Claims 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.
NewConstruction 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.
NewAssociate Attorney - Insurance Coverage - Miami (Senior Level) Pernini Recruiting CompanyAssociate Attorney - Insurance Coverage - Miami (Senior Level)Miami, FL$130,000–$160,000 / yearFor associates looking to build a long-term career at the intersection of litigation and insurance law, this role provides meaningful responsibility, early client interaction, and the opportunity to work on high-profile matters within a supportive and high-performing practice. The work includes commercial general liability, commercial property (including business interruption and environmental matters), errors and omissions claims involving attorneys, agents, and accountants, as well as directors' and officers' coverage.
Senior Claims Adjuster - Casualty (Public Risk Group) HCC Life Insurance CompanySenior Claims Adjuster - Casualty (Public Risk Group)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. Our package policy provides a variety of coverages to support our insureds needs, including Law Enforcement Liability, Public Officials liability, Employment Practices Liability, Commercial General Liability, Property, First and Third-Party Auto, Inland Marine, Equipment Breakdown and more.
General 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.
Auto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterFL$47,500–$61,600 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
Senior 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.
Multi-line Senior Claims Adjuster - Water Districts Program HCC Life Insurance CompanyMulti-line Senior Claims Adjuster - Water Districts ProgramFLRemoteThe 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. This role involves handling complex, high-value liability, property, and automobile claims nationwide-engaging with attorneys, attending settlement conferences, and managing litigation from start to finish.
$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FloridaEutis 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.
Construction 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.
Bilingual Claims Adjuster Seaboard CorpBilingual Claims AdjusterMiami, FLMust have advanced communication skills (reading, writing & speaking) both in English and Spanish in order to communicate at different levels throughout the organization, exterior organizations, out port offices, attorneys, etc. POSITION SUMMARY: In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities.
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.
CLAIMS 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!
PIP/Med Pay Claims Associate Allstate Insurance CompanyPIP/Med Pay Claims AssociateFL$53,500–$86,400 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.).
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.
Legal 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.
PIP Claims Associate Allstate Insurance CompanyPIP Claims AssociateFL$53,500–$86,400 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.).
Manager, Claims | Midwest and South (Florida) Employers Holdings IncManager, Claims | Midwest and South (Florida)Florida, FLRemote$105,000–$147,000 / yearThis role manages workers'' compensation claims adjusters across Midwest and Southern/gulf coast jurisdictions; candidates holding an active Florida workers'' compensation adjuster license a plus. Creates an environment that supports the corporate culture, fosters teamwork, values diversity, and respects all team and company staff-members, internal and external customers, and vendors.
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.
Claims Adjuster - Commercial Auto Liability - Property Damage CRC Insurance Services, LLCClaims Adjuster - Commercial Auto Liability - Property DamageFLPlease review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. 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 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.
TEMP-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.
TEMP 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.
Workers Compensation Claims Adjuster - FL GallagherWorkers Compensation Claims Adjuster - FLMiami, FloridaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
Property Claims Leader, South & Central Regions Hub International LtdProperty Claims Leader, South & Central RegionsBoca Raton, FL$150,000–$160,000 / yearABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.
Lead Claims Examiner I Amtrust Financial Services IncLead Claims Examiner IBoca Raton, FLCommunicates 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. 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.
Large Loss Claims Admin Allstate Insurance CompanyLarge Loss Claims AdminFL$18.61–$27.79 / hourBusiness Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWMiami, FLRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Seeking Bodily Injury Claims Adjusters! Morgan & Morgan, P.A.Seeking Bodily Injury Claims Adjusters!Fort Lauderdale, 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.
Insurance 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.
Homeowner Claims Subrogation Advocate - Remote Allstate Insurance CompanyHomeowner Claims Subrogation Advocate - RemoteFLRemote$56,000–$92,000 / yearThis role identifies new subrogation opportunities, refers opportunities to the subrogation unit, implements procedures, and monitors subrogation reimbursements to other insurers. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Claims Customer Service Representative Universal Insurance Holdings IncClaims Customer Service RepresentativeFort Lauderdale, FLThe Claims Customer Service Representative serves as the liaison between a company and its clients, addressing customer concerns and providing clear guidance on company processes. This role requires interaction with the agency force and clients to provide information and answer questions about services and procedures related to claims.
Senior Technical Specialist, General Liability Claims Sompo International Holdings LimitedSenior Technical Specialist, General Liability ClaimsMiami, FLEffectively represent the companys 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 youll 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.
Insurance 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.
Private Client Claims Advocacy Leader Marsh & McLennan Companies IncPrivate Client Claims Advocacy LeaderDoral, FL$125,000–$233,000 / yearFrequently communicate key client and Family Office matters/concerns, team updates, market developments and claims trends with PCS field leadership teams (Zone Leaders and Zone Client Advisor Leaders) as well as MMA regions. Directs and interfaces with PCS Operations and EPIC Transformation teams to design and implement contemporary claims technologies, including claims 'use cases' for Risk Services and Solutions data platform.
Cargo Claims Handler-Recovery DHL GroupCargo Claims Handler-RecoveryPlantation, FLWe manage and mitigate risk and deliver quality insurance products and services to protect the companys employees, assets, and liabilities, and to meet its contractual obligations to customers across the group. We recognize the difference you bring to our business and together we share the pride of building one of the largest world leaders in logistics and supply chain.
Property & 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.
Property & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. AssociateMiami, FL$77,000–$202,000 / 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. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
Claims 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.
Commercial 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.
Claims 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.
Claims Assistant Sedgwick Claims Management Services, Inc.Claims AssistantTelecommuter, FLMental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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.
Claims Manager, Risk Management AutoNation IncClaims Manager, Risk ManagementFort Lauderdale, FLWith a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs.
Sr Business Insights Analyst (Property Claims) Assurant IncSr Business Insights Analyst (Property Claims)Miami, FL$74,600–$124,700 / yearA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Acts as the customer / IT liaison during analysis, requirements definition and design activities; develop and maintain an understanding of the business, business strategies and roadmap; collaborates with business stakeholders to define and document business requirements and with technical staff to develop solution alternatives.
Claims 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.
CLAIMS SPECIALIST The GEO Group IncCLAIMS SPECIALISTBoca Raton, FLFrom 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.
Director, 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.).
Medical 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.
Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MNMiami, FLManage indemnity, medical and legal aspects of highest valued, complex WC claims, for Virginia (VA), Minnesota (MN) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). 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.