Company ConfidentialClaims Adjuster Company ConfidentialClaims AdjusterMiami, FL$50,000–$65,000 / yearSupervise all investigative activities and litigation for major claims, ensuring timely reserve postings. * Analyze claim activities and present comprehensive reports to management and stakeholders.
JobotNewConstruction Litigation Attorney JobotConstruction Litigation AttorneyBoca Raton, FL$150,000–$225,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role requires a confident litigator with strong courtroom experience, exceptional writing skills, and a demonstrated ability to manage high-stakes cases from inception through trial.
Ceco Concrete Construction, LLCRegional Safety Manager - Miami, FL Ceco Concrete Construction, LLCRegional Safety Manager - Miami, FLMiami, FLOversees a Region’s delivery of training programs for managers, supervisors and field employees when required and develops new training programs as needed. Founded in 1912, Ceco has more than 100 years of experience serving the commercial construction industry as a client-centric, single source solution for concrete structures.
ARC GroupClaims Adjustor (BI) ARC GroupClaims Adjustor (BI)Oakland Park, FLORIDAARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Negotiation and Settlement: Negotiate settlements with claimants, attorneys, and other involved parties in a fair and cost-effective manner.
ARC GroupClaims Adjuster (Bodily Injury) ARC GroupClaims Adjuster (Bodily Injury)Oakland Park, FLORIDAARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Claims Adjustor Qualifications:3+ years of previous bodily injury insurance experience, investigations or other related fields with liability, and property damage, and commercial auto (preferred).
MindriftSenior Auto Claims Adjuster - Freelance AI Trainer MindriftSenior Auto Claims Adjuster - Freelance AI TrainerMiami, FLcontributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.
DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Fort Lauderdale, FLKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fort Lauderdale, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fort Lauderdale, FloridaFort Lauderdale, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hallandale, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hallandale, FloridaHallandale, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Boca Raton, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Boca Raton, FloridaBoca Raton, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hialeah, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hialeah, FloridaHialeah, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Dania, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Dania, FloridaDania, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hollywood, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hollywood, FloridaHollywood, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Miami Beach, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Miami Beach, FloridaMiami Beach, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Deerfield Beach, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Deerfield Beach, FloridaDeerfield Beach, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in North Miami Beach, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in North Miami Beach, FloridaNorth Miami Beach, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pompano Beach, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pompano Beach, FloridaPompano Beach, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Miami, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Miami, FloridaMiami, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Opa Locka, Florida MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Opa Locka, FloridaOpa Locka, FLFull timeHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
Company ConfidentialGeneral Maintenance Manager (Multi-Family Housing) Company ConfidentialGeneral Maintenance Manager (Multi-Family Housing)Ft. Lauderdale, FL$85,000–$90,000 / yearFull timeStrong knowledge of building systems and construction methods, including mechanical, plumbing, roofing, HVAC, electrical and elevators in high-rise, mid-rise and garden style communities, experience to include a strong understanding of complex central plant mechanical systems (cooling towers, heat exchangers, boilers, chillers, pumping systems, BAS) and site life safety systems (fire panel, wet/dry sprinklers, generators, etc.) and elevator maintenance. • Develop, implement, maintain and train all Emergency and Disaster Plans, Integrated Pest Management, Environmental Hazards and all Safety related procedures and policies • Support procurement and performance services related to maintenance, including, but not limited to, vendor service and general contracts, such as waste disposal, preventive maintenance, pest management, capital projects and repairs at the sites and all associated equipment in a safe and workmanlike manner in accordance with company policies and procedures.
Fort Lauderdale City CouncilCLAIMS ADJUSTER Fort Lauderdale City CouncilCLAIMS ADJUSTERFort Lauderdale, FL$62,408.52–$96,779.48 / yearInvestigates claims and counter-claims filed against and on behalf of the City, which may include, but not be limited to, scene/field investigations, interviews witnesses, takes statements and affidavits, photographs scenes of accidents, and assembles evidence for court presentations. Under the U.S. Department of Educations Public Service Loan Forgiveness (PSLF) program, the remaining balance on your student loan may be forgiven after you have made 120 qualifying monthly payments while working full-time at the City of Fort Lauderdale!
Moore Healthcare groupNew$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FLEutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida. This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.
Morgan White GroupClaims Specialist - Miami, FL Morgan White GroupClaims Specialist - Miami, FLMiami, FLMorgan White Group will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job, unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to Morgan White Group. The Claims Specialist willreview claims for reporting information in a spreadsheet or software and communicate with the TPA Manager and Claims Manager daily as well as possibly interacting with groups, claimants, outside carriers, and agents.
Sedgwick Claims Management Services, Inc.Claims Adjuster - Liability (PD / TL ) | Remote Sedgwick Claims Management Services, Inc.Claims Adjuster - Liability (PD / TL ) | RemoteFLRemoteTo analyze mid-level commercial auto physical damage and total loss claims to determine scope of damages; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. The ideal candidate also possesses the time management skills necessary to complete tasks in a timely manner, is well organized and has the technical skills of estimating and computer skills to perform the job.
Lennar HomesConstruction Risk Manager Lennar HomesConstruction Risk ManagerMiami, FLFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Administer Lennar’s insurance programs and day‑to‑day risk workflows, overseeing renewal processes, updating schedules, coordinating with brokers and carriers, and ensuring program documentation is accurate, current, and compliant.
Company ConfidentialNewContract Customer Care Specialists Company ConfidentialContract Customer Care SpecialistsMiramar, FLFull timeDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Lennar HomesLegal Counsel – Litigation Lennar HomesLegal Counsel – LitigationMiami, FL$115,000–$143,700 / yearFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. We reasonably expect the base compensation offered for this position to range from an annual salary of $115,000.00 - $143,700, subject to adjustment based on business-related factors such as employee qualifications, geographic pay differentials (e.g., cost of labor/living, etc.), and operational considerations.
