Health Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04) Insurance Administrative Solutions LLCHealth Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04)Clearwater, 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 DavisRestoration 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.
Population Health & C3 Social Worker I South Florida Community Care NetworkPopulation Health & C3 Social Worker ISunrise, FLThis position is integral to the holistic management of patients' health, focusing on psychosocial interventions that complement medical care, promote patient engagement, and facilitate access to necessary resources and services, ultimately contributing to the overall improvement of patient outcomes and the efficient use of healthcare resources. Proficient in Team Building and Collaboration: Experience in building and participating in cross-functional teams, with a strong ability to facilitate coordination, communication, and collaboration among care team members to achieve goals and maximize positive member outcomes.
HR Generalist- Bilingual (Spanish) Sysco CorpHR Generalist- Bilingual (Spanish)Plant City, FLCERTIFICATIONS AND/OR TECHNICAL REQUIREMENTS: Human Resource Certification Institute (HRCI) Professional Human Resources (PHR) or Senior Professional Human Resources (SPHR) certification preferred. ABILITIES AND SKILLS: Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Pop Health Behavioral Healthcare Coordinator South Florida Community Care NetworkPop Health Behavioral Healthcare CoordinatorSunrise, FLCommunity Integration and Home Assessments: In conjunction with the Concierge Care Coordination Health Social Worker, conduct in-home assessments as needed to evaluate the member's home environment for safety, setting appropriateness, and the availability of needed supplies and medications. Regular Activities: While performing the duties of this job, the employee is regularly required to sit for extended periods, use hands to handle or feel objects, tools, or controls, reach with hands and arms, and communicate verbally to effectively interact with team members and enrollees.
Parts Counterperson Jenkins Kia of GainesvilleParts CounterpersonGainesville, FloridaThe parts counterperson also handles phone, electronic (email or other source) and face to face interaction with retail, wholesale customers as well as fellow employees. This position also involves local delivers and pick up of parts and equipment for the dealership while ensuring the delivery truck is in clean, safe, operable condition.
Project Manager Cavh HvacProject ManagerCasselberry, FloridaJob Management: Manage job files, coordinate the submittal process, handle order entries with factories, expedite orders, and process freight claims while following proper documentation and correspondence requirements. Communication: Engage regularly with Outside Sales Engineers, factory representatives, and customer personnel to meet project deadlines and customer needs.
Regional Director of Operations- Developer Relations Access ManagementRegional Director of Operations- Developer RelationsSarasota, FloridaFLSA Status: Exempt Position Summary The Regional Director of Operations (RDO) – Developer Services is responsible for overseeing the successful management, development, and operational performance of developer-controlled homeowners associations (HOAs) and master-planned communities within an assigned region. The RDO provides leadership, strategic direction, operational oversight, and support to Community Association Managers, Lifestyle Directors, and other onsite staff while ensuring exceptional service delivery to developer clients and residents.
HR Generalist - Bilingual (Spanish) SyscoHR Generalist - Bilingual (Spanish)Plant City, FloridaCERTIFICATIONS AND/OR TECHNICAL REQUIREMENTS: Human Resource Certification Institute (HRCI) Professional Human Resources (PHR) or Senior Professional Human Resources (SPHR) certification preferred. ABILITIES AND SKILLS: Active Listening : Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Workers' Compensation Claims Consultant CCMSIWorkers' Compensation Claims ConsultantMaitland, Florida$70,000–$90,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At 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.
Claims Specialist GEICO GENERAL INSURANCE COMPANYClaims SpecialistTampa, FL$28.29–$37.72 / hourCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines.
NewClaims Representative RedionClaims RepresentativePembroke Pines, FLPrimary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Claims Representative Auto-Owners Insurance CoClaims RepresentativeTallahassee, FLAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Auto Claims Representative Auto-Owners Insurance CoAuto Claims RepresentativeStuart, FLAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Automotive Claims Representative TTEC Holdings IncAutomotive Claims RepresentativeMelbourne, FLRemoteReceive inbound contacts (calls and web) from F/L dealerships, Competitive Make dealerships and independent repair facilities regarding extended service contract coverage and provides claims adjudication per contract terms and contact handling processes. Minimum 1-year recent experience as an automotive technician in a powertrain or body/chassis/electrical diagnostic and repair role or equivalent training - preferred.
