NewPersonal Injury Claims Clerk United Auto InsurancePersonal Injury Claims ClerkMiami, FloridaReview, route, and update documents and tasks within Perceptive, maintaining proper indexing and claim file documentation. Handle the PIP Add-On Queue , accurately adding coverage, benefits, or related updates to existing PIP claims.
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.
Claims and Legal Operations Coordinator Akumin IncClaims and Legal Operations CoordinatorFLThe Claims and Legal Operations Coordinator reports to the Vice President, Associate General Counsel, with supervision by the Director, Claims and Legal Operations. The role also supports Vice President, Associate General Counsel, Director, Claims and Legal Operations, and other members of the Legal Department.
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.
Manager, Claims | Midwest and South (Florida) Employers Holdings IncManager, Claims | Midwest and South (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, 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 Examiner, Claims Molina Healthcare IncSenior Examiner, ClaimsFLProvides senior level support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. At least 2 years of experience in claims, and/or customer service experience in a clerical role - preferably in a managed care setting, or equivalent combination of relevant education and experience.
Lead Claims Examiner I AmTrust Financial Services, Inc.Lead Claims Examiner IBoca Raton, FloridaFull timeOverview: 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.
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.
NewOn-Site Risk & Claims Manager Sunrise CommunityOn-Site Risk & Claims ManagerMiami, FLJoin our community-focused team dedicated to serving individuals with intellectual and developmental disabilities.#J-18808-Ljbffr. Sunrise Community, Inc. in Glenvar Heights, Florida, is looking for a Claims Manager to coordinate all claims for the organization.
NewSenior Claims Counsel Legal & Recovery Leader Dormont Manufacturing CompanySenior Claims Counsel Legal & Recovery LeaderFort Lauderdale, FL$139,400–$230,000 / yearDormont Manufacturing Co is seeking an experienced legal professional to join their Bond & Specialty Insurance team in Fort Lauderdale, Florida. The position offers a competitive salary range of $139,400 to $230,000, comprehensive benefits including health insurance and retirement plans, and opportunities for professional development.#J-18808-Ljbffr.
Childcare Food Program Claims Rep FAMILY CENTRAL, INC.Childcare Food Program Claims RepFort Lauderdale, FLFamily Central, Inc. contracts with the Florida Department of Health as a sponsor for the USDA Child Care Food Program to sponsor licensed family child care homes in Broward, Miami-Dade and Palm Beach counties and child care centers in Broward, Miami-Dade, Palm Beach, Martin and St. We assist childcare facilities in implementing "best practices" to ensure children have access to a variety of nutritious foods which leads to healthy growth and reducing obesity risk.
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.
Claims Consultant - Florida Physicians & Surgeons The Medical Protective CompanyClaims Consultant - Florida Physicians & SurgeonsFLPerform other activities required of a front line claims person including attending/monitoring mediations, arbitrations, conferences and trials. Provide service to insureds, assist where possible in sales and retention efforts of sales force.
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.
Third Party Claims Specialist - BHC - Full Time - Finance and Accounting -Days Broward HealthThird Party Claims Specialist - BHC - Full Time - Finance and Accounting -DaysFort Lauderdale, FLSummary: Reviews, researches, and submits third-party universal claim forms to various health insurance payers to ensure timely reimbursement and consistent cash flow to the organization. Processes daily electronic transmission of third-party claims to process clearinghouse ensuring proper file balancing and controls.
Third Party Claims Specialist-Finance-BHC Broward HealthThird Party Claims Specialist-Finance-BHCFort Lauderdale, FLSummary: Reviews, researches, and submits third-party universal claim forms to various health insurance payers to ensure timely reimbursement and consistent cash flow to the organization. Processes daily electronic transmission of third-party claims to process clearinghouse ensuring proper file balancing and controls.
Senior Director, Insurance Claims Advisory NTT DATA Group CorpSenior Director, Insurance Claims AdvisoryFL$160,000–$296,000 / yearEcosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions. A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).
Supervisor, Claims (Must reside in FL) Molina Healthcare IncSupervisor, Claims (Must reside in FL)FLLeads and supervises team responsible for claims activities including administering claims payments, maintaining claim records, and providing counsel to Providers regarding coverage amount and benefit interpretation. Effectively manages claims escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow-through to closure.
Claims Supervisor (EX) MasTec IncClaims Supervisor (EX)Coral Gables, FLTheir efforts directly impact customer satisfaction and trust, reinforcing the company's commitment to service excellence 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. This 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.
Claims Specialist Bodily Injury- Remote Great American Insurance CompanyClaims Specialist Bodily Injury- RemoteFLRemote$80,000–$88,000 / yearAs one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets.
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.
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.
Property Claims Leader, South & Central Regions Hub International LtdProperty Claims Leader, South & Central RegionsFL$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.
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.
Senior Workers' Compensation Claims Advocate American GlobalSenior Workers' Compensation Claims AdvocatePlantation, PennsylvaniaAnalyze claim information for frequency and severity trends and assist clients in implementing risk-management processes and/or connecting them with resources to improve claim outcomes. Provide support and training to client insurance and field staff on claims process, investigations, labor law issues, and litigation matters including current case law relative to their claims.
NewVP, Professional & Executive Risk, ProEx Claims Hub International LtdVP, Professional & Executive Risk, ProEx ClaimsMiami, FL$200,000–$235,000 / yearDisclosure required under applicable law in California, Colorado, Illinois, Maryland, Minnesota, New York, New Jersey, Ohio, and Washington states: The expected salary range for this position is $200,000- $235,000 and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level. Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language, coverage analysis, advocacy, coverage and dispute resolution, act as liaison between clients, adjusters, lawyers and insurance companies, claims management and other related client services.
On-site Medical Claims Examiner AliviOn-site Medical Claims ExaminerMiami, FLMaintains 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.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterFLRemote$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. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
$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.
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.
Senior Analyst, Claims Research Molina Healthcare IncSenior Analyst, Claims ResearchFLLeverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority claims investigation or correction. Collaborates with cross-functional teams on claims-related projects; completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance.
Analyst, Claims Research Molina Healthcare IncAnalyst, Claims ResearchFLProvides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims.
Revenue Cycle & Claims Operations Lead Porter CaresRevenue Cycle & Claims Operations LeadPompano Beach, FloridaDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. Partner directly with Athena's professional services / support team to build and maintain custom rules that suppress inappropriate low-dollar (“penny claim”) edits and prevent unwanted allowable-amount or co-insurance recalculation on contracts where the full billed amount is the contracted rate.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated ClientFLRemoteMental: 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.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantCoconut Creek, FL$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoFL$50,000–$55,000 / yearMental: 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. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferred Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferredFL$18.06–$22 / hourMental: 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. 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 Assistant Sedgwick Claims Management Services, Inc.Claims AssistantFLMental: 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.
NewEpic Claims Analyst III StratAcuity Staffing Partners IncEpic Claims Analyst IIIFlorida, FLRemote$100,000–$120,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. The ideal candidate will have deep expertise in Epic Claims workflows, healthcare billing operations, and reimbursement processes, along with Epic certification in either Hospital Claims or Professional Claims.
Billing & Claims Analyst Porter CaresBilling & Claims AnalystPompano Beach, FloridaDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. Our organization operates in a payer-contracted services model — delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits — billed through Athena in a mix of penny-claim/encounter-reporting and full-cost claim arrangements.
NewWorkers Compensation Claims Assistant - FL GallagherWorkers Compensation Claims Assistant - FLMiami, FloridaFull timeThe 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. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
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.
Complex Claims Manager - Construction Defect and Environmental CRC Insurance Services, LLCComplex Claims Manager - Construction Defect and EnvironmentalFLPlease review the following job description: A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as claims involving General Liability (GL) and Excess Liability. This role involves analyzing coverage, assessing liability, negotiating settlements, and managing legal defense strategies, all while ensuring compliance with environmental regulations and minimizing the company''s financial exposure.
Independent Insurance Claims Adjuster in Pompano Beach, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Pompano Beach, FloridaPompano Beach, FloridaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Deerfield Beach, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Deerfield Beach, FloridaDeerfield Beach, FloridaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in North Miami Beach, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in North Miami Beach, FloridaNorth Miami Beach, FloridaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Miami, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Miami, FloridaMiami, FloridaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Hollywood, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Hollywood, FloridaHollywood, FloridaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.