NewSr. Injury Claims Adjuster USAASr. Injury Claims AdjusterTampa, FL$63,590–$121,530 / yearInjury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
NewMedical Billing Specialist (On-Site) PedIM HealthcareMedical Billing Specialist (On-Site)Crystal River, FL$16–$18 / hourWe are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.
NewMedical Billing Insurance A/R Specialist PedIM HealthcareMedical Billing Insurance A/R SpecialistCrystal River, FL$16–$18 / hourThe ideal candidate will have experience working insurance accounts receivable, resolving claim denials, and following up with insurance companies to ensure timely payment of claims. We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
NewMEDICAL BILLING SPECIALIST Aspire Health PartnersMEDICAL BILLING SPECIALISTORLANDO, FLServing nearly 40,000 clients per year, with locations in six Central Florida counties and currently expanding into Hinesville, Georgia Aspire has delivered state-of-the-art behavioral healthcare and is regularly sought out both statewide and nationally as an expert in the field. With its mission of providing the highest quality of compassionate, comprehensive, and cost effective integrated behavioral healthcare, Aspire, through its more than two dozen campus locations provides a comprehensive continuum of services for children, adolescents, adults, seniors, and families.
Claims Processor Self-Funded Marpai Administrators LLCClaims Processor Self-FundedTampa, FLRemoteFull timeMarpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
NewMedical Billing Claims Clerk Global Channel ManagementMedical Billing Claims ClerkPalm Harbor, FloridaMedical Billing Claims Clerk duties: following up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
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.
Medical Claims Recovery Specialist (Subrogation) - Tallahassee, FL - Hybrid Gainwell Technologies LLCMedical Claims Recovery Specialist (Subrogation) - Tallahassee, FL - HybridTallahassee, FL$43,500–$48,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $43,500.00 - $48,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)FLThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
NewMedical Billing Claims Rep GlobalchannelmanagementMedical Billing Claims RepPalm Harbor, FloridaMedical Billing Claims Rep duties: Follow up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes. Provide support in other departments if needed when requested by management and provide superior customer service to internal and external customers.
Complex Claims Consultant - Medical Malpractice CNA Financial CorpComplex Claims Consultant - Medical MalpracticeLake Mary, FL$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Medical Claim Coding Talent Pipeline Unified Women's Healthcare LLCMedical Claim Coding Talent PipelineFLThrough 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
NewAdmin Processor n Global Channel ManagementAdmin Processor nPalm Harbor, FloridaAdmin Processor duties: Follow up with customers, verifying the clients information, sending emails, utilizing product and pricing information to assist in answering questions. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
NewAdmin Processor Global Channel ManagementAdmin ProcessorPalm Harbor, FloridaAdmin Processor duties: Follow up with customers, verifying the clients information, sending emails, utilizing product and pricing information to assist in answering questions. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
NewClaims & Billing Analyst Independent Living Systems LLCClaims & Billing AnalystMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.
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.
Claims Analyst Team Lead South Florida Community Care NetworkClaims Analyst Team LeadSunrise, FLThe Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Monitor and ensure that all Customer Relationship Management (CRM) requests and inquiries to the analyst email distribution list are completed in a timely manner.
NewClaims Correspondence Coordinator Independent Living Systems LLCClaims Correspondence CoordinatorMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Claims Correspondence Coordinator acts as a liaison to clarify claim statuses, respond to inquiries, and support disputes and appeals processing team by maintaining organized records and documentation.
NewEpic Certified Applications Analyst III Claims Expert In Recruitment SolutionsEpic Certified Applications Analyst III ClaimsHealth First, FLThe Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality. Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.
NewClaims Processing Assistant AscensionClaims Processing AssistantJacksonville, FloridaFull timeOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Examiner, Claims Molina Healthcare IncExaminer, ClaimsFLProvides 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 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience.
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.
Epic HB Claims Analyst ClinDCastEpic HB Claims AnalystTampa/Orlando, FloridaAs a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
Adjuster, Claims Molina Healthcare IncAdjuster, ClaimsFLProvides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience.
