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		<title>Claims Examiner Jobs  in  USA FLORIDA</title>
		<link>http://www.jobvolume.com/rss/jobs-q-claims+examiner-p-florida.xml</link>
		<description>Claims Examiner Jobs  in  USA FLORIDA</description>
		<language>en-us</language>
		<copyright>Copyright (c) 2006 Jobvolume All rights reserved.</copyright>
		<lastBuildDate>Tue, 2 Dec 2008 23:38:52 GMT</lastBuildDate>

        
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                        <title><![CDATA[TM-09306-536063 Insurance - Personal at Ajilon, (USA-FL-Largo)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3781889261</link>
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                        <pubDate>Sat, 29 Nov 2008 07:53:07 GMT</pubDate>
                        <description><![CDATA[Analyze life claims to determine the extent of insurance carrier liability.Interpret contract benefits in accordance with specific claims processing guidelines.Receive, organize and make daily use of information regarding benefits, contract coverages, and policy decisions. Coordinate daily workflow to meet all service guarantees.Clear understanding of how various functions within the operation relate to and impact each other.Claims notification, review claims for processing, process claims for payment, follow up on claims...Positive attitude, very reliable, multi-tasking team player, life claims experience.Previous Life claims adjudication experience required (must have knowledge of).Annuity experience a plus. Premium waiver processing a plus.
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                        <title><![CDATA[TM-09306-535715 Insurance - Personal at Ajilon, (USA-FL-Largo)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=123548781</link>
                        <guid isPermaLink="false">123548781</guid>
                        <pubDate>Mon, 24 Nov 2008 18:06:15 GMT</pubDate>
                        <description><![CDATA[Analyze life claims to determine the extent of insurance carrier liability.Interpret contract benefits in accordance with specific claims processing guidelines.Receive, organize and make daily use of information regarding benefits, contract coverages, and policy decisions. Coordinate daily workflow to meet all service guarantees.Clear understanding of how various functions within the operation relate to and impact each other.Claims notification, review claims for processing, process claims for payment, follow up on claims...Positive attitude, very reliable, multi-tasking team player, life claims experience.Previous Life claims adjudication experience required (must have knowledge of).Annuity experience a plus. Premium waiver processing a plus.
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                        <title><![CDATA[VETERANS&apos; CLAIMS EXAMINER SUV - SES at MyFlorida, (USA-FL-Bay Pines)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3739277986</link>
                        <guid isPermaLink="false">3739277986</guid>
                        <pubDate>Sat, 22 Nov 2008 02:32:51 GMT</pubDate>
                        <description><![CDATA[OCCUPATION PROFILEWorking Title  VETERANS  CLAIMS EXAMINER SUV   SES Broadband Class Level  CLAIMS ADJUSTER  EXAMINER   INVESTIGATOR   Level 4 Broadband Class Code  13 1031 04 Pay Grade Pay Band  BB010Position Number  50000856 Closing Date  12 2 2008Location  BAY PINES County  Pinellas CountyAnnual Salary Range  $43 507 36Announcement Type  Internal AgencyFacility  Bay Pines VA Medical ClinicDESCRIPTION Veterans  Claims Examiner Supervisor for Bay Pines VA Medical Clinic   ONLY CURRENT FDVA EMPLOYEES MAY APPLY   This position is supervising Veterans Affairs Claims Examiners  The primary duty of the Incumbent allocated to this position is to spend the majority of time communicating with  motivating  training and evaluating employees  planning and directing their work MINIMUM QUALIFICATIONS SPECIAL NOTEAn employee in this class  shall be a resident of the State  must have served as a member of the Armed Forces of the United States  and must have been separated from such service under honorable conditions   A bachelor s degree from an accredited college or university and one year of experience in counseling  interviewing  public or business administration or handling veterans  affairs  Experience as described above can substitute on a year for year basis for the required college education  E 7 or above rank may substitute for the required education Must have minimum of  1  year of supervisory experience Must have above average computer skills to include Microsoft Office and Outlook Express Please apply online or fax a State of Florida application to the People First Service Center at  904  636 2627  Include position number #50000856 OCCUPATION PROFILEJOB FAMILY  BUSINESS AND FINANCEOCCUPATIONAL GROUP  BUSINESS OPERATIONSOCCUPATION  CLAIMS ADJUSTERS  EXAMINERS AND INVESTIGATORS13 1031DESCRIPTIONThis is work handling and reviewing claims to determine that appropriate payments and settlements are made in accordance with statutes  rules  case law  ensuring that proper methods are followed  and conferring with legal counsel on claims requiring litigation Some positions in this occupation may be responsible for coordinating work and supervising employees EXAMPLES OF WORKSupervises employees by assigning work  reviewing progress and assessing performance Investigates and assesses loss and damage Interviews