UNKNOWN

ADAPTED_NOW

HOUR

Provides 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.

Software Guidance & Assistance

Disability Claims Specialist (Part Time)

FEED

Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

Molina Healthcare Inc.

Specialist, Appeals & Grievances (Claims)

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Experience managing complex, litigated, high-severity, and catastrophic claims and overseeing TPAs, insurers, and defense counsel. This Job Description indicates the general nature and level of work to be performed in this position and it is not intended to contain or be interpreted as a comprehensive inventory of all the duties, responsibilities, functions and qualifications required of the position.

Circle K Stores, Inc.

NA Claims Director

Job Summary: The Claims Control Clerk is responsible for maintaining control of all mail delivered from the mailroom by logging in each batch under the appropriate client code and delivering all batches to the correct areas that may not be scanned into AWD. Inventory reports are run daily, and information is communicated to claim managers and supervisors, after logging completed claim information in Daily Operation Statistic and inventory tracking reports.

Integrity Marketing Group

Claims Control Clerk

Insurance 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.

Prosper Infusion

Health Insurance Claims Specialist - Largo

As a Field Claims Adjuster, you will investigate and evaluate field claims reported on our policies to determine coverage and extent of damage in an attempt to reach an appropriate and negotiated settlement in accordance with statutory requirements, policy provisions and customary and reasonable mitigation techniques. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, South Carolina, and North Carolina.

American Integrity Insurance Company of Florida, Inc.

Field Claims Adjuster - Brevard County

[AW]-iCims

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.

AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.

American International Group

Claims Examiner - Federal Workers' Compensation

Support workload surges and catastrophe (CAT) response operations as needed, including potential evening, weekends, and/or holiday work outside normal work. you deliver best in class customer service through setting appropriate expectations, proactively communicating and providing advice to deliver appropriate solutions to the.

YEAR

Industry leading service that puts our memberships' needs first. We're dedicated to the financial well-being of members of the military and their families for generations to come. That's why we provide a variety of financial products and best-in-class service to help our members achieve their financial goals and plan for the future. Our history continues to drive our purpose. USAA began in 1922 with 25 Army officers who offered to insure each other's vehicles when no one else would. Today, their tiny organization has grown into a respected institution offering a full range of financial products to millions of members. We believe they'd be pleased to know that USAA remains true to their founding values of service, loyalty, honesty and integrity. In 1922, when 25 Army officers met in San Antonio, Texas, and decided to insure each other's vehicles, they could not have imagined that their tiny organization would one day serve over 8 million members and become one of the only fully integrated financial services companies in America. We believe they would be pleased to know that USAA has remained true to their founding values of service, loyalty, honesty and integrity.

United Services Automobile Association (USAA)

Associate Auto Adjuster-Claims

Individual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.

CNA Financial Corp

Claims Consultant - Advertising / Personal Injury

linkup_via_bold

As part of our inside claims team, you'll investigate and evaluate claims reported on our policies to determine coverage and extent of damage in an attempt to reach an appropriate and negotiated settlement in accordance with statutory requirements, policy provisions and customary and reasonable mitigation techniques. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, South Carolina, and North Carolina.

Inside Claims Adjuster

Directly supervises a team of PIP and/or PIP Demand Adjusters ensuring losses are handled in a professional and prompt manner and that specified goals are met. Above average computer skills with various industry software knowledge a plus; ability to use Microsoft Office Suite products.

First Acceptance

Claims PIP Manager

sourcestack_via_bold

The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.

The Fortegra Group Inc

Senior Claims Adjuster, TPA Oversight

Research and interpret injury related statutory provisions and case law, examine points of impact and extent of damage relative to the injury claimed, access prior injury information, obtain proper release documentation, obtain medical reports, and conduct detailed injury-specific research relating to the injury claimed, thoroughly document injury related treatment history and develop a comprehensive settlement strategy. Position Summary: At Kemper, a Represented Casualty Claims Adjuster is responsible for the investigation, evaluation, and negotiation attorney represented bodily injury and uninsured motorist claims with varying degrees of complexity.