Sedgwick Claims Management Services, Inc.NewClaims Adjuster - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers CompensationTelecommuter, FLMental: 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. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Argo Group International Holdings IncNewTEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterFL$41.44–$48.79 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
AmTrust Financial Services, Inc.Lead Claims Examiner I AmTrust Financial Services, Inc.Lead Claims Examiner IBoca Raton, FloridaOverview: The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
Argo Group International Holdings IncNewTEMP Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP Workers' Compensation Claims AdjusterFL$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Morgan & Morgan, P.A.NewSeeking Bodily Injury Claims Adjusters! Morgan & Morgan, P.A.Seeking Bodily Injury Claims Adjusters!Miami, FLThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
Deloitte Touche Tohmatsu LtdInsurance Claims Business Analyst Deloitte Touche Tohmatsu LtdInsurance Claims Business AnalystMiami, FL$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Quadrant Health GroupNewClaims Specialist- In Office Role Quadrant Health GroupClaims Specialist- In Office RoleBoca Raton, FL$18–$24 / hourThis role is for someone who can manage claims with precision: clean submission, fast follow-up, strong payer communication, and zero dropped tasks. Denial-driven problem solver: Enjoys digging into payer issues and resolving claim obstacles quickly.
The GEO GroupCLAIMS SPECIALIST The GEO GroupCLAIMS SPECIALISTBoca Raton, Florida$26.44–$28.84 / hourFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Under minimal supervision, this position investigates Workers' Compensation (WC) claims and Auto Liability claims and reports, and information provided to third-party administrators to ensure compliance with federal and state regulations and organizational policies.
CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&O CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&Oplantation, FL$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex litigated claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Humana IncClaims Issue Resolution Professional Humana IncClaims Issue Resolution ProfessionalMiramar, FL$59,300–$80,900 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
PricewaterhouseCoopers LLPNewProperty & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerMiami, FL$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
CSAA Insurance GroupNewCommercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, FLRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
VacatiaClaims Manager (multi-line) VacatiaClaims Manager (multi-line)Fort Lauderdale, FLIn this role, you’ll oversee the full lifecycle of claims—from intake through resolution—ensuring timely, compliant, and effective handling across workers’ compensation, general liability, and property claims. You’ll partner cross-functionally with HR, Operations, Finance, and external partners to minimize risk exposure and protect our business.
Sompo International Holdings LimitedClaims Counsel, CML Sompo International Holdings LimitedClaims Counsel, CMLMiami, 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.
Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryFLTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Molina Healthcare IncDirector, Health Plan Operations (Claims) Florida Molina Healthcare IncDirector, Health Plan Operations (Claims) FloridaMiami, FLSupports member stakeholder experience team initiatives including: member static website, member web portal and Customer Relationship Management (CRM); ensures compliance with regulatory requirements and successful communication and implementation with members, employees and other key stakeholders to limit operational impact. Under the direction of senior leadership, organizes, plans, staffs, and coordinates health plan operations for market-specific designated lines of business (Medicaid, Medicare, Marketplace, Children''s Health Insurance Program (CHIP), Medicare-Medicaid Plan (MMP), etc.).
Vitrolife ABReceivables and Medical Claims Manager Vitrolife ABReceivables and Medical Claims ManagerMiami, FLThis individual will develop a high performing team while proactively assessing and optimizing workflows with the goal of maximizing efficiency, reducing bad debt, improving cash flow, and delivering superior customer experiences. The Receivables and Medical Claims Manager is an experienced leader who will not only manage a team of receivable and medical claims specialists but will also be responsible for driving operational excellence in both the accounts receivables and medical claims functions.
South Florida Community Care NetworkSupervisor, Claims Shared Services South Florida Community Care NetworkSupervisor, Claims Shared ServicesSunrise, FLProvide training, coaching, and ongoing support to mailroom and claims analysts, Claims Examiner III ensuring they have the necessary skills and knowledge to perform their roles effectively. Position Summary: As the Claims Shared Services Supervisor, you will oversee the daily operations of the mailroom and supervise a team of medical Claims Analysts and the Claims Training and Quality Analyst.
Humana IncManager, Claims Processing Humana IncManager, Claims ProcessingFL$78,400–$107,800 / yearThe Manager applies advanced technical and regulatory knowledge of Medicare, Medicaid, and commercial payers to resolve moderately complex claims issues, optimize workflows, and improve departmental performance. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
MasTec IncClaims Supervisor (EX) MasTec IncClaims Supervisor (EX)Coral Gables, FloridaThis position acts as a liaison between the claims manager, carrier adjuster, outside legal counsel, and other team members, ensuring that all parties are informed and that the documentation necessary for claim assessment is accurately compiled and submitted. Responsibilities: Liaison between the claims manager, carrier adjuster, outside legal counsel, and other team members, ensuring that all parties are informed and that the documentation necessary for claim assessment is accurately compiled and submitted.
VITAS Healthcare CorpMedical Claims Examiner 2 VITAS Healthcare CorpMedical Claims Examiner 2Miramar, FLApplies contracted negotiated financial arrangements for each service billed for contracted providers and vendors and apply general claims/invoice processing procedures and guidelines for each service billed. The Medical Claims Examiner 2 is responsible for the validation of services rendered to Vitas patients via billed data submitted on claims and invoices.
American International Group Inc (AIG)Claims Examiner - Federal Workers' Compensation American International Group Inc (AIG)Claims Examiner - Federal Workers' CompensationMiami, FLMake your mark in Claims 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. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks.
AliviNewOn-site Medical Claims Examiner AliviOn-site Medical Claims ExaminerMiami, FLFull timeMaintains the department’s claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.