or corresponds with claimant and witnesses  consults police  employer  medical records  and other sources to determine extent of liability Recommends that an award either be approved or denied based on statutory requirements Interviews or corresponds with agents and claimants to correct errors or omissions and to investigate questionable entries Analyzes information gathered by investigation and reports findings and recommendations Arranges for the defense of state agencies when claim is filed  manages litigation of claims through defense attorneys  and directs and monitors legal defense strategies Negotiates outstanding medical bills to assure the most effective and equitable distribution of moneys available Participates in mediation of litigated claims  resolves disputed claims  and negotiates fair and equitable claim settlement Examines titles to property to determine validity and acts as company agent in transactions with property owners Examines claims form and other records to determine insurance coverage Collects evidence to support contested claims in court Prepares report of findings of investigation Communicates with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit Refers questionable claims to investigator or claims adjuster for investigation or settlement Obtains credit information from banks and other credit services EXAMPLES OF JOB CHARACTERISTICSGetting Information Needed to Do the Job Observing  receiving  and otherwise obtaining information from all relevant sources Documenting Recording Information Entering  transcribing  recording  storing  or maintaining information in either written form or by electronic magnetic recording Communicating With Persons Outside of the Organization Communicating with persons outside the organization  representing the organization to customers  the public  government  and other external sources  This information can be exchanged face to face  in writing  or via telephone electronic transfer Analyzing Data or Information Identifying underlying principles  reasons  or facts by breaking down information or data into separate parts Evaluating Information Against Standards Evaluating information against a set of standards and verifying that it is correct Judging Qualities of Things  Services  People Making judgments about or assessing the value  importance  or quality of things or people Making Decisions and Solving Problems Combining  evaluating  and reasoning with information and data to make decisions and solve problems  These processes involve making decisions about the relative importance of information and choosing the best solution Processing Information Compiling  coding  categorizing  calculating  tabulating  auditing  verifying  or processing information or data Communicating With Other Workers Providing information to supervisors  fellow workers  and subordinates  This information can be exchanged face to face  in writing  or via telephone electronic transfer Identifying Objects  Actions  and Events Identifying information received by making estimates or categorizations  recognizing differences or similarities  or sensing changes in circumstances or events EXAMPLES OF KNOWLEDGE  SKILLS AND ABILITIESSpeaking Talking to others to effectively convey informationJudgment and Decision Making Weighing the relative costs and benefits of a potential actionReading Comprehension Understanding written sentences and paragraphs in work related documentsActive Listening Listening to what other people are saying and asking questions as appropriateIdentification of Key Causes Identifying the things that must be changed to achieve a goalWriting Communicating effectively with others in writing as indicated by the needs of the audienceCritical Thinking Using logic and analysis to identify the strengths and weaknesses of different approachesInformation Gathering Knowing how to find information and identifying essential informationProblem Identification Identifying the nature of problemsMathematics Using mathematics to solve problemsLaw  Government and Jurisprudence Knowledge of laws  legal codes  court procedures  precedents  government regulations  executive orders  agency rules  and the democratic political processMathematics Knowledge of numbers  their operations  and interrelationships including one or more of the following  arithmetic  algebra  geometry  calculus  statistics  and their applicationsEconomics and Accounting Knowledge of economic and accounting principles and practices  the financial markets  banking  and the analysis and reporting of financial dataPublic Safety and Security Knowledge of some or all of the following  weaponry  public safety  security operations  rules  regulations  precautions  prevention  protection of people  data and propertyEnglish Language Knowledge of the structure and content of the English language including the meaning and spelling of words  rules of composition  and grammarCoordination Adjusting actions in relation to others  actionsManagement of Personnel Resources Motivating  developing  and directing people as they work  identifying the best people for the jobMedical Terminology Knowledge of basic medical terminology techniquesLICENSURE  CERTIFICATION OR REGISTRATION REQUIREMENTSEFFECTIVE7 01 02The State of Florida is an Equal Opportunity Employer Affirmative Action Employer and does not tolerate discrimination or violence in the workplace  Applicants requiring a reasonable accommodation  as defined by the Americans with Disabilities Act  must notify the agency hiring authority and or the People First Service Center  1 877 562 7287   Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation Requirements Closest Major City Saint PetersburgOccupation CLAIMS ADJUSTER  EXAMINER   INVESTIGATOREducation Bachelors  or equivalent work experience Job Type Full TimeRegion County Pinellas CountyYears of Experience 1 3 years]]></description>
