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A 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.

TWAY Trustway Services

SIU Desk Investigator - Tampa

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Ensure all promotional activities adhere to regulatory frameworks, including the Federal Trade Commission (FTC) guidelines, Lanham Act, CAN-SPAM, TCPA, and state-level consumer protection laws. Draft, review, and negotiate marketing-related contracts, including master services agreements with creative agencies, media-buying agreements, event sponsorships, and intellectual property licenses.

Mattamy

Corporate Counsel, Marketing, Contracts & Compliance

Use approved AI-enabled productivity and research tools responsibly in support of risk management activities, including validating outputs, protecting confidential information, exercising independent judgment, and complying with applicable firm policies. Strong interpersonal, written communication, and negotiation skills, with the ability to address complex and sensitive issues professionally with design professionals, firm management, attorneys, insurers, and clients.

Gresham, Smith and Partners

Risk Manager - Corporate Services

Mattamy Homes

Reporting to the Vice President, Assistant General Counsel, with a dotted-line relationship to the Chief Legal & Compliance Officer, this role will handle pre-litigation labor and employment claims, commercial contract disputes, regulatory filings and disputes, mediations, collections, intellectual property matters, privacy and data protection matters, and workers' compensation claims. Coordinate with Human Resources, Operations, insurers, third-party administrators, brokers, and outside counsel, and use claim insights to recommend improvements to safety, training, documentation, return-to-work processes, and loss prevention.

YEAR

Valet Living LLC

Director, Litigation Counsel

FrankCrum, 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. In this role, you'll contribute to the mission of FrankCrum by providing paralegal support duties to staff counsel in the defense of Frank Winston Crum Insurance Company and Clear Blue Insurance Company’s insureds in litigated matters involving in property, bodily injury, and construction defect claims throughout the State of Florida.

Frank Winston Crum Insurance

Sr. Paralegal

Draft, review, evaluate, summarize, revise and negotiate routine and non-routine contracts, including, but not limited to confidentiality and non-disclosure, consulting, distributor, sales representative, supply, service, software, manufacturing, consignment, non-compete, terms and conditions of sale, terms and conditions of purchase, statements of work and other commercial documents for domestic and international business units in multiple practice areas. The Associate General Counsel- Americas is responsible for providing comprehensive legal service to the Americas region, including oversight of litigation, corporate secretary function and general corporate legal transactions including contracts, real estate, compliance issues, employment matters and supervision of outside counsel as needed.

With over $2B in revenue, 80+ manufacturing facilities across 6 continents and over 9,000 employees worldwide, Signode is a leading manufacturer of a broad spectrum of transit packaging consumables, tools, software, and equipment that optimize end-of-line packaging operations and protect products in transit. Signode brings this extensive product portfolio together under hundreds of trusted brands to offer complete transit packaging solutions to its customers. We produce strap, stretch and protective packaging. We also manufacture packaging tools and equipment used to apply the bulk packaging materials. These commercial packaging products are used to pack, bundle, unitize, protect and secure goods during warehousing and transit. Our company is a pioneer in the industrial packaging sector with a long history of customer-focused innovations in materials, processes and automation technology that have revolutionized the sector. We are proud to be the Transit Packaging Division of Crown Holdings, Inc. We are excited to go to market as Signode and to share the portfolio of products, services and capabilities that make us the world’s premier end-of-line packaging company.

Signode Industrial Group

Associate General Counsel, Americas

The Tampa office of Kubicki Draper is currently seeking an attorney with a minimum of 7 years of insurance defense and civil litigation experience, with emphasis on third-party bodily injury claims as well as handling extensive personal injury claims, including automobile claims, traumatic brain injuries, significant injuries to property or business and wrongful death claims. Drive for Success: Possess an unyielding drive to climb the hierarchical ladder, aspiring to leadership roles and leaving a mark.

Kubicki Draper

Junior Shareholder

Responsible for providing Citi businesses and functions with legal counsel; supporting strategic initiatives and product/service launches, providing subject matter expertise and interpretations of relevant laws, rules, regulations, and industry practices, and advising business management/leadership on all manners of legal matters related to Employment & HR. Serves as a recognized subject matter expert to senior management or key regional management and/or primary advisor to senior business stakeholders, functional partners (e.g., Risk, Compliance, Finance, CAO, CCO), the Legal Management Council (LMC), Practice Group Heads, and/or Regional/Country Leadership.

Citigroup Inc

SVP, Senior Lead Counsel - Employment & HR

To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.

Based in Atlanta, Georgia, Crawford &amp; Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. 

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration 

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Crawford & Co

Medical Case Manager

As a Tampa Bay Times Top Workplace, Valet Living has been setting the standard for doorstep collection and recycling since 1995. Servicing over a million apartment homes across 38 states, Valet Living has grown to become not just the only national provider of doorstep collection and recycling services, but also the only nationally-recognized full service amenities provider to the multifamily industry. In addition to doorstep collection, Valet Living&rsquo;s turns, maintenance and pet station solutions make life easier for both property managers and residents, while improving property values. With the launch of its resident-facing amenity services mobile app, Valet Living Home, Valet Living is now the only company in the multifamily industry to combine doorstep collection with both sustainability-related and premium home-related services. Valet Living is a portfolio company of the Private Equity Group of Ares Management, L.P. (NYSE: ARES) and Harvest Partners, LP.

