Casualty Specialist II First AcceptanceCasualty Specialist IIMarianna, FloridaEvaluates policy coverage, and contacts insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements. A minimum of 2 years of previous auto liability claim handling experience or minimum 1 year of bodily injury claims experience is preferred.
Project Manager, Principal - Stellarus (Short Term Employment) Blue Cross and Blue Shield AssociationProject Manager, Principal - Stellarus (Short Term Employment)Miami, FLKnowledge of the healthcare industry, particularly pharmacy operations, pharmacy benefit management, claims processing, formulary administration, network operations, and regulatory requirements, is strongly preferred to effectively navigate complex business and operational challenges, though not required for the role. We lead benefit implementation and validation, manage pharmacy network operations and oversight, monitor claims and accumulator performance, support internal and external audits, and coordinate the identification, investigation, and resolution of operational incidents to protect member experience, regulatory compliance, and financial integrity.
Complex Claim Director - Mass Tort Unit CNA Financial Corp.Complex Claim Director - Mass Tort UnitLake Mary, FL$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
Sr. Claim Counsel, EPL Sompo InternationalSr. Claim Counsel, EPLMiami, FL$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
Sr. Claim Counsel, EPL Sompo International Holdings LimitedSr. Claim Counsel, EPLMiami, FL$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
General Liability Claim Adjuster Westgate Resorts LtdGeneral Liability Claim AdjusterOcoee, FLRecognized by U.S. News & World Report as one of the Best Companies to Work For, we're committed to creating a supportive, rewarding workplace where our 9,000 Team Members can grow and thrive. Westgate Resorts is the largest privately held timeshare company in the world, with 60+ resorts in top destinations like Orlando, Las Vegas, Gatlinburg, Park City, and Myrtle Beach.
Senior Litigation & Liability Claims Examiner Arbol IncSenior Litigation & Liability Claims ExaminerSarasota, FL$100,000–$115,000 / yearThis ecosystem includes a massive climate data infrastructure, scalable product development, automated, instant pricing using an artificial intelligence underwriter, blockchain-powered operational efficiencies, and non-traditional risk capacity bringing capital from non-insurance sources. Claimant Negotiation: Negotiate directly with claimants and their attorneys to reach fair, well-supported settlements on third-party liability claims, applying strong negotiation skills and sound judgment within assigned authority.
Commercial Insurance Billing Specialist VNA of FloridaCommercial Insurance Billing SpecialistStuart, FLFull timeCommercial Insurance Billing SpecialistStuart (Martin County), Florida | Full-TimeJoin a Home Health Leader Celebrating 50 Years of ServiceFor 50 years, Visiting Nurse Association of Florida (VNA) has helped patients heal, recover, and remain independent in the comfort of their own homes. As a trusted nonprofit, Medicare-certified home health agency, we are committed to providing compassionate care while creating a supportive workplace where employees can grow and thrive.
Risk Manager Automotive Services NetworkRisk ManagerWinter Park, FL$80,000–$100,000 / yearHoller-Classic Family of Dealerships, an Automotive News Top 150 dealership group with 17 dealerships serving the Central Florida and Columbia, South Carolina markets, has been proudly family-owned since 1938. Manage and support claims across the following lines of business: Workers’ Compensation: Injury reporting, compensability review, medical management coordination, return-to-work strategy support, and claim outcome monitoring.
NewEpic Denials Manager DeloitteEpic Denials ManagerLake Mary, FLRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our 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.
Lost Time Claims Specialist II (FL & GA University of Pittsburgh Medical CenterLost Time Claims Specialist II (FL & GAFLPrevious 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.
Senior Personnel Analyst (Inbound) LukosSenior Personnel Analyst (Inbound)Tampa, FloridaTravel: Contractor personnel must support the projected travel in support of government requirements to MARCENT AOR and supporting locations, which includes but not limited to the following countries: Bahrain, United Arab Emirates (UAE), Saudi Arabia, Jordan, Egypt, France, Germany, United Kingdom, Oman, Qatar, Kuwait, Iraq, Israel, Afghanistan, Syria, Lebanon, Yemen, Pakistan, Turkmenistan, Uzbekistan, Kyrgyz Republic, Tajikistan, Kazakhstan, Djibouti, Cyprus, Turkey, Italy, and Greece. Additionally, the G-1 advises and assists the Commander in matters relating to personnel operations, management, policy, administration, awards, correspondence, travel management, the Government Travel Charge Card (GTCC) Program, and administrative support to all Marines stationed at MacDill AFB as well as individual augments in the USCENTCOM Area of Responsibility (AOR).
NewRetirement Plan Operations Specialist Guidant FinancialRetirement Plan Operations SpecialistJacksonville, FLRemote1 to 5 years of adjacent back-office financial operations experience in one or more of the following areas: benefits administration, money movement and wires, insurance claims processing, tax prep processing, loan or mortgage document processing, or compliance or quality-control support. You’ll review documents submitted by our clients, proactively keep clients updated on progress and help clients understand the year-end reporting documents necessary to complete government filings, including the annual 5500 return.
Personal Insurance Client Advisor (Bilingual) Community Bank, N.A.Personal Insurance Client Advisor (Bilingual)Melbourne, FLThe Personal Insurance Client Advisor (Bilingual) will work in a team environment with all members of the Personal Insurance department, including but not limited to the sales team and management team, to effectively respond to our clients' needs and requests and to properly protect their assets. Document all interactions, including but not limited to clients and Carriers, (phone calls, e-mails, face-to-face meetings, letters, etc.) in company system so that any team member can assist client.
Spanish Bilingual Certified Pharmacy Technician - Refill & Medication Adherence Shields Health SolutionsSpanish Bilingual Certified Pharmacy Technician - Refill & Medication AdherenceMiami, FLRemotePatient Engagement Specialist, Pharmacy Technician, Certified Pharmacy Technician, CPhT, Specialty Pharmacy Careers, Pharmacy Customer Service Representative, Medication Refill Specialist, Remote Pharmacy Technician, Pharmacy Claims Adjudication, Medication Adherence, Healthcare Customer Service, Patient Care Coordinator, Specialty Pharmacy Jobs, Bilingual Pharmacy Technician, Remote Healthcare Careers, Prescription Refill Coordinator, Pharmacy Operations, Healthcare Support Specialist. Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance CompanyClaims Specialist/Senior Claims Specialist-Alternative MarketsFlorida, FL$85,000–$106,000 / yearAt Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .
Long Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingFL$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
NewRepresentative, Incontestable Claims Examiner New York Life Insurance CoRepresentative, Incontestable Claims ExaminerFL$40,000–$52,500 / yearIn this role, you will support the claims process by reviewing and organizing incoming documentation, verifying claim details in internal systems, and communicating with beneficiaries to request any missing or incomplete forms. Our diverse business portfolio creates opportunities to make a difference across industries and communities-inviting bold thinking, collaborative problem-solving, and purpose-driven innovation.
Claims Customer Service Representative Integrity Marketing GroupClaims Customer Service RepresentativeClearwater, FLMaintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
Warranty Specialist WarrCloudWarranty SpecialistJacksonville, FLRemoteDetermine additional information to obtain from the customer, review additional information provided, and determine if the additional information obtained is sufficient or if further clarification or details are advisable to obtain from the dealership in order to achieve maximum payment on the claim for the dealership. Collaborate with cross-functional teams, including customer success, technical support, product, and development, to address warranty claim trends and drive process improvements.