Senior Reinsurance & Stoploss Claims Specialist
CVS Health
CVS Health is recruiting for a Reinsurance/Stoploss Claims Adjudicator in Florida. This role reviews complex medical claims, applies medical necessity guidelines, and collaborates with teams to ensure accurate adjustments. You will handle inquiries and perform high-value claim adjustments across all dollar levels. Ideal candidates have at least 2+ years of medical claim processing experience and an associate degree or equivalent. #J-18808-Ljbffr CVS Health
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$18.5 - $42.35 per hour
CVS Health in Tallahassee, Florida seeks an experienced claims processor to review and adjudicate SF, FI, and RX claims, perform provider refunds, and handle customer inquiries. You will apply medical necessity guidelines and ensure compliance across claim processing....SeniorHourly pay- Sedgwick is seeking a General Liability Adjuster in Florida to independently manage a full caseload of complex CGL claims, including bodily injury, property damage, and construction-related exposures. You will analyze policy language, determine coverage, and lead negotiations...Senior
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$75.8k - $124.1k
Zurich is seeking an individual interested in growing their claims career with our Commercial General Liability Team. At... ...collaboration, and delivering exceptional customer experiences. As a Senior Claims Specialist, you will work with a team of claims professionals with...SeniorFull timeTemporary workApprenticeshipLocal areaRemote workVisa sponsorship$62.4k - $93.6k
Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too....SeniorTemporary workRemote work3 days per week- Location: Sunny Isles Beach, Florida (On-Site) Company: Neto Capital Employment Type: Full-Time Working Hours: 9:30AM-5:30PM Start Date: Immediate / Based on availability Compensation: Competitive compensation based on experience and fit Position Overview Neto Capital...SeniorFull timeImmediate start
$23.41 - $32.21 per hour
...Management Agency. Together with RCIS agents, we protect America’s farmers and ranchers. Zurich North America is hiring an RCIS Crop Claims Specialist or Claims Crop Field Adjuster I to join our team! We are open to hiring talent in one of the following locations within...Hourly payFull timeTemporary workSummer workWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- Zurich North America is hiring a RCIS Crop Claims Specialist or Crop Claims Field Adjuster I to join our team in the Southern Alabama or Florida Panhandle area. Travel within territory is required, with remote work options and competitive benefits. The role includes liability...Remote job
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...Sentara Health Plan is currently hiring a Senior Underwriter - Remote! Status: Full-time,... .... This role applies deep expertise in claims analysis, actuarial concepts, and funding... ...a robust provider network, including specialists, primary care physicians and hospitals....SeniorPermanent employmentFull timeTemporary workTraineeshipCurrently hiringRemote workShift work- WAHVE LLC is seeking seasoned insurance professionals to work from home. The role leverages extensive claims experience across multiple lines in a remote, long-term position with benefits. You will handle General Liability, BI, Property, Auto, Workers' Comp and more, document...SeniorRemote jobFull timePart timeWork from homeFlexible hours
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Senior Insurance Coverage Attorney - Remote | $200K-$260K + Bonus I’m working with a highly respected, nearly century-old insurance... ...offices The firm is well known for its work in insurance, reinsurance, and commercial litigation Recognized in the Chambers USA 202...SeniorRemote job- ...We’re looking for a detail-oriented Entry-Level Healthcare Claims Intake Specialist to join New Paradigm Staffing, helping healthcare organizations process and route incoming claims data. This role is perfect for someone who enjoys accuracy and administrative work in...Remote work
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Job Title: Senior Principal, Distribution Optimization Job Description: Position Summary The Senior Principle, Distribution Optimization is responsible for developing and executing the enterprise distribution strategy to improve network efficiency, service performance...Senior$15 - $16 per hour
...If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world’s most recognized and trusted name in staffing...Hourly payPermanent employmentTemporary workImmediate startMonday to Friday- My name is Pondsy Anthony , and I am Recruiting Specialist with Mindlance Inc . I have reviewed your resume and at a first glance find it... ...primary function/purpose of this job: Verify member submitted claims forms, member’s eligibility and pharmacy information is complete...Contract workFor contractorsShift work
$15 - $16 per hour
...If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world’s most recognized and trusted name in staffing...Hourly payWeekly payPermanent employmentTemporary workImmediate startMonday to Friday- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. You will maximize payments from commercial insurers, Medicare, and Medicaid, while supporting the team with denial reports and audits. Training...Remote job
$16 per hour
...which partners with many of the leading employers across the country. Feel free to check us out at Job Description Business Claim Specialist Location 255 Technology Park, Lake Mary FL 32746 Division Pharmaceutical Pay $16.00/hr. Contract 5 Month Timings Mon - Fri...Hourly payContract work- Arrigo CDJR Fort Pierce is hiring a Warranty Claims Administrator to join the Morgan Auto Group family. The role focuses on processing Fiat warranty claims, ensuring compliance, and coordinating with service staff and manufacturers to resolve issues. The ideal candidate...
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- ...Health in Florida is seeking a full-time Overpayment Recovery Specialist to recover and allocate overpaid dollars, perform complex provider... ...internal units and vendors, and apply guidelines to support claim adjudication. The role requires 3+ years of claims processing experience...Full time
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