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                        <title><![CDATA[LIFE CLAIM EXAMINER at ATS Services, (USA-FL-Largo)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=235473801</link>
                        <guid isPermaLink="false">235473801</guid>
                        <pubDate>Wed, 19 Nov 2008 18:32:49 GMT</pubDate>
                        <description><![CDATA[LIFE CLAIM EXAMINER     United States Jobs    ProhireLIFE CLAIM EXAMINER ATS ServicesLIFE CLAIM EXAMINER Largo  Florida Job ID  538305Last Updated  November 19  2008 Company Overview  Wakely and Associates  Inc  is a third party administrator based in Largo  Florida  Since its formation in 1969  the Firm has grown with a reputation for professionalism  ethical business practice  and responsive service  Currently the Firm has over 350 employees  Wakely and Associates  Inc  provides administrative services to life and health insurance and reinsurance companies  The Firm owns and operates its own state of the art computer facility  Procedures  practices and computer operations are all HIPAA compliant  The Firm is authorized to perform third party administrative services in all states  Wakely and Associates  Inc  has grown to be one of the largest TPAs in the Southeastern United States by providing high quality services to its clients at affordable prices  The Firm relies on invitation and referral as the primary sources of business  The Firm is proud of its reputation and ability to provide professional services  You are invited to consider these services and resources  For further information on services  please contact the Firm s office or visit their web site at  Description  LIFE CLAIM EXAMINER JOB SUMMARY  Analyze life claims to determine the extent of insurance carrier liability  Interpret contract benefits in accordance with specific claims processing guidelines  Receive  organize and make daily use of information regarding benefits  contract coverages  and policy decisions  Coordinate daily workflow to meet all service guarantees  Clear understanding of how various functions within the operation relate to and impact each other Claims notification  review claims for processing  process claims for payment  follow up on claims    Positive attitude  very reliable  multi tasking team player  life claims experience  8 00 a m    5 00 p m  Monday Thursday  12 00 noon Fridays  37 hour work week Reliable  sharp  fast paced  and detail oriented Work longevity preferred  if there is some turnover  please explain  Pay scale depending on applicable  life  experience  $12 $14 hr  Previous Life claims adjudication experience required  must have knowledge of   Annuity experience a plus  Premium waiver processing a plus  Examine perform research   make decisions necessary to properly adjudicate claims Interpret contract benefits in accordance with specific claim processing guidelines Understand broad strategic concept of our business and link these to the day to day business functions of claims processing Must have excellent written and verbal communication skills  Organizational skills necessary Medical terminology  a plus Must be able to work independently and as a team player Exhibit flexibility in performing multiple functions Good PC application skills a plus  Word Excel preferred   minimum keystrokes 8 000 preferred  please test and provide scores   good typing skills 30 wpm+  please test   LOMA courses a plus Company offers excellent benefit package upon eligibility Compensation  $12 00 USD   $14 00 USD Hourly Benefits  Company has Medical  United HealthCare   Dental  Long and Short Term Disability  Paid PTO  and Life  Apply Now Send To Friend  1   2   18   1   1   63   1   1   1   1   1   7   1   1   5   2   3   1   1   1   2   1   18   3 Prohire by Country     Prohire by State                                                                                                                ]]></description>
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                        <title><![CDATA[Life Claim Examiner at kforce, (USA-FL-Largo)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=303954328</link>
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                        <pubDate>Wed, 19 Nov 2008 17:30:06 GMT</pubDate>
                        <description><![CDATA[Life Claim Examiner Job in Largo  FL     Search JobsSpecialty  required   Keyword s   Location s       Job Information Title  Life Claim ExaminerLocation  Largo  FLJob Type  ContractCompensation  per HourReference Code  896475 ONSDescription  This person will analyze life claims to determine the extent of insurance carrier liability  interpret contract benefits in accordance with specific claims processing guidelines  and receive  organize and make daily use of information regarding benefits  contract coverages  and policy decisions  This person will coordinate daily workflow to meet all service guarantees  This is the perfect opportunity for the right candidate Requirements  Candidates must have a clear understanding of how various functions within the operation relate to and impact each other  Candidates must have experience in Claims notification  review claims for processing  process claims for payment  and follow up on claims  This is a positive attitude  very reliable  multi tasking team player  and life claims experience Job Detail 2008 Kforce Inc  All Rights Reserved  Kforce is an EEO AA employer         ]]></description>
