- Sedgwick (Orlando, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability (REMOTE) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult general liability 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 (Orlando, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner (Auto) **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. **ESSENTIAL… more
- Sedgwick (Orlando, FL)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- ICW Group (Orlando, FL)
- …lost time. This position exists to reserve, manage, and bring Workers' Compensation claims to an equitable conclusion within the company standards and best practices ... RESPONSIBILITIES** Receives and reviews information related to Medical Only claims . + Communicates via mail, phone, and email with...10, Chapter 5, Sub Chapter 3, requires Medical Only Examiner Certification. + Medical Only Examiner must… more
- Kemper (Orlando, FL)
- …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... Lake Mary, FL and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and conducting and/or… more
- Molina Healthcare (Orlando, FL)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more