NewBilingual (Spanish) Claims Service Specialist GEICOBilingual (Spanish) Claims Service SpecialistKathleen, FL$20.84–$26.05Customer 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. . Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
NewInside Property Adjuster Specialist - Specialty Claims Team USAAInside Property Adjuster Specialist - Specialty Claims TeamTampa, FL$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
NewConstruction Litigation Attorney JobotConstruction Litigation AttorneyBoca Raton, FL$150,000–$225,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role requires a confident litigator with strong courtroom experience, exceptional writing skills, and a demonstrated ability to manage high-stakes cases from inception through trial.
NewTravel Nurse RN - Outpatient Clinic - $1,903 per week in Bradenton, FL Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,903 per week in Bradenton, FLBradenton, FL$1,903–$1,903A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyLake Mary, FL$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Subrogation Claims Specialist Davies Group LtdSubrogation Claims SpecialistFlorida, FLRemote$55,000–$65,000 / yearThis role requires a self-motivated professional with exceptional analytical, communication, and organizational skills who can manage a high-volume workload independently, while collaborating closely with internal teams and external clients to maximize recovery opportunities. The successful candidate will be responsible for conducting thorough investigations, evaluating potential third-party liability, documenting claim files with precision, and negotiating settlements in line with client directives.
Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceConstruction Defect Technical Claims SpecialistClearwater, FloridaThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Health Insurance Claims Specialist - Largo Prosper InfusionHealth Insurance Claims Specialist - LargoLargo, FLFull timeInsurance 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 Specialist CorVel Enterprise Claims, Inc.Claims SpecialistTampa, FL$52,999–$85,473 / yearPart timeThe Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Complex Claims Specialist W. R. Berkley CorpComplex Claims SpecialistJacksonville, FLPlans and conducts investigations of high severity bodily injury claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. The primary role of a Complex Claims Bodily Injury Specialist is to promptly and professionally ensure high quality claim handling by analyzing BI / liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured's exposure and moving cases towards timely resolution.
Liability Claims Specialist CorVel CorpLiability Claims SpecialistTampa, FL$52,999–$85,473 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
CLAIMS SPECIALIST The GEO Group IncCLAIMS SPECIALISTBoca Raton, FLFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Under minimal supervision, this position investigates Workers'' Compensation (WC) claims and Auto Liability claims and reports, and information provided to third-party administrators to ensure compliance with federal and state regulations and organizational policies.
Personal and Advertising Injury Liability Claims Specialist The Hartford Insurance Group IncPersonal and Advertising Injury Liability Claims SpecialistLake Mary, FLRemote$107,600–$161,400 / yearInternet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Claims Specialist CorVel CorpClaims SpecialistTampa, FL$52,999–$85,473 / yearThe Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Long Term Disability Claims Specialist I MetLife IncLong Term Disability Claims Specialist ITampa, FL$41,600–$60,500 / 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").
Claims Specialist Bodily Injury- Remote Great American Insurance CompanyClaims Specialist Bodily Injury- RemoteFlorida, FLRemote$80,000–$88,000 / yearAs one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets.
Claims Specialist Bodily Injury National Interstate CorporationClaims Specialist Bodily InjuryFloridaAs one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets.
Claims Specialist GEICO GENERAL INSURANCE COMPANYClaims SpecialistTampa, FL$28.29–$34.24 / 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. Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States.
Auto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistLake Mary, FL$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
NewInsurance Claims Specialist | Patient Financial Services UF HealthInsurance Claims Specialist | Patient Financial ServicesSt. Augustine, FloridaThis role supports daily insurance follow-up operations through payer correspondence coordination, claim documentation review, Epic account updates, and accurate claim processing and routing. Minimum of six (6) months of billing experience within a hospital or physician practice setting, or one (1) year of experience in a business environment involving finance, accounting, or insurance portal systems.
Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadFLRemote$156,000–$187,500 / yearBoston 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, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
Senior Environmental Technical Claims Specialist Argo Group International Holdings IncSenior Environmental Technical Claims SpecialistFL$99,200–$118,100 / yearAlternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston 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.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistFLRemote$137,496–$164,934 / yearBoston 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, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Temporary Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceTemporary Construction Defect Technical Claims SpecialistClearwater, FLThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Fort Lauderdale, FLKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Insurance Claims Specialist Mid Florida FinancingInsurance Claims SpecialistLakeland, FloridaAssists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service. Provides exceptional customer service while investigating policy coverage, liability and damages in a timely manner.
Restoration Estimator & Insurance Claims Specialist Paul Davis RestorationRestoration Estimator & Insurance Claims SpecialistHialeah, FloridaIf 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.
Litigated Claims Specialist (General Liability) Zurich Insurance Group LtdLitigated Claims Specialist (General Liability)Maitland, FLOur hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.
Senior Casualty Claims Specialist - Southeast Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - SoutheastTampa, FLRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Commercial Auto/GL Claims Specialist Amerisure Mutual Insurance CompanyCommercial Auto/GL Claims SpecialistTampa, FLRemoteRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Claims Specialist - Riverview, FL BlueGrace LogisticsClaims Specialist - Riverview, FLRiverview, FLThis role serves as a key liaison between customers, carriers, and internal teams to ensure timely and accurate claim handling while delivering exceptional customer service and minimizing financial exposure. Bachelor's degree in Supply Chain Management, Logistics, Business, Finance, or a related field; equivalent professional experience may be considered in lieu of a degree.
Senior Complex Claims Specialist (REMOTE) Amerisure Mutual Insurance CompanySenior Complex Claims Specialist (REMOTE)Tampa, FLRemote10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel. Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes.
