$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FLEutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida. This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.
Health Insurance Claims Adjuster Integrity Marketing Group, LLCHealth Insurance Claims AdjusterClearwater, FLAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
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 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).
Health Insurance Claims Adjuster Insurance Administrative Solutions LLCHealth Insurance Claims AdjusterClearwater, FLAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Insurance Claims Representative Blackstone Medical ServicesInsurance Claims RepresentativeTampa, FloridaBlackstone Medical Services is a rapidly growing diagnostic technology company looking for team members who enjoy working in a productive environment while helping patients improve the quality of their health. Blackstone Medical provides a new sleep medicine technology (In-Home Diagnostic Sleep Testing) which is growing in demand as awareness increases among healthcare providers and patients.
Health Insurance Claims Specialist - Largo Prosper InfusionHealth Insurance Claims Specialist - LargoLargo, FLFull timeInsurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment. Partner with internal teams to support patient care and resolve billing issues efficiently.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerFL$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.
Claims Counsel (Hybrid) - Westcor Land Title Insurance Company ArdánClaims Counsel (Hybrid) - Westcor Land Title Insurance CompanyMaitland, FloridaThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.
Claims Counsel (Remote) - Westcor Land Title Insurance Company ArdánClaims Counsel (Remote) - Westcor Land Title Insurance CompanyMaitland, FloridaRemoteThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.
Bristol West Injury Claims Attorney Representative Farmers Group, Inc.Bristol West Injury Claims Attorney RepresentativeLake Mary, FLThis may include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, members of the medical profession and all other persons incident to the investigation and processing of claims. Through training, continuously improves skills applicable to including but not limited to claims investigation, liability determination, coverage confirmation, establishing damages, evaluating bodily injury damages and negotiation of claims settlement.
Claims Administrator - Westcor Land Title Insurance Company ArdánClaims Administrator - Westcor Land Title Insurance CompanyMaitland, FloridaBasic knowledge of title industry Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Claims Counsel (Remote) - Westcor Land Title Insurance Company Ardan IncClaims Counsel (Remote) - Westcor Land Title Insurance CompanyMaitland, FLRemotePart timeThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.
Claims Counsel (Hybrid) - Westcor Land Title Insurance Company WestcorClaims Counsel (Hybrid) - Westcor Land Title Insurance CompanyMaitland, FloridaThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.
Claims Counsel (Remote) - Westcor Land Title Insurance Company WestcorClaims Counsel (Remote) - Westcor Land Title Insurance CompanyMaitland, FloridaRemoteThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.
Bristol West Claims Liability Claims Representative-Hybrid Farmers Group, Inc.Bristol West Claims Liability Claims Representative-HybridLake Mary, FLRemoteTrains to interact professionally and courteously with stakeholders including policyholders, claimants, agents, witnesses, repair fa cilities, contractors, police and fire departments, state and country fraud and arson specialists, special investigators, attorneys, medical professionals and other persons incident to the investigation and processing of claims. Learns skills such as conducting thorough i nvestigations, establishing damages, determining liability, negotiating settlements, making claim payments, confirming policy coverage, and explaining claim determination to parties incident to the claim.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner II"-", FLRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Claims Administrator - Westcor Land Title Insurance Company WestcorClaims Administrator - Westcor Land Title Insurance CompanyMaitland, FloridaBasic knowledge of title industry Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Senior Claims Adjuster - P & C Homeowners Insurance Slide InsuranceSenior Claims Adjuster - P & C Homeowners InsuranceTampa, FloridaDispute Resolution focus - Oversee a caseload of residential property claims involving official DFS Notices of Intent to Litigate, Civil Remedy Notices, mediations, appraisals, litigated files, and other claims as volume dictates. Slide's Claims team is responsible for executing our commitment to helping homeowners get back to whole when they have a covered loss, and our Claims Sliders live up to this commitment with passion and purpose daily.
NewSenior Claims Attorney University of FloridaSenior Claims AttorneyGainesville, FLThis includes but is not limited to monitoring and continuing the full factual investigation of asserted claims through litigation; coordinating and ensuring timely response to interrogatories and production; tracking the progress of assigned all cases in litigation to ensure that an aggressive proactive defense and resolution of claims is accomplished within the timeframe set by SIP Management; initiating employment and retention of experts; undertaking the preparation of witnesses, including assisting outside legal outside counsel hired by the Program in the preparation of fact and expert witnesses for depositions related to claims in litigation and to assist outside legal counsel during said depositions; and developing defense strategies. This includes, but is not limited to undertaking a full factual investigation and timely response to assigned claims, asserted and potential; preparing timely appropriate responses to presuit information requests and production; tracking the progress of all assigned cases in presuit to ensure that appropriate responses, negotiations and settlement offers, or alternatively, denials and aggressive proactive defense are accomplished for the timely resolution of claims, as required by Florida Statute and policy set by SIP Management; initiating the employment and retention of experts; undertaking the preparation of witnesses and participating in unsworn statements and other presuit discovery.
SIU Investigator - Tampa Bay Area Allied UniversalSIU Investigator - Tampa Bay AreaTampa, FloridaAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator’s license (apprenticeship) before applying .