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.
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.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeOcala, FLThe position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativeLakeland, FLAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Insurance Claims Representative | Patient Financial Services - Durbin UF HealthInsurance Claims Representative | Patient Financial Services - DurbinSt. Johns, FloridaFull timeProvides accurate and efficient clerical support for UF Health across the healthcare system by assisting in document imaging operations to include validating, prepping, scanning, indexing, and conducting quality reviews on business office documents while maintaining departmental productivity and accuracy expectations. Perform quality reviews to ensure scanned documents are complete, accurate, and properly indexed.
NewBristol West Injury Claims Attorney Representative Farmers Group, Inc.Bristol West Injury Claims Attorney RepresentativeLake Mary, FLThrough training, continuously improves skill set directly applicable to this role including but not limited to claims investigation, liability determination, coverage confirmation, establishing damages, evaluating bodily injury claims with support from management, and negotiation of claims settlement. This 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.
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.
Patient Account Rep Central Florida Health Care, Inc.Patient Account RepWinter Haven, FLMINIMAL QUALIFICATIONS: Minimum of 1-3 years healthcare experience working in a managed care, revenue cycle or billing office setting. RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following: Responsible for prompt and accurate submission and follow-up of all third-party claims.
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.
Claims Customer Service Representative Integrity Marketing GroupClaims Customer Service RepresentativeClearwater, FloridaMaintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
Claims Customer Service Representative FCCI Insurance GroupClaims Customer Service RepresentativeSarasota, FL$18.58–$28.62 / hourThe representative is also responsible for all new claims and correspondence for all regions and all lines of business, answering claim and provider inquiries, routing all other company related calls to the appropriate personnel and some administrative tasks to support the department. Currently seeking a Claims Customer Service Representative to obtain claim-related factual information from agents, policyholders and claimants in order to complete the Notice of Loss documents for all lines of business.
Travel Claims Examiner Customer Service Representative One80 IntermediariesTravel Claims Examiner Customer Service RepresentativeFloridaWith more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. $17.00 - $21.00 Hourly The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
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.
Claims 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.
Health Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04) Integrity Marketing Group, LLCHealth Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04)Clearwater, 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.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteFLRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
General Liability Claim Representative The Travelers Companies IncGeneral Liability Claim RepresentativeOrlando, FL$67,000–$110,600 / yearOne-year bodily injury liability claim handling experience, or one year of liability claim experience, or successful completion of Travelers Claim Representative training program. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
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 Property Claims Adjuster (Complex, Large Loss Claims) Tokio Marine HCCSenior Property Claims Adjuster (Complex, Large Loss Claims)FloridaRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Health Insurance Claims Specialist - Largo Prosper InfusionHealth Insurance Claims Specialist - LargoLargo, FLInsurance 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.
Claims Counsel (Remote) Ardán, Inc., A Community of CompaniesClaims Counsel (Remote)Maitland, FloridaRemote$110,000–$140,000Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Claims Counsel (Hybrid) Ardán, Inc., A Community of CompaniesClaims Counsel (Hybrid)Maitland, Florida$110,000–$140,000Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
AVP Senior Claims Counsel Dream Finders Homes IncAVP Senior Claims CounselJacksonville, FLRead, 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.
Independent Insurance Claims Adjuster in Boynton Beach, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Boynton Beach, FloridaBoynton Beach, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Lehigh Acres, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Lehigh Acres, FloridaLehigh Acres, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Chipley, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Chipley, FloridaChipley, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Lake Worth, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Lake Worth, FloridaLake Worth, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
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Independent Insurance Claims Adjuster in Brandon, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Brandon, FloridaBrandon, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Safety Harbor, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Safety Harbor, FloridaSafety Harbor, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Longwood, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Longwood, FloridaLongwood, FloridaAPPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Independent Insurance Claims Adjuster in Sun City Center, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Sun City Center, FloridaSun City Center, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Winter Springs, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Winter Springs, FloridaWinter Springs, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in North Fort Myers, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in North Fort Myers, FloridaNorth Fort Myers, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Parrish, Florida MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Parrish, FloridaParrish, FloridaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.