Claims Resolution Specialist 1 - USFTGP RCO Tampa General HospitalClaims Resolution Specialist 1 - USFTGP RCOTampa, FLRequired • High School Diploma Work Experience and Additional Information • 2 years experience in physician billing and collection experience preferred • CPT ICD9 experience • IDX Software preferred Essential Functions • Contact payers regarding outstanding claim status and determine appropriate action for swift resolution of outstanding claims • Process appeals and claim resubmissions per payer policy and identify any trends that may allow for a front end edit to be put in place to assist with clean claim filing • As a Senior Claims Specialist you will be expected to provide assistance to coworkers on the floor ensure all are supported in their daily functions • Responsible for 2nd3rd level appeals for any and all payers making certain documentation being sent includes all necessary items to support our claim • Stay current on carrier guidelines as well as State and Federal regulations Required • High School Diploma Work Experience and Additional Information • 2 years experience in physician billing and collection experience preferred • CPT ICD9 experience • IDX Software preferred Essential Functions • Contact payers regarding outstanding claim status and determine appropriate action for swift resolution of outstanding claims • Process appeals and claim resubmissions per payer policy and identify any trends that may allow for a front end edit to be put in place to assist with clean claim filing • As a Senior Claims Specialist you will be expected to provide assistance to coworkers on the floor ensure all are supported in their daily functions • Responsible for 2nd3rd level appeals for any and all payers making certain documentation being sent includes all necessary items to support our claim • Stay current on carrier guidelines as well as State and Federal regulations. 671133true671133falseSubmission for the position Claims Resolution Specialist 1 - USFTGP RCO - Job Number 250004IBfalse671133falsetrueClaims Resolution Specialist 1 - USFTGP RCO 250004IB Responsible for prompt and accurate submission and follow-up of all third party claims.
Claims Service Specialist GEICO GENERAL INSURANCE COMPANYClaims Service SpecialistLakeland, FL$20.84–$26.05 / 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. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistLakeland, FloridaThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Commercial Auto & General Liability Claims Specialist, Construction CNA Financial CorpCommercial Auto & General Liability Claims Specialist, ConstructionLake Mary, FLJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Commercial Auto Claims Specialist CNA Financial CorpCommercial Auto Claims SpecialistLake Mary, FL$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
General Liability Claims Specialist CNA Financial CorpGeneral Liability Claims SpecialistLake Mary, FL$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Senior Technical Specialist, General Liability Claims Sompo International Holdings LimitedSenior Technical Specialist, General Liability ClaimsMiami, FLEffectively represent the companys interests in meetings and negotiations; maintain a high level of claim and industry related expertise in order to assure technical competency and communicate to team members regarding significant issues and relevant changes. What youll bring: Minimum 5 plus years experience required in general liability claims handling with a career history of increasing responsibility with at least 3-5+ years handling excess claims, including large limit and high exposure claims.
Commercial Auto & General Liability Claims Specialist, Construction CNACommercial Auto & General Liability Claims Specialist, ConstructionLake Mary, FloridaEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
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.
Specialist, WC Claims Resolution - Special Risk Policyholders Amerisure Mutual Insurance CompanySpecialist, WC Claims Resolution - Special Risk PolicyholdersTampa, FLBuilds robust relationships by demonstrating strong analytical, negotiation, and communication skills, with a focus on delivering quality claim outcomes and excellent service. Establish and maintain accurate claim reserves to reflect financial exposure, ensuring clear and proactive communication with the insured regarding rationale and potential impact.
Specialist, Claims Rxo Corporate SolutionsSpecialist, ClaimsJacksonville, FloridaAs a Specialist, Claims at RXO, your attention to the small details and strong work ethic will ensure our operations continue to run smoothly and our customers receive superior service. What your day-to-day will look like: Complete data entry and other tasks needed for claims received in US Mail or Email to support department operations.
Specialist, Claims RXO IncSpecialist, ClaimsJacksonville, FLAs a Specialist, Claims at RXO, your attention to the small details and strong work ethic will ensure our operations continue to run smoothly and our customers receive superior service. What your day-to-day will look like: Complete data entry and other tasks needed for claims received in US Mail or Email to support department operations.
Claims Resolution Specialist ICBD HoldingsClaims Resolution SpecialistLauderdale Lakes, FloridaWith firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America) .
Claims Resolution Specialist 1 - USFTGP TGMG RCO Back End Tampa General HospitalClaims Resolution Specialist 1 - USFTGP TGMG RCO Back EndTampa, FLli" data-ccp-parastyle-defn="{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}">Understanding of third‑ li">party payer processes, claim workflows, denial reasons, and reimbursement methodologies. ''679280'',''true'',''679280'',''false'',''Submission for the position: Claims Resolution Specialist 1 - USFTGP TGMG RCO Back End - (Job Number: 260001VZ)'',''false'',''679280'',''false'',''true'',''Claims Resolution Specialist 1 - USFTGP TGMG RCO Back End'',''260001VZ'',''!*!
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistWork At Home, FL$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
Claims Administrative Support Specialist The Progressive CorpClaims Administrative Support SpecialistGainesville, FL$19.61–$20.96 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.
Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MNMiami, FLManage indemnity, medical and legal aspects of highest valued, complex WC claims, for Virginia (VA), Minnesota (MN) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). 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.
Appeals and Dispute Support Specialist - Claims Administration Health First IncAppeals and Dispute Support Specialist - Claims AdministrationRockledge, FLPrepares all member and provider appeals, grievances and disputes for clinical review, reconsideration and handling for coordinators and clinical review while identifying opportunities or deficiencies contributing to member and provider dissatisfaction. Identify critical aspects of incoming correspondence to include: a member's plan, contract, and benefits; a provider's network status; and benefit limitations and/or exclusions.