61 adjudication jobs at 36 companies in Florida
1w
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Adjudication Specialist - Remote
Ft. Lauderdale, Florida, United States
RemoteFull Time
1+ YOEHigh school diploma,1+ year retail pharmacy technician experience preferred,long-form alphanumeric data entry,proficient with Microsoft Word, Excel, Outlook,ability to work various shifts and retain complex information.
Microsoft Word, Microsoft Excel, Microsoft Outlook
3mo
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Claims - Claims Examiner
Pensacola, Florida, United States
OnsiteFull Time
2+ YOEReview and adjudicate long-term care claims; analyze documentation; ensure HIPAA compliance.
Healthcare claims systems, Microsoft Excel, Microsoft Word, Microsoft Outlook
1mo
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Claims Consultant
Orlando, Florida, United States
$48k-$55k/yr OnsiteFull Time
4+ YOEReview and adjudicate absence and disability/FMLA/PFL claims using medical documentation; communicate with claimants/clients; analyze eligibility and determine benefits.
FINEOS, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
1mo
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Claims Supervisor
Corvallis or Alabama or Alaska or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
4+ YOE2+ MgmtHigh school diploma, 4 years claims experience (adjudication/benefits/COB), 2 years leadership, strong communication and problem-solving skills.
2w
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Insurance Claims Specialist | Patient Financial Services
St. Johns, Florida, United States
OnsiteFull Time
2+ YOEHigh school diploma, 2+ years claims processing or administration experience, knowledge of insurance policies and adjudication, strong communication, recordkeeping, and claims investigation skills.
2d
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Ability Analyst Paid Family Medical Leave
Lake Mary or Sunrise or Hartford or Alpharetta
$48k-$76k/yr HybridFull Time
Bachelor’s degree or equivalent experience preferred; requires claims adjudication, medical terminology, regulatory compliance, analytical, organizational, communication, and claims management system skills.
claims management systems, HIPAA
4d
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Certified Appraiser, Property Tax Appeals — Florida (Contract)
Florida or Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Miami-Dade County or Broward County or Palm Beach County or Hillsborough County or Orange County or Duval County or Pinellas County or Lee County
$150-$350/hr RemoteContract
5+ YOERequires 5+ years of hands-on Florida residential property tax appeal experience, VAB petition filing or adjudication experience, and extensive county-level procedural knowledge.
Chapter 194, F.S., 12D-9, 12D-10, TRIM, DR-486
2mo
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Dietitian (51440)
Pensacola, Florida, United States
$50k-$58k/yr OnsiteFull Time
2+ YOE2+ years of full-time dietitian experience; ACEND-accredited BS; RD/RDN credential; CPR/AED certification; able to obtain Tier 3 security adjudication.
Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
20h
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Asylum Officer
San Francisco or Tampa or Atlanta or New Orleans or Boston or Newark or Bethpage
$62k-$145k/yr OnsiteFull Time
1+ YOEU.S. citizenship, specialized immigration adjudication experience or qualifying graduate education, Secret clearance eligibility, drug screening, background investigation, and strong analytical, writing, and interpersonal skills.
USA Hire, USAJOBS, E-Verify
1mo
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Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)
Florida or Memphis or Charlotte or Alabama or Atlanta or Tennessee
RemoteFull Time
5+ YOE5+ years claims experience, high school diploma/GED required, bachelor's preferred, jurisdiction licensing for FL required; strong judgment, analysis, and claims adjudication skills.
1d
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Ability Analyst Paid Family Medical Leave
Alpharetta or Hartford or Sunrise or United States
$48k-$76k/yr HybridFull Time
Bachelor’s degree or equivalent experience preferred; claims adjudication, healthcare, or related experience preferred. Requires regulatory, medical terminology, analytical, organizational, communication, and claims-system skills.
claims management systems
18h
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Pharmacy Technician - Care Team (Bilingual)
Miami or New York City or Denver or Dallas
$23/hr RemoteFull Time
1+ YOEBilingual English/Spanish pharmacy technician with active PTCB or NHA certification, 1–3 years of pharmacy technician experience, and knowledge of claims adjudication, benefit design, and PBM terminology.
