54 Results for

Claims Specialist Jobs in Miami, FL

Jobs

Miami, FL8 days ago

The Field Safety Specialist (FSS) serves as Ceco’s senior field-level safety representative, providing leadership, authority, and oversight across assigned projects while representing the company to customers, general contractors, and third parties. Acts as the field-level safety liaison with customers, general contractors, inspectors, and third‑party consultants when the RSM/ASM is not present and represents Ceco in safety‑related discussions as needed.

Oakland Park, FLORIDA30+ days ago

ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Negotiation and Settlement: Negotiate settlements with claimants, attorneys, and other involved parties in a fair and cost-effective manner.

Oakland Park, FLORIDA30+ days ago

ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Claims Adjustor Qualifications:3+ years of previous bodily injury insurance experience, investigations or other related fields with liability, and property damage, and commercial auto (preferred).

Fort Lauderdale, FL30+ days ago

$58,240–$64,480

With 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) .

Miami, FL24 days ago

Remote

Full-time

The BI Claims Supervisor will play a critical role in ensuring the fair and efficient handling of bodily injury claims while providing exceptional customer service to claimants. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

New!

Fort Lauderdale, Florida5 days ago

Miami, Florida29 days ago

Remote

New!

Coral Gables, FLToday

Full-time

The Claims Examiner III is a senior-level claims professional responsible for the accurate and timely adjudication of complex professional and institutional claims in accordance with regulatory requirements, contractual agreements, and internal policies. Assist the Claims Manager and/or Assistant Director in monitoring daily, weekly, and monthly workflow to meet production and quality targets.

Coral Gables, FL30+ days ago

Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary. Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.

New!

Miami, FL3 days ago

Full-time

Maintains the department’s claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.

Fort Lauderdale, FL30+ days ago

Independently manage assigned intake, documentation, and verification workflows • Support denial prevention by ensuring clean, compliant front-end documentation • Coordinate closely with billing on root causes tied to documentation or eligibility • Maintain accurate tracking and timely follow-up on outstanding items . • Submit and track claims under supervision to understand downstream impacts • Review common denial and adjustment reasons tied to intake and documentation gaps • Achieve 90% claim accuracy on supported workflows .

Fort Lauderdale, FL30+ days ago

The Senior DME Operations & Revenue Integrity Specialist owns front-end documentation compliance, insurance verification, and revenue readiness for Medicare and commercial claims. We are building a highly controlled, audit-ready Medicare DME operation and are seeking our first senior operations hire.

Fort Lauderdale, FL13 days ago

If you’re ready to take ownership of compliance, unemployment management, and risk mitigation in a growing organization, join Vacatia and help build scalable, forward-thinking HR practices that protect our people and support our continued growth. As our HR Compliance Specialist, your mission is to lead and strengthen compliance across a multi-state organization, with a strong focus on regulatory adherence, unemployment claims management, and risk mitigation.

Miami, FL30+ days ago

Remote

Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network by supporting run-state, repeatable issues of moderate complexity. This role involves regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries.

Miami, FL30+ days ago

Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers . We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts.

Coral Gables, FL30+ days ago

Be knowledgeable and have a clear understanding of the business processes within MWG including departments, insurance carriers, brokers/agents, and group contacts. Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met.

DORAL, FL30+ days ago

$1,689.23–$1,783.25 Per Week

Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. SPECIAL REMINDERS: Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS.

Lauderdale Lakes, FL30+ days ago

$58,240–$64,480

Miami Lakes, Florida30+ days ago

$22–$25 Per Hour

Conduct various assessments, including but not limited to, pre-demolition/renovation hazardous building surveys (e.g., asbestos, lead-based paint, PCBs, etc.), indoor air quality (IAQ) assessments, moisture/mold damage assessments, worker exposure monitoring, and radon testing. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.

Lauderdale Lakes, FL30+ days ago

$58,240–$64,480

Lauderdale Lakes, FL30+ days ago

$58,240–$64,480

Hallandale Beach, FL30+ days ago

$58,240–$64,480

Miami, Florida18 days ago

Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. About Medusind:Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.

Fort Lauderdale, FL30+ days ago

This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist.

Miami Lakes, Florida25 days ago

Remote

This role partners closely with healthcare providers, health systems, and internal teams to address reimbursement challenges, provide coding and coverage guidance, and support product adoption. With diverse teams on a global scale, we believe the richness of our experiences and backgrounds enhances the careers of our teammates, the service to our customers, and ultimately, the lives of our patients.

Miami, FL27 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Sunrise, FL30+ days ago

Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Ensure that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit .

