities:
This role requires strong organizational skills along with excellent written and verbal communication skills.
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Claims Examiner
Only for registered members Tampa, FL , Tampa, FL, US
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Claims Examiner
Only for registered members Tampa, FL
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Claims Examiner
Only for registered members Tampa
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Claims Examiner
Only for registered members Bradenton
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Claims Examiner
Only for registered members Bradenton
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Claims Examiner
Only for registered members Tampa, FL , Tampa, FL, US
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Claims Adjuster/ Claims Examiner
Only for registered members Tampa
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Medical Claims Examiner
Only for registered members Clearwater, Florida, United States
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Claims Examiner Trainee
Full time Only for registered members Tampa
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Claims Adjudicator/Examiner
Only for registered members Tampa
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Claims Examiner Trainee
Only for registered members Tampa, FL
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Claims Examiner Trainee
Only for registered members Tampa
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Claims Examiner Trainee
Only for registered members Tampa
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Claims Examiner, PIP
Only for registered members Tampa
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Commercial Claims Examiner
Only for registered members Tampa, FL , Tampa, FL, US
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Liability Litigation Claims Examiner
Only for registered members Tampa, FL , Tampa, FL, US
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Commercial Litigation Claims Examiner
Only for registered members Tampa, FL
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Workers Compensation Claims Examiner II
Only for registered members St. Petersburg
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physician (family practice)
Only for registered members Macdill AFB, FL
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Claims Attorney
Only for registered members Greater Tampa Bay Area
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PSAV Trainer III
Only for registered members Hillsborough County, FL