NewClaims Auditor Independent Living SystemsClaims AuditorMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors.
NewMedical Claim Analyst Secure Eclaims LLCMedical Claim AnalystMiami, FLOur innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.\r\n\r\nWe are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.
Claims Representative RedionClaims RepresentativePembroke Pines, FLPrimary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorIntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. Top 3 skills: Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups).
Restoration Estimator & Insurance Claims Specialist Paul Davis RestorationRestoration Estimator & Insurance Claims SpecialistHialeah, FloridaIf you have worked inside a carrier, as an Inside Technician or field adjuster, within a TPA network, or as a senior restoration professional who truly understands carrier QA systems and approval workflows. This is a player-coach role: you will inspect losses, write carrier-compliant estimates, manage the full claims lifecycle, and build the internal discipline that drives our scorecard performance and lead volume.
NewMedicaid Claims Examiner DOCTORS HEALTHCARE PLANS, INC.Medicaid Claims ExaminerCoral Gables, FLFull timePosition Purpose: The Medicaid Claims Examiner is responsible for reviewing, analyzing, processing, and adjudicating Medicaid claims to ensure compliance with federal and state regulations, provider contracts, and health plan policies. Collaborating with provider relations and other departments, as necessary for timely encounter resubmission to the Agency for Healthcare Administration.
Claims Trending and Analysis GuideWell Mutual Holding CorpClaims Trending and AnalysisFL$92,100–$149,600 / yearAs an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and. This role is accountable for analyzing large amounts of date to identify high risk claim billing/payment trends and collaborate with stakeholders to develop and implement targeted interventions to mitigate emerging risks that have organization-wide impacts.
NewRevenue Cycle Specialist - Claims Follow Up Guardian Dentistry PartnersRevenue Cycle Specialist - Claims Follow UpMiami, Florida$35,000–$50,000 / yearThe RCS will be required to follow up on assigned outstanding claims utilizing high-level problem-solving, consistently meet daily goals and project deadlines, and establish and maintain strong relationships with partner offices and various leaders in the organization. Guardian Corporate We are looking for a dynamic, experienced Revenue Cycle Specialist to join our fast-growing dental partnership network (“DPN”)!
Restoration Estimator & Insurance Claims Specialist Paul DavisRestoration Estimator & Insurance Claims SpecialistHialeah, FL$75,000–$95,000 / yearIf you have worked inside a carrier, as an Inside Technician or field adjuster, within a TPA network, or as a senior restoration professional who truly understands carrier QA systems and approval workflows. This is a player-coach role: you will inspect losses, write carrier-compliant estimates, manage the full claims lifecycle, and build the internal discipline that drives our scorecard performance and lead volume.
Senior Casualty Claims Specialist Sompo InternationalSenior Casualty Claims SpecialistMiami, FL$125,000–$175,000 / yearThe candidate must be agile, effective at priority setting, willing to travel to attend mediations (under proper conditions), and one who excels at interaction with internal and external customers, underwriters, peers and management. Proven ability to manage multiple projects, prioritize effectively, work independently, and use systems such as MS Word, Excel, Outlook, and claims platforms like Guidewire, Genius, and ImageRight.
Auto Claims Adjuster ; Ft. Lauderdale Criterion Executive SearchAuto Claims Adjuster ; Ft. LauderdaleFt. Lauderdale, FLKey Responsibilities: Investigate, evaluate, and settle auto liability, property damage, collision, comprehensive claims including establishing coverage and negotiating settlements with medical providers. We are working with a reputable Southeast based auto insurance carrier that’s seeking an experienced Auto Claims Adjuster with Florida experience to join their claims team.
Director Of Field Claims - Federal Workers' Compensation American International GroupDirector Of Field Claims - Federal Workers' CompensationMiami, FLEnsures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Claims Processing Professional HumanaClaims Processing ProfessionalMiramar, OhioThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members.
Claims Counsel, Cml, Public Companies Sompo InternationalClaims Counsel, Cml, Public CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
NewClaims Counsel, Cml, Private Companies Sompo InternationalClaims Counsel, Cml, Private CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
NewSenior Technical Specialist, General Liability Claims Sompo InternationalSenior Technical Specialist, General Liability ClaimsMiami, FL$115,000–$130,000 / yearEffectively represent the company's interests in meetings and negotiations; maintain a high level of claim and industry related expertise in order to assure technical competency and communicate to team members regarding significant issues and relevant changes. What you'll bring: Minimum 5 plus years' experience required in general liability claims handling with a career history of increasing responsibility with at least 3-5+ years handling excess claims, including large limit and high exposure claims.
Professional Liability Claims Examiner / Adjuster Western International StaffProfessional Liability Claims Examiner / AdjusterMiami, FloridaRemoteMust have a minimum of 5 years experience directly handling and settling commercial professional liability claims in an insurance carrier environment. Apply today to Western International Staff, your insurance staffing specialists since 1996
Independent Insurance Claims Adjuster in Hialeah, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Hialeah, FloridaHialeah, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Dania, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Dania, FloridaDania, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Fort Lauderdale, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Fort Lauderdale, FloridaFort Lauderdale, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.