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                        <title><![CDATA[TM-09306-535386 Insurance - Personal at Ajilon, (USA-FL-Largo)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3186868663</link>
                        <guid isPermaLink="false">3186868663</guid>
                        <pubDate>Wed, 19 Nov 2008 04:02:27 GMT</pubDate>
                        <description><![CDATA[Ajilon Career Center Job DetailsJob DescriptionAnalyze life claims to determine the extent of insurance carrier liability  Interpret contract benefits in accordance with specific claims processing guidelines  Receive  organize and make daily use of information regarding benefits  contract coverages  and policy decisions  Coordinate daily workflow to meet all service guarantees  Clear understanding of how various functions within the operation relate to and impact each other  Claims notification  review claims for processing  process claims for payment  follow up on claims    Positive attitude  very reliable  multi tasking team player  life claims experience  Previous Life claims adjudication experience required  must have knowledge of   Annuity experience a plus  Premium waiver processing a plus  Examine perform research   make decisions necessary to properly adjudicate claims Interpret contract benefits in accordance with specific claim processing guidelines Must have excellent written and verbal communication skills  Medical terminology  a plus Must be able to work independently and as a team player Company offers excellent benefit package upon eligibility Job Posting #Date Posted11 18 2008Work LocationLargo  FL   USAJob ClassInsuranceJob TitleInsurance   PersonalPositionClaims Examiner  Life InsuranceJob TypeTemp to PermJob ExperienceMid  CareerStart DateASAPLength of JobNAEducationH S  DiplomaCertificationSalary Pay RateUp to $14 hrNearest BranchTampaContact Information Carly 813  225 3477 2002 Ajilon 2002 Ajilon ]]></description>
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                        <title><![CDATA[RN Telephonic Case Manager I at InsurCrossing, (USA-FL-Orlando)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=1026693232</link>
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                        <pubDate>Tue, 18 Nov 2008 07:02:20 GMT</pubDate>
                        <description><![CDATA[RN Telephonic Case Manager I job in Orlando  FL  United States  Insurance and Insurance careers   Yahoo HotJobs CanadaYahoo! SearchSearch  New User? â¢ â¢ â¢ Advantages of  Apply Now   Apply Now  provides you with a fast and easy way to apply to a job and has many benefits over other methods of applying including  Apply to multiple jobs quickly and easily  If you ve used the  Apply Now  process before  we ve already saved your information  Just select and preview your resume and optional cover letter and submit  Receive confirmation of submission  With your information automatically sent and saved in our system  we ll make sure your resume gets in the recruiter s HotJobs account and we ll send you a confirmation email  Stay organized in your job search  You can centrally manage your resume activity history online anytime  Keep track of the date  company and position you applied for  and the resume and cover letter you sent        RN Telephonic Case Manager IRN Telephonic Case Manager I  InsurCrossingJob IDNACompany NameInsurCrossingJob CategoryInsurance  InsuranceLocationOrlando  FL  United StatesPosition TypeFull Time  EmployeeExperienceUnspecifiedDate PostedNovember 17  2008EmailRESPONSIBILITIES  Performs initial evaluation assessment via telephone calls to client  employer  and physician  Evaluates need for alternative treatment  Negotiates level of care  intensity and disability duration with providers Negotiates and coordinates a prompt return to work with employer Maintains accurate record of management including costs  savings and demographic data Adheres to quality assurance standards Provides case direction and supervision to field case specialists when on site intervention is required  ensures quality and appropriate service delivery Communicates effectively with handling claims examiner  client  claimant  and supervisor Supports the Total Performance Management initiative Qualifications Education   Licensing  Baccalaureate degree in nursing  BSN  from an accredited college or university or equivalent work experience preferred  For more information of this job and to Apply Online  please For more Insur Jobs please Note There will be charge of $29 95 per month  or a lower monthly rate based on agreement length  after your 7 day FREE Trial to use our service EmailYahoo! HotJobsâ¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Also on Yahoo!â¢ â¢ â¢ â¢ â¢ â¢ Â»Other Resourcesâ¢ â¢ Find a   post your   research at featured companies  compare and get on Yahoo! HotJobs  Start your now on Yahoo! HotJobs   thousands of listed daily  Top keyword searches â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Copyright Â© 2008 Yahoo! Canada Co  All rights reserved     Updated    NOTICE  We collect personal information on this site  To learn more about how we use your information  see our      ]]></description>