AI-enabled tools
2mo
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Background Screening Specialist, Public Records
Tampa or Tulsa
HybridFull Time
0.25+ YOE3+ months related experience in verifications, criminal research, or customer support; intermediate Office 365 skills; ability to learn searches, follow compliance, document adjudications, and coach peers.
Office 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Nectar
1w
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Budget and Finance Officer
Homestead, Florida, United States
$113k-$147k/yr OnsiteFull Time
1+ YOEOne year of specialized experience equivalent to GS-12 in budget oversight, financial management, and interpreting financial policies. Requires U.S. citizenship, driver's license, and favorable background adjudication.
3w
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Medication Care Coordinator
Doral, Florida, United States
OnsiteFull Time
1+ YOEState RPhT required, high school diploma, 1+ year clinical healthcare experience; skills in dispensing, prescription adjudication, inventory, medication reconciliation, QA, EMR and basic office software.
pharmacy software system, electronic health record software, digital scanning software, email, word processing software
3w
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Pharmacy Technician
Zephyrhills, Florida, United States
OnsiteFull Time
1+ YOERegistered Pharmacy Technician in Florida, HS diploma/GED,1–2 years pharmacy technician experience, PTCB or ExCPT preferred, ability to obtain Epic certification, knowledge of 340B and insurance adjudication.
Epic, POS
3w
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Health Insurance Claims Adjuster
Clearwater, Florida, United States
HybridFull Time
1+ YOEHigh school/GED, 1+ year health insurance claims adjudication experience, familiarity with CMS-1500 and CMS-1450 claims, medical terminology, EOB interpretation, strong research and communication skills.
Microsoft Office, Qiclink
2mo
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Senior Environmental Claims Adjuster
New York City or Albany or Wyoming or Houston or Washington or District of Columbia or Chicago or Connecticut or Omaha or Alabama or Arizona or Massachusetts or Maryland or Minnesota or North Carolina or Colorado or Connecticut or Florida or Los Angeles or Georgia or Illinois or Maine or New Hampshire or New Jersey or New York or Nevada or Oregon or Pennsylvania or Texas or Washington or Wisconsin or Kansas or Tennessee or New Mexico or Nebraska or Ohio or South Carolina or Virginia or California or Missouri or Arkansas or Indiana or West Virginia or Oklahoma or Rhode Island or Iowa or New Jersey or Illinois or California or New York or Louisiana or Idaho or Texas or Colorado or New Jersey or District of Columbia or Richmond or Utah or California or Connecticut or Massachusetts or New York or Indiana
$121k-$145k/yr OnsiteFull Time
5+ YOEBachelor's degree (or equivalent experience), minimum 5 years adjudicating commercial environmental claims, licensed claims examiner (or ability to obtain), strong negotiation, communication and analytical skills, proficient with Microsoft Office.
Microsoft Office
2w
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Pharmacy Billing Specialist
Crestview, Florida, United States
OnsiteFull Time
1+ YOEHigh school/GED and 1+ year billing or pharmacy experience; pharmacy technician registration/certification (state or PTCB) preferred; advanced computer skills; knowledge of Medicare/Medicaid, claims adjudication, and HIPAA.
Zoom, Microsoft Teams
4w
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Senior Risk Manager – Corporate Auto Casualty and Litigation Claims, Logistics Claims Management
Texas or Austin or Bellevue or Chicago or Irvine or Nashville or New York City or San Diego or Santa Cruz or Seattle or Tempe or Dallas or Houston or Glendale or Virginia or Florida
$97k-$185k/yr OnsiteFull Time
7+ YOEBA/BS,7+ years adjudicating complex bodily injury claims,5+ years transportation claims/program experience,active adjuster license,reserve management and litigation knowledge,financial acumen.
Microsoft Office
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