Claims 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.
Senior Casualty Claims Specialist Sompo InternationalSenior Casualty Claims SpecialistMiami, FL$125,000–$175,000 / yearThe candidate must be agile, effective at priority setting, willing to travel to attend mediations (under proper conditions), and one who excels at interaction with internal and external customers, underwriters, peers and management. Proven ability to manage multiple projects, prioritize effectively, work independently, and use systems such as MS Word, Excel, Outlook, and claims platforms like Guidewire, Genius, and ImageRight.
Senior Casualty Claims Specialist Sompo International Holdings LimitedSenior Casualty Claims SpecialistMiami, FL$125,000–$175,000 / yearThe candidate must be agile, effective at priority setting, willing to travel to attend mediations (under proper conditions), and one who excels at interaction with internal and external customers, underwriters, peers and management. Proven ability to manage multiple projects, prioritize effectively, work independently, and use systems such as MS Word, Excel, Outlook, and claims platforms like Guidewire, Genius, and ImageRight.
Claims Counsel, Cml, Public Companies Sompo InternationalClaims Counsel, Cml, Public CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Claims Counsel, Cml, Private Companies Sompo InternationalClaims Counsel, Cml, Private CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Claims Counsel, CML, Public Companies Sompo International Holdings LimitedClaims Counsel, CML, Public CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Claims Counsel, CML, Private Companies Sompo International Holdings LimitedClaims Counsel, CML, Private CompaniesMiami, FL$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Senior Manager, Regional Claims DSV ASSenior Manager, Regional ClaimsMiami, FL$140,000–$160,000 / yearThis is a highly collaborative, internationally focused role based in Miami, Florida, with regular interaction with colleagues, customers, insurers, legal professionals, and business leaders across the Americas and globally. At DSV, our purpose is to keep customers' supply chains flowing and enable the business of our customers by ensuring reliable and efficient transport and logistics services through storage and transport of goods by air, sea and road.
Complex Claims Manager - Construction Defect and Environmental CRC Insurance Services, LLCComplex Claims Manager - Construction Defect and EnvironmentalFLPlease review the following job description: A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as claims involving General Liability (GL) and Excess Liability. This role involves analyzing coverage, assessing liability, negotiating settlements, and managing legal defense strategies, all while ensuring compliance with environmental regulations and minimizing the company''s financial exposure.
NewSr Insights Analyst (Claims) Assurant IncSr Insights Analyst (Claims)Miami, FL$74,600–$124,700 / yearActs as the customer / IT liaison during analysis, requirements definition and design activities; develop and maintain an understanding of the business, business strategies and roadmap; collaborates with business stakeholders to define and document business requirements and with technical staff to develop solution alternatives. Assist in identifying and acquiring relevant data from external sources (e.g., XACT, DXC, Kwikwork) and guiding integration into internal systems as part of corporate initiatives such as system integrations, business acquisitions, and assumptions.
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.
Claims Auditor Independent Living Systems LLCClaims AuditorMiami, 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. By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors.
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.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryFLTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoFL$50,000–$55,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)FLRemoteMental: 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. To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Medical Billing & Claims Assistant – Entry Level Move VerticalMedical Billing & Claims Assistant – Entry LevelMiami, FloridaThis entry-level position assists with claims processing, patient account information, insurance verification, and general billing support. We are seeking detail-oriented candidates interested in beginning a career in medical billing, insurance, and healthcare revenue-cycle operations.
Claims Team Lead, Auto | Remote Sedgwick Claims Management Services, Inc.Claims Team Lead, Auto | RemoteFLRemotePRIMARY 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.
Claims Team Lead, Auto Sedgwick Claims Management Services, Inc.Claims Team Lead, AutoFLPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and 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.
Claims Team Lead - Liability Bodily Injury Sedgwick Claims Management Services, Inc.Claims Team Lead - Liability Bodily InjuryFLPRIMARY 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.