NewLost Time Claims Specialist II (FL & GA University of Pittsburgh Medical CenterLost Time Claims Specialist II (FL & GAFLPrevious experience with the reserving and adjudication of the following: Workers' compensation lost time claims, Workers' compensation claim investigations (including subrogation and compensability decisions. The Lost Time Claims Specialist 2 will apply litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.
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.
Senior Casualty Claims Specialist - Southeast Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - SoutheastFLRemoteThe 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.
Claims Specialist Bodily Injury- Remote Great American Insurance CompanyClaims Specialist Bodily Injury- RemoteFLRemote$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.
Restoration Estimator & Insurance Claims Specialist Paul Davis RestorationRestoration Estimator & Insurance Claims SpecialistHialeah, FL$75,000–$95,000 / yearp>If 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 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.
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistFL$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. In this role, you will: Perform adjustments across all dollar amount levels on customer service platforms, specifically by using technical and claims processing expertise.
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) .
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.
Senior Claim Data Specialist, Provider Claims (Must reside in Florida) CVS Health CorpSenior Claim Data Specialist, Provider Claims (Must reside in Florida)FL$18.50–$35.29 / hourDetermine whether any claim payment or denial issues are present, particularly those that may affect utilization management, enrollment, claims, configuration, network, contracting and/or provider data. Our 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.
Regional Senior Casualty Claim Specialist - Litigation AAA Southern New EnglandRegional Senior Casualty Claim Specialist - LitigationFLBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Claims Examiner - Federal Workers' Compensation American International Group Inc (AIG)Claims Examiner - Federal Workers' CompensationMiami, FLMake your mark in Claims 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. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks.
Claims Issue Resolution Professional Humana IncClaims Issue Resolution ProfessionalMiramar, FL$59,300–$80,900 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
NewClaims Representative I Elevance Health IncClaims Representative IMiami, FL$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
PIP/Med Pay Claims Associate Allstate Insurance CompanyPIP/Med Pay Claims AssociateFL$53,500–$86,400 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.).
Manager, Claims | Midwest and South (Florida) Employers Holdings IncManager, Claims | Midwest and South (Florida)FLRemote$105,000–$147,000 / yearThis role manages workers'' compensation claims adjusters across Midwest and Southern/gulf coast jurisdictions; candidates holding an active Florida workers'' compensation adjuster license a plus. Creates an environment that supports the corporate culture, fosters teamwork, values diversity, and respects all team and company staff-members, internal and external customers, and vendors.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMiami, FL$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. We are looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Manager, Claims Processing Humana IncManager, Claims ProcessingFL$78,400–$107,800 / yearThe Manager applies advanced technical and regulatory knowledge of Medicare, Medicaid, and commercial payers to resolve moderately complex claims issues, optimize workflows, and improve departmental performance. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Bodily Injury Claims Supervisor United Auto InsuranceBodily Injury Claims SupervisorMiami, FloridaRemoteThe 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.
Professional Liability Claims Examiner / Adjuster Western International StaffProfessional Liability Claims Examiner / AdjusterMiami, FloridaRemoteApply today to Western International Staff, your insurance staffing specialists since 1996Dayne Hayes. Must have a minimum of 5 years experience directly handling and settling commercial professional liability claims in an insurance carrier environment.
Manager, Claims & Fraud Operations Banco Santander (Brasil) SAManager, Claims & Fraud OperationsFLThe Manager ensures investigative quality, regulatory timeliness, and effective collaboration with law enforcement, internal stakeholders, and peer institutions while continuously strengthening fraud detection and prevention controls. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR referral governance, regulatory adherence, and loss recovery efforts.
Medical Claim Coding Talent Pipeline Unified Women's Healthcare LLCMedical Claim Coding Talent PipelineFLThrough 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NurseMiami, FLRemoteRequires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. · Preferred: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Inpatient Coder (CIC), Clinical Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), or other advanced HIM/coding certifications
Medical Billing Specialist ABA Speech OT SND PROFESSIONAL SERVICES LLCMedical Billing Specialist ABA Speech OTMiami, FLYou’ll ensure accurate coding, timely claim submission, denial management, and clean reimbursement processes to support excellent patient care. How to Apply: Email your resume and a brief cover letter detailing ABA, Speech, and OT billing experience to [email address] with the subject line “Billing Specialist – ABA/Speech/OT.”
Specialist Billing VITAS Healthcare CorpSpecialist BillingMiramar, FLResponsible for the complete and accurate billing and collections of all hospice claims submitted for payment to third party payers including, but not limited to, Medicare, Medicaid, Managed Care, commercial carriers, and any other state and federal health care programs. Performs all follow up duties associated with rebilling, adjustments, corrected claim submissions and collections of all overdue accounts/claims in accordance with best business practices.
Billing Specialist - 994004 Nova Southeastern UniversityBilling Specialist - 994004Fort Lauderdale-Davie, FLSkills: Active Listening - Proficient skills in 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. Works closely with other departments (e.g., coding, claim analyst, and patient services) to resolve billing issues and improve overall revenue cycle efficiency.
Denial & Reconsiderations Specialist Larkin Community Hospital IncDenial & Reconsiderations SpecialistSouth Miami, FLOur network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. Prepare appeal and/or reconsideration letters for administrative denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution.