Lauderdale Lakes, FL30+ days ago

$55,000–$70,000

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) . With 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.

Lauderdale Lakes, FL30+ days ago

$55,000–$70,000

Miami, FL30+ days ago

Remote

We are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located. Your responsibility is to explain the opportunity, verify their interest, and secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance.

Fort Lauderdale, FL30+ days ago

Remote

Parallel is one of the largest multi-state cannabis companies in the Untied States, owning and operating in three markets: Florida (Surterra Wellness), Massachusetts (NETA), and Texas (Goodblend). Our Mission – how we will do this – is to build a leading, global well-being company through the best talent, our values, trusted and recognized brands, science and technology-based innovation, and a relentless focus on execution and continuous improvement.

New!

Miami, Florida5 days ago

Join Allied Universal as an Unarmed Patrol Officer at a commercial real estate location, where you will monitor and patrol assigned areas, remain visible to help discourage security-related incidents, and deliver outstanding customer service and communication. Provide customer service to tenants, visitors, and/or staff by carrying out security-related procedures, site-specific policies, and when appropriate, emergency response activities at a commercial real estate location.

Miami, FL28 days ago

$16.70

Resolves customer claims with functional departments (Accounting, Quality Assurance, etc.), Credit & Rebill, RMA process, determine root cause, recommend and implement corrective actions, support Account Receivables with cash collection. Job Description: Analyzes supplier and/or customer data regarding ordering and/or delivery of spare parts and provisioning products or related services.

FORT LAUDERDALE, FL30+ days ago

$40,684.10–$62,884.90 Per Year

Assists in implementing the immunization provisions contained in the ‘Managed Care and Publicly Funded Primary Care Program Coordination Act (section 381 0407, Florida Statutes) by collaborating with area MediPass Coordinators and Medicaid Area Administrators Encourages enrollment in the VFC program for private providers who serve children less than19 years of age. Training, Outreach and Community Education - Develops and provides training on all aspects of immunization activities for professional and volunteer groups Works to maintain public awareness concerning the importance of immunization by providing training and coordinating the dissemination of information to parents, hospitals, schools, day care centers, and culturally diverse groups.

Coral Gables, Florida30+ days ago

Founded in 1993, Bayview Asset Management is an investment management firm focused on investments in mortgage and consumer credit, including whole loans, asset-backed securities, mortgage servicing rights, and other credit-related assets. This position will require daily running and review of reports, analyzing next steps for bankruptcy finalizations, updating systems and business groups, reviewing and responding to outside counsel emails, pulling documents and reviewing and approving invoices.

Hialeah, FL30+ days ago

Full-time

Basic Qualifications (Required Skills/Experience): 6 or more years of related work experience Experience in Program Management and/or Customer Support Experience working with SAP system Strong problem-solving skills Ability to manage multiple and competing priorities Proficient knowledge in all MS office applications (Excel, Word, Outlook, PowerPoint, etc.) must be able to analyze reports. Resolves customer claims with functional departments (Accounting, Quality Assurance, etc.), Credit & Rebill, RMA process, determine root cause, recommend and implement corrective actions, support Account Receivables with cash collection.

Sunrise, FL25 days ago

Remote

Full-time

As a Leave Specialist, you'll administer FMLA policies for multiple clients, manage leave requests, and ensure compliance while providing exceptional support. Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities.

Coral Gables, Florida30+ days ago

Miami, Florida8 days ago

Join Allied Universal as an Unarmed Patrol Officer at a premier commercial real estate location, where you will conduct routine patrols, maintain a visible presence to help deter security-related incidents, and deliver outstanding customer service and communication. Provide customer service to tenants, visitors, and/or staff by carrying out security-related procedures, site-specific policies, and when appropriate, emergency response activities at a commercial real estate location.

MIAMI, FL30+ days ago

Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).

Doral, FL30+ days ago

Remote

$15–$22.57 Per Hour

Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Miami, FL30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Miami, Florida30+ days ago

$25–$27

The ideal candidate has experience in behavioral health billing, including knowledge of psychiatric services, insurance requirements, and revenue cycle management. Core Competencies:Knowledge of Behavioral Health Billing:Demonstrates expertise in billing for mental health and psychiatric services.

Miami, FL10 days ago

Full-time

The Opening Legal Assistant processes, reviews, and updates all information provided and/or obtained at case inception, focusing on the client’s initial medical treatment, locating insurance information, requesting supporting documents, and placing all parties on notice. Over the years, Rubenstein law has grown from a leading auto and slip fall accident firm in Miami to being recognized across the state for our personal injury practice handling all types of injury and accident claims.

