- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining the workflow ... + High School or GED + 3+ years of experience as Medical Claims Examiner + Experience in contract interpretation + Ability to work Windows and other… more
- Sedgwick (Miami, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation | Southeast Jurisdictions Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Miami, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... difficult workers' compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (Miami, FL)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto Liability **PRIMARY PURPOSE** : To analyze and ... process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Sedgwick (Miami, FL)
- …Most Loved Workplace(R) Forbes Best-in-State Employer No-Fault/PIP/NJ SAIP Injury Examiner **PRIMARY PURPOSE** **:** Investigates, negotiates, and resolves personal ... injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Responsible for… more
- MyFlorida (Miami, FL)
- INSURANCE EXAMINER II - 43001239 Date: Jun 28, 2024 Location: MIAMI, FL, US, 33128 The State Personnel System is an E-Verify employer. For more information click on ... . Requisition No: 832168 Agency: Financial Services Working Title: INSURANCE EXAMINER II - 43001239 Pay Plan: Career Service Position Number: 43001239… more
- MyFlorida (Miami, FL)
- FINANCIAL EXAMINER /ANALYST II - 79000878 Date: Jul 1, 2024 Location: MIAMI, FL, US, 33122 The State Personnel System is an E-Verify employer. For more information ... No: 832190 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79000878 Pay Plan: Career Service Position Number: 79000878… more
- First Horizon Bank (Miami, FL)
- …laws related to fraud investigations, breach of warranty and hold harmless process, claims management, and chargeback rules, and ID theft - red flags rule ... or 7 license, etc)** 1. Industry certification, such as a Certified Fraud Examiner (CFE), is required. 2. Investigative interview skills, such as the Reid Technique,… more