Kemper at a glance
The Kemper family of companies is one of the nation’s leading insurers. With $8 billion in assets, Kemper is improving the world of insurance by offering personalized solutions for individuals, families and businesses.
Kemper's businesses collectively: 
<ul>
<li> Offer insurance for home, auto, life, health and valuables</li>

<li> Service six million policies</li>

<li> Are represented by more than 20,000 independent agents and brokers</li>

<li> Employ 6,000 associates dedicated to providing exceptional service</li>

<li> Are licensed to sell insurance in 50 states and the District of Columbia </li>
</ul>
Our rated1 underwriting companies:
<ul>
Are rated A- (Excellent) by A.M. Best Company, the leading insurance industry rating authority 
Learn more about <a href="https://www.kemper.com/wps/portal/Kemper/Home/AboutKemper/QuickFacts/?1dmy&#38;current=true&#38;urile=wcm%3apath%3a/kemper/aboutkemper/businessinformation/ourbusinesses" mns_rt="Company" target="_blank" itemprop="url" style="color:#c54c00;">Our Businesses</a>.

1 Alliance United Insurance Company is not rated.

Kemper Corp

Represented Casualty Claims Adjuster

Completes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and related costs, as well as judgment of extent of disability.

Employers Holdings Inc

Senior Claims Adjuster I | Florida

Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.

Commercial Auto Claims Consultant

Read, analyze, and interpret legal documents and legal descriptions; Respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community; Prepare and present speeches, seminars, and articles for publication that conform to prescribed style and format. Summary: Attorney who is responsible for investigating and handling title insurance claims to resolution; and supporting the Claims Manager and the Chief Claims Counsel (Claims Manager and Chief Claims Counsel are both referred to as "Claims Management") with managerial tasks.

Dream Finders Homes Inc

AVP Senior Claims Counsel

OTHER

Kforce has a client in Jacksonville, FL that is seeking a Claims Adjuster to join a customer-focused claims team responsible for reviewing and processing vehicle service contract claims. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.

Kforce is a solutions firm specializing in technology, finance and accounting, and professional staffing services. Our KNOWLEDGEforce® empowers top companies to achieve their digital transformation goals. We curate teams of technical experts who deliver solutions custom-tailored to each client’s needs. These scalable, flexible outcomes are shaped by deep market knowledge, thought leadership and our multi-industry expertise.
 
Our integrated approach is rooted in 60 years of proven success deploying highly skilled professionals on a temporary and direct-hire basis. Each year, approximately 18,000 talented experts work with the Fortune 500 and other leading companies. Together, we deliver Great Results Through Strategic Partnership and Knowledge Sharing®.

Kforce Inc.

Mechanical Claims Adjuster

kforce

The Claims Department Manager partners closely with the Director of Claims and other organizational leaders to identify and communicate business needs, implement operational improvements, support strategic initiatives, and drive process efficiencies. This position oversees claims supervisors, claim support functions, and operational initiatives to ensure timely, accurate and compliant processing of claims while meeting client, regulatory, financial, and customer service expectations.

Insurance Administrative Solutions LLC

Manager, Claims

This role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.

South Florida Community Care Network

Claims Analyst

Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values. Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines.

Claims Representative Jobs in Florida

Disability Claims Specialist (Part Time) Software Guidance & Assistance

Specialist, Appeals & Grievances (Claims) Molina Healthcare Inc.

NA Claims Director Circle K Stores, Inc.

Claims Control Clerk Integrity Marketing Group

Health Insurance Claims Specialist - Largo Prosper Infusion

Field Claims Adjuster - Brevard County American Integrity Insurance Company of Florida, Inc.

Claims Examiner - Federal Workers' Compensation American International Group

Associate Auto Adjuster-Claims United Services Automobile Association (USAA)

Claims Consultant - Advertising / Personal Injury CNA Financial Corp

Inside Claims Adjuster American Integrity Insurance Company of Florida, Inc.

Claims PIP Manager First Acceptance

Senior Claims Adjuster, TPA Oversight The Fortegra Group Inc

Represented Casualty Claims Adjuster Kemper Corp

Senior Claims Adjuster I | Florida Employers Holdings Inc

Commercial Auto Claims Consultant CNA Financial Corp

AVP Senior Claims Counsel Dream Finders Homes Inc

Mechanical Claims Adjuster Kforce Inc.

Manager, Claims Insurance Administrative Solutions LLC

Claims Analyst South Florida Community Care Network

Senior Claims Adjuster Davies Group Ltd

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