• Claim Specialist - Complex

    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
    The Hartford (10/01/25)
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  • Claims Specialist Construction…

    The Hartford (Lake Mary, FL)
    …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim more
    The Hartford (12/05/25)
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  • Claims Specialist General…

    The Hartford (Lake Mary, FL)
    …self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex , high-exposure claims on ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews… more
    The Hartford (11/21/25)
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  • Licensed Auto Claims Adjuster - Bodily…

    Sedgwick (Tampa, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Licensed Auto Claims Adjuster - Bodily Injury Specialist (New York License Required) ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
    Sedgwick (11/14/25)
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  • Specialist , Claims Recovery…

    Molina Healthcare (St. Petersburg, FL)
    …and ensures collections efforts are exhausted for write-off approval. * Researches simple to complex claims payments using tools such as Department of Health and ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal… more
    Molina Healthcare (11/23/25)
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  • Sr. Claims Specialist (Workers…

    Zurich NA (Maitland, FL)
    Sr. Claims Specialist (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to ... of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available...insurance policies and ability to apply this knowledge to complex claims . + Expertise in managing … more
    Zurich NA (11/27/25)
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  • AVP- Complex Claim Specialist

    Travelers Insurance Company (Tallahassee, FL)
    …units in the management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and ... equivalent business experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment… more
    Travelers Insurance Company (11/12/25)
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  • Claims Investigator - Part-Time

    Allied Universal (Cape Coral, FL)
    …(4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with a minimum of six (6) ... experience conducting complex insurance investigations or adjusting complex claims + Ability to be properly...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
    Allied Universal (12/06/25)
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  • Claim Specialist Major Case Unit…

    The Hartford (Lake Mary, FL)
    Specialist Claims - CH07DE We're determined... complex , high exposure, auto and general liability claims throughout the claim 's life cycle. As ... team as we help shape the future. As a Claims Specialist , you will be responsible for...trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects… more
    The Hartford (11/11/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Tallahassee, FL)
    …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... reimbursement. This role is critical for financial recovery and ultimate prevention of complex , high-dollar claim denials. **Qualifications** + 3+ years hands on… more
    Oracle (12/11/25)
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  • Workers Compensation Claims Follow-Up Rep

    HCA Healthcare (Fort Pierce, FL)
    …and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified ... the opportunity to make a difference. We are looking for a dedicated Worker's Compensation Claims Follow-up Rep like you to be a part of our team.** **Job Summary… more
    HCA Healthcare (12/11/25)
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  • Hospital Billing and Claims Application…

    Deloitte (Jacksonville, FL)
    …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... production support issues during Activation + Identify potential issues and refer more complex issues to appropriate level of support + Build rapport and promote… more
    Deloitte (10/31/25)
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  • Senior Litigation Specialist , General…

    Travelers Insurance Company (Orlando, FL)
    …most. As a Sr Technical Specialist , you are responsible for handling complex , high-exposure claims . In this technical role, you will leverage your background ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional… more
    Travelers Insurance Company (12/03/25)
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  • Major Case Specialist , General Liability

    Travelers Insurance Company (Tampa, FL)
    …in handling major General Liability claims and managing litigation and complex negotiations. + Extensive claim and/or legal experience and technical ... claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You...expertise to evaluate severe and complex claims . + Able to make independent… more
    Travelers Insurance Company (12/03/25)
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  • Disability Clinical Specialist

    Sedgwick (Tallahassee, FL)
    …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims more
    Sedgwick (10/24/25)
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  • Housing Specialist

    Sedgwick (Tampa, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
    Sedgwick (11/14/25)
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  • Senior Disability Clinical Specialist

    Sedgwick (Miami, FL)
    …Clinical Specialist **PRIMARY PURPOSE** **:** To perform standard and complex clinical evaluations as determined by clinical screenings and patient assessments. ... absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs and completes complex clinical reviews of referred medical claims to ensure accurate… more
    Sedgwick (12/13/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (West Palm Beach, FL)
    …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
    CDM Smith (10/18/25)
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  • IT Project Management Specialist Sr

    Sedgwick (Orlando, FL)
    …Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages software development projects ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
    Sedgwick (12/10/25)
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  • Reimbursement Specialist Contract…

    Intermountain Health (Tallahassee, FL)
    …Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, ... interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at… more
    Intermountain Health (12/13/25)
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