Claims Processing Representative Humana IncClaims Processing RepresentativeFL$40,000–$52,300 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended. NOTE: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
All Lines Claims Adjuster City of Jacksonville, FLAll Lines Claims AdjusterJacksonville, FLOur comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical reimbursement, dependent care, parking, and transit expenses; an employee assistance program for you and your dependents; a 457(b) tax-deferred compensation plan to supplement your retirement, and a ROTH IRA plan. Makes decisions determining settlements, settlement values, payment processing or denial of claims utilizing knowledge of local, state, and federal laws up to their assigned settlement authority under the direction of the General Liability Claims Manager.
Claims Operations Director Capital Health PlanClaims Operations DirectorTallahassee, FLFull timeThe Claims Operations Director partners closely with senior leadership, cross‑functional teams, and third‑party vendors to drive operational performance, regulatory compliance, system enhancements, and continuous improvement across all claims‑related functions. Founded by community leaders with a mission to deliver high‑quality, affordable, and patient‑centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.
Epic Claims Analyst III StratAcuity Staffing Partners IncEpic Claims Analyst IIIFlorida, FL$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.
NewClaims Resolution Specialist II, Hospital Billing, Baptist Metro Baptist Health System IncClaims Resolution Specialist II, Hospital Billing, Baptist MetroFLThe Claims Resolution Specialist II should have expertise in the following areas within the revenue Cycle: Registration, Eligibility, Charge Capture, Clearinghouse, Payment Posting, Claim Denial, and Credit Management. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Workers' Compensation Claims Assistant FrankCrumWorkers' Compensation Claims AssistantClearwater, FLFrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida. Sends out new and renewal packets for Policyholders and PEO clients, including WC posting notice, Intro letter, WC reporting guidelines, provider panels, and panel requirements for panel states.
Claims Representative I Elevance Health IncClaims Representative ITampa, FL$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Health Insurance Claims Adjuster Insurance Administrative SolutionsHealth 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.
Epic HB Claims Analyst ClinDCast LLCEpic HB Claims AnalystTampa/Orlando, FLFull timeThis role will partner with revenue cycle leadership, finance teams, operational stakeholders, and technical teams to improve billing accuracy, reimbursement, denial management, and overall revenue cycle performance. We are seeking an experienced Senior Epic Resolute Revenue Cycle Analyst/Administrator to support, optimize, and enhance Epic Hospital Billing (HB), Professional Billing (PB), and Single Billing Office (SBO) applications.
NewClaims Coordinator LotSolutions, Inc.Claims CoordinatorJacksonville, FLPart timeAdditional responsibilities include preparing and managing correspondence, troubleshooting operational issues, and performing administrative tasks, ensuring collaboration across teams to advance Fortegra's claims processes. This role is responsible for generating and distributing reports, communicating with internal teams and external partners, and verifying claims information.
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.
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").
Disability Claims Specialist (Part Time) Software Guidance & AssistanceDisability Claims Specialist (Part Time)Tampa, FLRemote$0–$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.
Major Case General Liability Claims Consultant The Hartford Insurance Group IncMajor Case General Liability Claims ConsultantLake Mary, FL$84,800–$127,200 / yearFor full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA, NYC, NY) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
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.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterFL$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. 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.
Health Insurance Claims Adjuster Integrity Marketing GroupHealth 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.
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.
NewClaims Adjuster The Remas CompanyClaims AdjusterFort Lauderdale, FloridaCoordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings, and prepares accident reports. Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action.
Multi-Line Claims Adjuster (Commercial Auto, BI, PD) CCMSIMulti-Line Claims Adjuster (Commercial Auto, BI, PD)Maitland, Florida$68,500–$85,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
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.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyJacksonville, FL$90,000–$150,000 / yearPart timeAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
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.
VSC Level 3 Claims Adjuster Integro Professional Services, LLCVSC Level 3 Claims AdjusterOrlando, FLFull timeYou will be responsible for accurately assessing and processing extended warranty claims, ensuring compliance with company policies and procedures, and providing exceptional customer service to all stakeholders involved. As an VSC Level 3 Claims Adjuster, you will play a vital role in our company's claims administration process, specifically related to automotive extended warranty claims.
NewClaims Processing Assistant Ascension Health AllianceClaims Processing AssistantJacksonville, FLOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTETallahassee, FLRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.