NewFinancial Ops Recovery Process Specialist Elevance Health IncFinancial Ops Recovery Process SpecialistMiami, FL$31.92–$55.07 / hourProvides operational training, assists associates by answering day-to-day technical questions, monitors inventory to ensure workflow remains uninterrupted, and handles complex case research and resolution. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Billing Specialist LUX InfusionBilling SpecialistPlantation, FloridaWhile performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
Billing Specialist - 994004 NSUBilling Specialist - 994004Fort Lauderdale, FloridaWorks closely with other departments (e.g., coding, claim analyst, and patient services) to resolve billing issues and improve overall revenue cycle efficiency. Active Listening - Proficient skills in 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.
Outpatient Coding Specialist CCS Mount Sinai Medical Center of FloridaOutpatient Coding Specialist CCSMiami Beach, FloridaWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. The Coding Outpatient Specialist (Per Diem) position is essential to support the increasing volume and complexity of outpatient services, including clinic visits, same-day surgeries, diagnostic procedures, oncology, and wound care.
Loss Control Specialist - FL Vensure Employer Services IncLoss Control Specialist - FLFLPrimary mission is to fulfill client service responsibilities as outlined in our Client Service Agreement with the client and reduce the financial loss in our workers compensation program by recommending hazard/exposure controls, assisting with the implementation of effective safety programs, and providing safety awareness training. About Us Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions including HR/HCM technology, managed services, and global business process outsourcing (BPO).
Project Specialist Associate GallagherProject Specialist AssociateMiami Lakes, Florida$22–$25 / hourConduct 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.
Clinical Review Specialist CorroHealth IncClinical Review SpecialistFLRemoteSpecific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
PRN Clinical Review Specialist CorroHealth IncPRN Clinical Review SpecialistFLRemotep>The ideal candidate will have an active, unrestricted RN license (compact preferred), and 4-5 years of appeals experience, be skilled in reviewing ALL kinds of denials, recoupments, audits, no‑auth cases, and other complex determinations. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Revenue Recovery Specialist, COB RSource LLCRevenue Recovery Specialist, COBFLRemoteThe Revenue Recovery Specialist, COB position is responsible for resolving claims from a variety of hospital providers that were previously denied for needing information from the patient. Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.
Revenue Cycle Specialist III, RCM Team Select Home Care LLCRevenue Cycle Specialist III, RCMMiami, FL$18–$24 / hourThe Revenue Cycle Specialist III is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Handles critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
Senior Specialist - Business Analysis LTM LtdSenior Specialist - Business AnalysisMiami, FL$120,000–$130,000 / yearManage relationships with multiple business organizations, global technology groups and 3rd party software vendors including: facilitating requirement and design workshops, reviewing designs, test plans and test cases; reviewing vendor deliverables and schedules; managing quality or delivery issues with the vendor; coordinating end user testing and sign-off for in-house and vendor deliverables. This position provides a wide variety of services to our business users including business analysis and quality assurance, in support of strategic and tactical planning of systems features / functionality as well as day to day business operations.
Specialist - Cloud Engineering LTM LtdSpecialist - Cloud EngineeringFlorida, FL$65,000–$70,000 / yearEnsure compliance with organizational policies and industry best practices related to directory services Support Windowsbased commercial directory services in a customer support operations context Document processes configurations and changes related to Active Directory Assist in planning and executing directory services upgrades and migrations. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Exports Sales Executive Specialist The Kraft Heinz CoExports Sales Executive SpecialistMiami, FL$77,800–$97,300 / yearAct as the primary commercial point of contact, participating in Commercial & Operations (S&OP) meetings to align sales objectives with supply chain, logistics, and production, working closely with logistics leadership. Develop and support strategic account plans for key customers, including QSRs, clubs and Wholesalers, ensuring tailored commercial execution and technical support to drive growth across categories and segments.
DME Intake - Patient, Insurance, and Documentation Specialist ValgorithmDME Intake - Patient, Insurance, and Documentation SpecialistFort Lauderdale, FLIndependently 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 .
Senior DME Operations & Revenue Integrity Specialist ValgorithmSenior DME Operations & Revenue Integrity SpecialistFort Lauderdale, FLThe 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.
Medicare DME Billing & AR Specialist ValgorithmMedicare DME Billing & AR SpecialistFort Lauderdale, FLThis 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.
Medical Billing Specialist ICBD HoldingsMedical Billing 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) .
Enterprise Risk Management Specialist Florida Cancer Specialists and Research InstituteEnterprise Risk Management SpecialistFLWe are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.
Benefits Specialist PL Developments CareersBenefits SpecialistDoral, FloridaThis role serves as a key resource to employees, managers, and HR partners by providing guidance on benefit plans, resolving complex inquiries, maintaining data integrity across HRIS and vendor systems, and supporting compliance, reporting, and open enrollment activities. Bachelor’s degree and 5+ years of progressive experience in benefits administration, HR operations, or a related Total Rewards function, or an equivalent combination of education and experience that provides comparable knowledge, skills, and abilities .
Senior Quality Specialist CVS Health CorpSenior Quality SpecialistWork At Home-Florida, FL$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Insurance Collection Specialist PROMD PRACTICE MANAGEMENT INCInsurance Collection SpecialistPinecrest, FLWe provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist.