179 Results for

Claims Processor Jobs in Doral, FL

Jobs

Fort Lauderdale, FL

$62,408.52–$96,779.48 / year

No experience Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years 7 or more years 04 Do you possess a valid 620 license (Licensed All-Lines Adjuster) issued by the State of Florida Department of Insurance and did you clearly indicate this in the "Certificates and Licenses" section of your application. Annually Job Number: NB066-03 Location 101 NE 3rd Avenue, Fort Lauderdale, FL 33301, FL Description: POSITION SUMMARY The City of Fort Lauderdale employees possess a passion for public service demonstrated by a high degree of enthusiasm, self-reliance, and job proficiency.

Today

Sunrise, FL

Remote

Job Summary/Company : Sparks Group has partnered with a leading insurance services organization to identify experienced Desk Adjusters – CAT Support to assist with high-volume property claims following catastrophe (CAT) events in Texas. This remote opportunity is ideal for licensed adjusters who thrive in fast-paced environments, can manage large claim volumes with accuracy and empathy, and are available to mobilize quickly during catastrophic weather events.

3 days ago

Miami, FL

Oversees 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.

22 days ago

Miramar, FL

Applies 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.

30+ days ago

Leverages 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.

30+ days ago

Provides 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.

30+ days ago

Fort Lauderdale, FL

With 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.

8 days ago

Provides 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.

30+ days ago

Remote

$105,000–$147,000 / year

This 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.

30+ days ago

Fort Lauderdale, FL

Family 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.

30+ days ago

Leads 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.

30+ days ago

Plantation, FL

We 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.

30+ days ago

Pompano Beach, Florida

Driven 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.

10 days ago

Plantation, Pennsylvania

Analyze 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.

30+ days ago

Miami, FL

Remote

$105,000–$135,000 / year

The 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.

30+ days ago

Please 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.

25 days ago

Miami, Florida

$59,059.65–$82,000 / year
Full time

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4 days ago

Fort Lauderdale, FL

Eutis 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.

30+ days ago

Ft. Lauderdale, FL

Key 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.

10 days ago

Fort Lauderdale, FL

Summary: 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.

7 days ago

Fort Lauderdale, FL

7 days ago

$150,000–$160,000 / year

ABOUT 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.

30+ days ago

Hialeah, FL

$75,000–$95,000 / year

If 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.

30+ days ago

Miami, FL

$48,000–$55,000 / year

Responsibilities: 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.

10 days ago

$160,000–$296,000 / year

Ecosystem & 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).

17 days ago

Coral Gables, Florida

Full time

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. 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.

30+ days ago

Miami, FL

$125,000–$175,000 / year

Strong 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.

30+ days ago

Miami, FL

Effectively 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.

30+ days ago

Remote

$80,000–$88,000 / year

As 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.

30+ days ago

Remote

The 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.

30+ days ago

Miami, FL

Must 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.

30+ days ago

Previous experience with the reserving and adjudication of the following: Workers' compensation lost time claims, Workers' compensation claim investigations (including subrogation and compensability decisions. The Lost Time Claims Specialist 2 will apply litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.

10 days ago

Pembroke Pines, FL

$70,000–$75,000 / year

Gather, review, and organize key claim materials, including bills of lading, rate confirmations, tenders, carrier packets, COIs, insurance documentation, FMCSA records, carrier-vetting materials, safety history, claims correspondence, invoices, photographs, police reports, and other supporting documents. If not licensed at the time of hire, candidate must begin the licensing process within 30 days and complete a material licensing milestone within 90 days, such as completing required coursework, scheduling or sitting for the licensing exam, completing fingerprinting, or submitting the license application.

3 days ago

Pembroke Pines, Florida

4 days ago

Miami, Florida

Claims & Appeals Support: Assist with VA claims and appeals work, including supplemental claims, higher-level reviews, and Board appeals as needed, with a focus on reviewing VA claims files, evaluating appeal options, and preparing supporting evidence. Familiarity with or ability to learn LexisNexis AI, ChatGPT, Claude, Microsoft Office, and Adobe is important, as the role involves reviewing AI-assisted work products and using technology to improve workflow efficiency.

27 days ago

Miami, FL

Maintains 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.

30+ days ago

Miami, FL

Full time

Review, 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.

30+ days ago

To 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.

30+ days ago

$50,000–$55,000 / year

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. 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.

30+ days ago

$18.06–$22 / hour

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

30+ days ago

Remote

$37.66–$44.33 / hour

Boston 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.

17 days ago

Remote

The 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.

30+ days ago

Remote

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

17 days ago

Remote

$80,000–$100,000 / year

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

16 days ago

Miami, FL

Manage 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.

30+ days ago

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

30+ days ago

$37.66–$44.33 / hour

Boston 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. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.

9 days ago

PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.

14 days ago

$48.65–$57.59 / hour

Boston 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 limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.

9 days ago

Sunrise, FL

The ideal candidate will proactively manage claims through timely contact, thorough investigation, coverage analysis, damage evaluation, reserving, negotiation, and disposition while maintaining exceptional file quality and customer satisfaction. The Claims Examiner/Desk Adjuster investigates, evaluates, reserves, negotiates, and settles assigned homeowners property claims in accordance with company Best Practices and regulatory requirements.

30+ days ago

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Claims Processor Jobs in Doral, FL

Claims Adjuster City of Fort Lauderdale

Desk Adjuster Sparks Group

Regional Safety Manager - Miami, FL Ceco Concrete Construction, LLC

Medical Claims Examiner 2 VITAS Healthcare Corp

Senior Analyst, Claims Research Molina Healthcare Inc

Analyst, Claims Research Molina Healthcare Inc

Claims Manager, Risk Management AutoNation Inc

Senior Examiner, Claims Molina Healthcare Inc

Manager, Claims | Midwest and South (Florida) Employers Holdings Inc

Childcare Food Program Claims Rep FAMILY CENTRAL, INC.

Supervisor, Claims (Must reside in FL) Molina Healthcare Inc

Cargo Claims Handler-Recovery DHL Group

Billing & Claims Analyst Porter Cares

Senior Workers' Compensation Claims Advocate American Global

Supervisor Workers Comp Claims - PNW CopperPoint Insurance Co

Complex Claims Manager - Construction Defect and Environmental CRC Insurance Services, LLC

Claims Appraiser - Auto Estimatics State Farm

$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group

Auto Claims Adjuster ; Ft. Lauderdale Criterion Executive Search

Third Party Claims Specialist-Finance-BHC Broward Health

Third Party Claims Specialist - BHC - Full Time - Finance and Accounting -Days Broward Health

Property Claims Leader, South & Central Regions Hub International Ltd

Restoration Estimator & Insurance Claims Specialist Paul Davis Restoration

Claims Consultant Tata Consultancy Services Ltd

Senior Director, Insurance Claims Advisory NTT DATA Group Corp

Claims Supervisor (EX) MasTec Inc

Claims Counsel, CML Sompo International Holdings Limited

Senior Technical Specialist, General Liability Claims Sompo International Holdings Limited

Claims Specialist Bodily Injury- Remote Great American Insurance Company

Senior Claims Adjuster - Casualty (Public Risk Group) HCC Life Insurance Company

Bilingual Claims Adjuster Seaboard Corp

Lost Time Claims Specialist II (FL & GA University of Pittsburgh Medical Center

Transportation & Logistics Claims Specialist Hub International Ltd

Transportation & Logistics Claims Specialist Hub International Insurance

Claims Agent Crisp Recruit

On-site Medical Claims Examiner Alivi

Personal Injury Claims Clerk United Auto Insurance

Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.

Claims Representative, Auto Sedgwick Claims Management Services, Inc.

Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferred Sedgwick Claims Management Services, Inc.

TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings Inc

Multi-line Senior Claims Adjuster - Water Districts Program HCC Life Insurance Company

Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.

Workers Compensation Claims Examiner | SIP Required Sedgwick Claims Management Services, Inc.

Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)

Claims Adjuster - Workers Compensation Sedgwick Claims Management Services, Inc.

TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings Inc

Claims Team Lead, Auto | Complex Bodily Injury Sedgwick Claims Management Services, Inc.

TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings Inc

Claims Examiner Heritage Insurance Holdings Inc

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