Plantation, FL30+ days ago

Full-time

Over the years, Rubenstein law has grown from a leading auto and slip fall accident firm in Miami to being recognized across the state for our personal injury practice handling all types of injury and accident claims. Ability to resolve problems by clarifying the client's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; following up to ensure resolution.

Miami, FL30+ days ago

Carnival Corporation & plc is the world’s largest leisure travel company, our mission to deliver unforgettable happiness to our guest through our diverse portfolio of leading cruise brands and island destinations, including Carnival Cruise Line, Holland America Line, Princess Cruises, and Seabourn in North America and Australia; P&O Cruises and Cunard Line in the United Kingdom; AIDA in Germany; Costa Cruises in Southern Europe. Identify areas of improvement with healthcare providers and assistance companies and work with necessary stakeholders to build relationships, improve workflows and grow healthcare networks.

Miami, Florida29 days ago

Remote

Deliver solutions that include web design, prototypes, experiential event identities and communications, large-format graphics, architectural / scenic renderings, stage and event décor, data visualizations, presentations, design / speaker support, collateral and social media graphics. As a remote Art Director on Morley’s award-winning in-house creative team, you'll lead with vision and creativity, shaping experiences for major brands across digital, interactive, print and event platforms.

Medley, FL30+ days ago

Since 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests.

Miami Lakes, Florida30+ days ago

Conduct various IH / EHS assessments, including but not limited to indoor air quality assessments, moisture/mold damage assessments, worker exposure monitoring and pre-demolition/renovation hazardous building surveys (e.g., asbestos, lead-based paint, PCBs, etc.). The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.

Cooper City, FL30+ days ago

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines). We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers.

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Claims Specialist Jobs in Miami, FL

Jobs

Site Safety Specialist - Miami, FLCECO CONCRETE CONSTRUCTION

Claims Adjustor (BI)ARC Group

Claims Adjuster (Bodily Injury)ARC Group

Claims Resolution SpecialistICBD

Bodily Injury Claims SupervisorUnited Auto Insurance

Claims Investigator - South FloridaAllied Universal

Workers Compensation Claims Trainee - SoutheastGallagher

Claims Examiner IIIDOCTORS HEALTHCARE PLANS, INC.

Claims Examiner IIDOCTORS HEALTHCARE PLANS, INC.

On-site Medical Claims ExaminerAlivi

DME Intake - Patient, Insurance, and Documentation SpecialistValgorithm

Senior DME Operations & Revenue Integrity SpecialistValgorithm

HR Compliance SpecialistVacatia

Specialist, Provider Data OperationsOscar Health

Coding SpecialistGastro Health

Customer Service Specialist (Bilingual)Morgan White Group

INVESTIGATION SPECIALIST II - 79000972MyFlorida

Medical Billing SpecialistICBD

Associate Project SpecialistGallagher

Billing SpecialistICBD

Collections SpecialistICBD

Accounts Receivable (AR) SpecialistICBD

Billing Specialist (RCM/ECW Experience)Medusind

Medicare DME Billing & AR SpecialistValgorithm

Senior Specialist, Market Access (REMOTE)Cordis

Reporting SpecialistMaximus

Lead Billing SpecialistSunrise Medical Group

Utilization Review SpecialistICBD

Care Coordination SpecialistICBD

Heir Recovery Sales SpecialistLauth Investigations International Inc

AI Copy SpecialistLive Parallel

Security Officer Patrol Operations SpecialistAllied Universal

GCB5I2 (GCC)-Customer Support Specialist 2Lancesoft

REGISTERED NURSE SPECIALIST - 64001498MyFlorida

Bankruptcy SpecialistSilver Hill Funding

Customer Support Specialist 2 (Customer Support Management)LanceSoft Inc

Leave SpecialistCrawford & Company

Bankruptcy SpecialistBayview Asset Management

Security Officer Part Time Patrol SpecialistAllied Universal

Inventory SpecialistWalgreens

Representative II, Accounts ReceivableCardinal Health

FEMA Disaster Management AccountantCDM Smith

Medical BillerProgressive Medical Center

Front Desk/Opening Legal AssistantRubenstein Law, P.A.

Customer Service Legal AssistantRubenstein Law, P.A.

Manager, Crew Health DoctorCarnival Global Brand

Art Director (Remote - Florida)Morley

Warranty And Repairs CoordinatorAerotek

Project ManagerGallagher

Manager, Clinical AppealsHealth Business Solutions LLC

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