Valet Living

Duties and Responsibilities: Draft, review, negotiate, and manage complex commercial agreements including SaaS, technology services, data sharing, data use agreements, strategic alliances and vendor contracts; Structure and negotiate clearinghouse connectivity agreements, trading partner agreements, EDI-related contracts, and interoperability arrangements supporting provider revenue cycle and claims workflows; Work cross-functionally with the Sales, Finance and Product teams to ensure that contractual terms are compliant with legal, regulatory and corporate risk preferences; Advise internal stakeholders on topics relating to compliance with healthcare laws, including HIPAA, fraud and abuse laws and legal aspects related to Medicare and Medicaid compliance; Contribute to legal strategy and day-to-day management of any pending subpoenas, litigation and investigations; Provide leadership in responding to regulatory inquiries, audits and investigations relating to healthcare and data privacy topics; Advise on the commercial and regulatory implications of proposed data uses; Take on additional assignments and responsibilities as business needs dictate; Maintain compliance with Inovalon's policies, procedures and mission statement; Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company; and. Job Requirements: At least ten (10) years of relevant legal experience as a practicing attorney with at least five (5) years of experience working at a law firm, corporate legal department or similar organization; Significant experience drafting, reviewing, negotiating, and advising on complex commercial agreements; High volume commercial transactions experience with a sales-driven, software or technology company is a plus; Experience supporting healthcare provider organizations such as hospitals, health systems, physician groups, ambulatory practices and payers is preferred; Ability to identify and assess legal, operational, and business risks while delivering practical, solution-oriented guidance to business partners; Excellent verbal and written communication skills, with the ability to clearly convey complex legal concepts and risks to business and executive stakeholders; Ability to effectively manage and prioritize multiple deals, agreements, and deadlines in a fast-paced environment; and.

Inovalon

Senior Legal Counsel (Hybrid)

Participates in and presents victim cases at external team staffing for case assessment, to identify issues and facilitate problem solving strategies with collaborative partners including Child Welfare cases, probation or CAC cases as directed by the Director of the Corbett Trauma Center. The Crisis Center of Tampa Bay brings help, hope and healing to people facing serious life challenges or trauma resulting from sexual assault or abuse, domestic violence, financial distress, substance abuse, medical emergency, suicidal thoughts, emotional or situational problems.

CRISIS CENTER OF TAMPA BAY, INC., THE

Manager of Clinical Services

FrankCrum, 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. In this role, youll contribute to the mission of FrankCrum by providing paralegal support duties to staff counsel in the defense of Frank Winston Crum Insurance Company and Clear Blue Insurance Company's insureds in litigated matters involving in property, bodily injury, and construction defect claims throughout the State of Florida.

Frank Winston Crum Insurance, Inc.

The PIP adjuster will investigate coverage, medically manage files, pay medical bill as warranted and identify potential fraud indicators. Ability to work in a high volume, fast paced environment while maintaining accurate and detailed file handling.

AssuranceAmerica Corporation

PIP Adjuster I

The Tampa office of Kubicki Draper is seeking a Legal Assistant with experience in insurance defense, including complex Federal and State Court litigation involving professional liability, products liability, medical malpractice, wrongful death, and catastrophic injury claims. The KD difference: A strong and diverse culture, true work-life balance with a fast track to career growth and development.

Legal Assistant

This is an outstanding opportunity for a skilled attorney seeking a to grow a trial practice while working alongside experienced litigators handling complex, high-stakes matters across a variety of industries. Candidates with a background in complex litigation matters, including experience managing cases through discovery, motion practice, depositions, trial, and appeal, are encouraged to apply.

Founded in 1925, Shumaker, Loop &amp; Kendrick, LLP is a full-service business law firm with more than 260 lawyers and five offices in Toledo and Columbus, Ohio; Tampa and Sarasota, Florida; and Charlotte, North Carolina.&nbsp; Shumaker is a premier provider of quality legal services.&nbsp; Whether it's commitment to clients or work in the community, involvement lies at the core of all of Shumaker&rsquo;s initiatives.

Shumaker, Loop & Kendrick, LLP

Litigation Partner

Reconciles, balances, and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity.

HOUR

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Collections Representative

Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. How you will make an impact: Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.

Claims Attorney Jobs in Tampa, FL

SIU Desk Investigator - Tampa TWAY Trustway Services

Corporate Counsel, Marketing, Contracts & Compliance Mattamy

Risk Manager - Corporate Services Gresham, Smith and Partners

Corporate Counsel, Marketing, Contracts & Compliance Mattamy Homes

Director, Litigation Counsel Valet Living LLC

Sr. Paralegal Frank Winston Crum Insurance

Associate General Counsel, Americas Signode Industrial Group

Junior Shareholder Kubicki Draper

SVP, Senior Lead Counsel - Employment & HR Citigroup Inc

Medical Case Manager Crawford & Co

Director, Litigation Counsel Valet Living

Senior Legal Counsel (Hybrid) Inovalon

Manager of Clinical Services CRISIS CENTER OF TAMPA BAY, INC., THE

Sr. Paralegal Frank Winston Crum Insurance, Inc.

PIP Adjuster I AssuranceAmerica Corporation

Legal Assistant Kubicki Draper

Litigation Partner Shumaker, Loop & Kendrick, LLP

Collections Representative UnitedHealth Group Inc

eCOB Specialist II - Newborn Benefits Elevance Health Inc

PIP Adjuster I TWAY Trustway Services

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