Claims Team Lead, Auto | Remote Sedgwick Claims Management Services, Inc.Claims Team Lead, Auto | RemoteFLRemotePRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
Claims Team Lead, Auto Sedgwick Claims Management Services, Inc.Claims Team Lead, AutoFLPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
NewClaims Team Lead - Liability Bodily Injury Sedgwick Claims Management Services, Inc.Claims Team Lead - Liability Bodily InjuryFLPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
Claims Team Manager - Construction Defect CRC Insurance Services, LLCClaims Team Manager - Construction DefectFLThis role manages Construction Defect claims, provides technical expertise, develops staff capabilities, and drives efficient claims resolution to achieve business objectives and maintain a high level of customer satisfaction. General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional.
Claims Customer Service Representative Integrity Marketing GroupClaims Customer Service RepresentativeClearwater, FLMaintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
Senior Claims Adjuster, TPA Oversight Fortegra FinancialSenior Claims Adjuster, TPA OversightJacksonville, FL$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Government of FloridaVICTIM COMPENSATION CLAIMS ANALYST - 41000609TALLAHASSEE, FLDuties associated may include the following: Resolve compensability issues and independently determine eligibility for victim compensation benefits in accordance with established statutes, administrative rules, and procedures within two business days of receipt and with no margin of error; or, process and resolve caller inquiries received via the Automated Call Distribution toll-free victim services information and referral line, provider line, or agency call center. Qualifications: Three (3) years of relevant clerical or administrative experience in the areas of: accounting; claims processing; claims or benefits eligibility determination; social or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments.
Claims Team Lead - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or Home State Required - Remote Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or Home State Required - RemoteFLRemote$67,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Senior Claims Adjuster, Specialty Fortegra FinancialSenior Claims Adjuster, SpecialtyJacksonville, FL$90,000–$150,000 / yearAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Professional Liability line of business. Primary Job Functions: Direct management and oversight of professional lines claims with potential for significant severity and complexity.
Automotive Mechanical Claims Adjuster Total Warranty Services IncAutomotive Mechanical Claims AdjusterFLThe position requires the Claims Adjusters to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented. The Claims Adjuster also functions as a customer service representative by explaining contract coverage and claim decisions to contract holders.
Claims Processing Representative Humana IncClaims Processing RepresentativeFL$40,000–$52,300 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended. NOTE: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
Senior Litigation & Liability Claims Examiner Arbol IncSenior Litigation & Liability Claims ExaminerSarasota, FL$100,000–$115,000 / yearThis ecosystem includes a massive climate data infrastructure, scalable product development, automated, instant pricing using an artificial intelligence underwriter, blockchain-powered operational efficiencies, and non-traditional risk capacity bringing capital from non-insurance sources. Claimant Negotiation: Negotiate directly with claimants and their attorneys to reach fair, well-supported settlements on third-party liability claims, applying strong negotiation skills and sound judgment within assigned authority.
NewClaims Clerk- A&H Paladin Consulting, Inc.Claims Clerk- A&HSunrise, FL$15.71 / hourKeeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction. Education: Education equivalent to graduation from high school supplemented by courses in typing and personal computer skills or the equivalent in related work experience.
General Liability Claims Assistant- Bilingual Frank Winston Crum InsuranceGeneral Liability Claims Assistant- BilingualClearwater, FLFull timeFrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida. In this role, you will have the opportunity to impact the FrankCrum business everyday by promoting sales and client retention through excellent customer service by providing support to the General Liability claim team.
Claims Examiner - Liability Iconma LLCClaims Examiner - LiabilityFLResponsibilities: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Customer Service Rep Total Warranty Services IncClaims Customer Service RepFLBilingual Claims Customer Service Representatives are responsible for the adjudication of a variety of claims submitted over the phone and online including, but not limited to, Tire & Wheel repairs, Pre-Paid Maintenance services, and Key replacement. The position requires the CSR to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to a variety of cases that are presented.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)FLRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryFLPRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult auto and general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Analyst South Florida Community Care NetworkClaims AnalystSunrise, FLThis role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.
Arbiter/Failed Claims Technician WellDyneRx LLCArbiter/Failed Claims TechnicianLakeland, FLOur Vision: Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential. Accountable for checking patient history for refill too soon, increase/decrease of dose, and duplicate scripts.