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                        <title><![CDATA[REVENUE SPECIALIST II at MyFlorida, (USA-FL-Saint Augustine)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3148024884</link>
                        <guid isPermaLink="false">3148024884</guid>
                        <pubDate>Sat, 15 Nov 2008 08:34:10 GMT</pubDate>
                        <description><![CDATA[OCCUPATION PROFILEWorking Title  REVENUE SPECIALIST II Broadband Class Level  TAX EXAMINER  COLLECTOR   REVENUE AGENT   Level 1 Broadband Class Code  13 2081 01 Pay Grade Pay Band  01016Position Number  73004602 Closing Date  12 1 2008Location  SAINT AUGUSTINE County  St  Johns CountyAnnual Salary Range  $26 540 54   $42 935 36Announcement Type  Open CompetitiveFacility  DESCRIPTION OCCUPATION PROFILEJOB FAMILY  BUSINESS AND FINANCEOCCUPATIONAL GROUP  FINANCEOCCUPATION  TAX EXAMINERS  COLLECTORS AND REVENUE AGENTS13 2081NOTE Applicants selected to participate in the skills verification test and or interview process will be contacted by email  Please make sure your email address on the People First Staffing System is current and that your computer system will accept email from     dor state fl usif you experience problems applying on line  please call the People First Service Center at 1 877 562 7287  You may fax a State of Florida application to 904 636 2627  If you fax your application  you are required to contact People First by telephone to respond to the qualifying questions before the advertisement closing date To be considered for this position you must respond to the qualifying questions  Responses to the QQ must be verifiable and or supported by experience described on the employment application Contact  Kim Wilbanks at  904  798 4347 orwilbankk  dor state fl usSCREENING CRITERIA 1  A high school diploma or its equivalent 2  Three years of experience in clerical accounting  financial collections  retail credit  business operations insurance claims adjustments  debit insurance  processing tax transactions  reviewing and evaluating documents for compliance purposes  or experience in a collections administration program 3  Two years experience in Microsoft Excel 4  Experience researching files  court documents  or other technical complex documents 5  Two years of customer service experience in dealing with the public DESCRIPTIONThe employee in this position performs case management work coordinating and performing actions to insure financial and medical support on behalf of the children  This includes the following 25% Interview custodial parents of the child children to gather data relative to the paternity of the child  secures sworn testimony  affidavits  and other legal documents to initiate legal action  gathers information pertinent to the non custodial parents location and ability to pay child support  interview the non custodial parent to determine their ability to provide child support payments  Secure financial affidavits  explain the legal processes and policies pertaining to Child Support Enforcement  define agency s function and legal obligations  negotiate agreements for payments of the child support  obtain stipulation for formalization by the Courts  attend and testify at CSE court hearings  reviews for possible other referrals 25% Prepare legal documents  financial affidavits  case status correspondence  notices  income deduction orders  liens and other required documents 10% Negotiate out of court stipulated settlements for paternity and financial aid and medical support 10% Authorize and coordinate income deductions  IRS intercepts  unemployment compensation intercepts  liens against real and personal property  garnishments and other collection mechanism 10% Research  analyze and calculate case arrearage  past public assistance obligations and support award amounts 10% Coordinate with legal service providers  sheriffs  clerks of the court  judges and local law enforcement agencies in the establishment and enforcement of support orders 5% Serve as agency representative in court proceedings for the purpose of establishing and enforcing support orders 5% Perform other related work as required The Department of Revenue is an Equal Opportunity Affirmative Action employer  The Department promotes diversity in its recruitment and selection process  We hire only U S  citizens and lawfully authorized alien workers  If you need an accommodation because of a disability in order to participate in the application selection process  please notify the hiring authority in advance  The State of Florida does not tolerate violence in the workplace WILLINGNESS DISCLAIMER Please answer the willingness questions in the Qualifying Questions section  The incumbent of this position needs the questions  A negative response to any of the willingness questions will exclude you from further consideration Veterans  preference will be given to eligible veterans and their spouses in accordance with Chapter 295 of the Florida Statutes FUTURE VACANCIES MAY BE FILLED FROM THIS ADVERTISTEMENTReturn to topRequirements Closest Major City St  AugustineOccupation TAX EXAMINER  COLLECTOR   REVENUE AGENTEducation High School or GEDJob Type Full TimeRegion County St  Johns CountyYears of Experience 1 3 yearsPercent of Travel 1 25%]]></description>
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