SIU Investigator - Tampa Bay Allied UniversalSIU Investigator - Tampa BayTampa, FloridaFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator’s license (apprenticeship) before applying .
Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)FL$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Investigator Ethos Risk ServicesInvestigatorTallahassee, FLPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
SIU Investigator (Remote U.S.) Crum & Forster Holdings Corp.SIU Investigator (Remote U.S.)FLRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorNaples, FLFull timeOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Field SIU Investigator - Tampa Kemper CorpField SIU Investigator - TampaTampa, FLFraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.
NewAutomotive Product Investigator/Dealership Technician (Part-Time / On Call) - Florida V2X IncAutomotive Product Investigator/Dealership Technician (Part-Time / On Call) - FloridaOrlando, FLWork may involve standing, sitting, walking (even, uneven areas), occasional lifting (overhead, waist level) from floor, bending, frequent near vision use for reading and computer use. Work environment may involve exposure to various weather conditions, automotive fumes, fluids, noise, smells, sharp edges and bump hazards that require continuous use of personal protective equipment, i.e., safety glasses, gloves, and head protection.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMiami, FloridaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - Eastern Florida Panhandle Allied UniversalSurveillance Investigator - Eastern Florida PanhandleTallahassee, FloridaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - Eastern Panhandle Allied UniversalSurveillance Investigator - Eastern PanhandleTallahassee, FloridaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
SIU Field Investigator - Brevard County, FL GEICO GENERAL INSURANCE COMPANYSIU Field Investigator - Brevard County, FLMelbourne, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
Senior Field Security Investigator GEICO GENERAL INSURANCE COMPANYSenior Field Security InvestigatorOrlando, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
Private Investigator - Surveillance Full or Part-time Selective Investigations Inc.Private Investigator - Surveillance Full or Part-timeFort Lauderdale, FLPrivate Investigative Agency specializing in insurance claims investigations has full & part-time positions (Employee / Subcontractors) available for experienced Investigators to conduct Surveillance assignments in Dade and Broward Counties. Ability to work independently, handle multiple tasks and meet established deadlines.
SIU Investigator Part time Bilingual Spanish a PLUS Kelley AllianceSIU Investigator Part time Bilingual Spanish a PLUSOrlando, FLRemote$25–$50 / hourThis role requires a strong understanding of insurance coverage principles, compensability analysis, fraud indicators, and investigative documentation. Assignments may involve property losses, auto claims, liability investigations, and other insurance-related matters.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorPensacola, FloridaThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
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.
SIU Desk Investigator - Tampa TWAY Trustway ServicesSIU Desk Investigator - TampaTampa, FloridaA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
Property & Casualty Claims Executive HigginbothamProperty & Casualty Claims ExecutiveOldsmar, FloridaNotice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Position Summary: The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFLWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Claims Adjuster Medley NewVine Employment GroupClaims Adjuster MedleyMedley, FloridaThe successful candidate will investigate incidents, assess liability and value, negotiate with claimants and suppliers, and work closely with internal stakeholders to support excellent customer service and cost-effective claim resolution. Authorise payments, agree settlements and negotiate with claimants, solicitors and third-party representatives to reach timely resolutions.
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.
Individual Disability Claims Specialist II MetLife IncIndividual Disability Claims Specialist IITampa, FL$60,000–$70,000 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Claims Adjuster-Worker's Compensation Broward County GovernmentClaims Adjuster-Worker's CompensationFort Lauderdale, FL$56,594.10–$90,324.62 / yearInternational degrees must be evaluated by an approved member of the National Association of Credential Evaluation Services (NACES) www.naces.org/members or the Association of International Credential Evaluators (AICE) https://aice-eval.org/endorsed-members . All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
Senior Liability and Property Claims Adjuster Manatee County FLSenior Liability and Property Claims AdjusterBradenton, FL$55,000–$76,432 / yearEmployees within this class perform a variety of administrative and clerical tasks in the daily operation of the Self-Insurance Program including research, analysis, and adjusting of auto, auto liability, general liability, property, and workers' compensation claims asserted against Manatee County, Florida. Attend meditations, depositions, and hearings; review demand packages and determine case and settlement value; negotiate and settle claims within designated authority, including restitution settlements.
NewDisability Claims Specialist (Part Time) SGA Inc.Disability Claims Specialist (Part Time)Tampa, FLRemote$50 / hourProvides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorTampa, FLPerforms sophisticated analyses of large-scale hard-copy and electronic data such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. • Performs analysis to clarify the target suspects or organizations pattern of operations to identify information relevant to the legal issues involved and to recommend valuable approaches to the AUSAs or other members of the investigative team.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyLake Mary, FL$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityLake Mary, FL$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Fraud Investigator I Space Coast Credit UnionFraud Investigator IMelbourne, FL$28.13–$29.79 / hourThis role partners with law enforcement and internal teams, including Legal, Compliance, and Operations, to identify fraudulent activity, mitigate risk, and strengthen fraud detection and prevention processes. Stays current with fraud trends in the market by monitoring data from the Fraud Analysts and attending meetings/or conferences in order to prevent fraud losses to the organization and our membership.