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.
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.
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) .
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 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.
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, FLul>Manage 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.
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.
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 / hourp>Preferred 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.
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 Processing Humana IncManager, Claims ProcessingMiramar, FL$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.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, FL$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
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.).
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.
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.
Bodily Injury Claims Supervisor United Auto InsuranceBodily Injury Claims SupervisorMiami, FLRemoteFull timeThe 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. DUTIES:Oversee the pre-suit claims process from initial report to resolution, ensuring accurate documentation, proper investigation, and timely communication with claimants, policyholders, and other stakeholders.
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.
DME Intake - Patient, Insurance, and Documentation Specialist ValgorithmDME Intake - Patient, Insurance, and Documentation SpecialistFort Lauderdale, FLp>• 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 .
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistMiami, FLAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
GAP, Remarketing, Insurance & Impounds Specialist AutoNation IncGAP, Remarketing, Insurance & Impounds SpecialistFLServes as a backup to the designated impound negotiation representative, conducting fee negotiations with impound yards, body shops, and mechanical repair facilities to minimize loss exposure, and maintaining case continuity during periods of high volume or associate absence. Previous experience in insurance claims, subrogation, or a related field within automotive finance or consumer lending industry is preferred, including working knowledge of GAP products, vehicle impound statutes, and insurance claims administration, preferred.
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.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceMiami, FL$118,700–$218,600 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) in claims, medical record, or appeals reviews.
Temporary Subrogation Claim Support Processor AAA Southern New EnglandTemporary Subrogation Claim Support ProcessorFL$15–$20 / hourp>By 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. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.
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.”
Insurance Account Position - State Farm Agent Team Member Vivian Cobos - State Farm AgentInsurance Account Position - State Farm Agent Team MemberMiami, FLAs our Home Specialist, your knowledge of the residual market insurance products and industry trends equips you to communicate directly with customers, identify their needs, and market products or services that maximize value. ROLE DESCRIPTION: Vivian Cobos - State Farm is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships.
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.
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.
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 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.
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) .
Billing Specialist Centrum HealthBilling SpecialistDoral, FloridaThe Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
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. DUTIES AND RESPONSIBILITIES. Prepare appeal and/or reconsideration letters for administrative denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution.
Billing Specialist ICBD HoldingsBilling 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) .
NewInsurance Verifier CBO HCA Healthcare IncInsurance Verifier CBOMiramar, FLWhat you will do in this role: You will obtain insurance pre-certification, verification, and interview patients prior to surgery You will verify patient eligibility, authorizations, benefits, and claim information with insurance companies and 3 rd party payers You are responsible for identifying patient accounts based on PPO, HMO, or other Managed Care Organizations You will contact patients and provide updates on benefit verification information and financial responsibility You will update the patient communication module, AdvantX, with appropriate authorization and benefit information You are responsible for creating financial arrangements, alongside management, when a patient is unable to complete payment Qualifications you will need: High School Diploma or GED One year of college or courses in secretarial skills preferred One or more years of working experience in a healthcare environment performing clerical duties, business office functions, or billing duties in a hospital or physician practice setting required Benefits Surgery Ventures, offers a total rewards package that supports the health, life, career and retirement of our colleagues. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "There is so much good to do in the world and so many different ways to do it."
Senior DME Operations & Revenue Integrity Specialist ValgorithmSenior DME Operations & Revenue Integrity SpecialistFort Lauderdale, FLp>The Senior DME Operations & Revenue Integrity Specialist owns front-end documentation compliance, insurance verification, and revenue readiness for Medicare and commercial claims. About Ease DME.
Revenue Cycle Specialist III, RCM Team Select Home CareRevenue Cycle Specialist III, RCMMiami, FloridaThe 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.
Revenue Cycle Specialist Guardian Dentistry PartnersRevenue Cycle SpecialistMiami, Florida$35,000–$50,000 / yearThe RCS will be required to follow up on assigned outstanding claims utilizing high-level problem-solving, consistently meet daily goals and project deadlines, and establish and maintain strong relationships with partner offices and various leaders in the organization. Guardian CorporateWe are looking for a dynamic, experienced Revenue Cycle Specialist to join our fast-growing dental partnership network (“DPN”)!
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.
Accounts Receivable (AR) Specialist ICBD HoldingsAccounts Receivable (AR) 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) .
Collections Specialist ICBD HoldingsCollections 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) .
Revenue Cycle Specialist 1 - Legal Billing (H) University of MiamiRevenue Cycle Specialist 1 - Legal Billing (H)Medley, FLAssists law firms, third-party records retrieval companies, patient advocates, and internal departments with Personal Injury (PI), Workers' Compensation (WC), bankruptcy, probate, and billing dispute cases to ensure adherence to HIPAA, FDCPA, FCCPA, Florida hospital billing statutes, and prompt pay laws. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.
Lead Billing Specialist Sunrise Medical GroupLead Billing SpecialistSunrise, FLDemonstrates 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 .
Folio Specialist Sedgwick Claims Management Services, Inc.Folio SpecialistFLMental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
NewService Support Specialist SCI Shared Resources, LLCService Support SpecialistMiami, FLA sense of urgency, empathy, attention to detail and strong communication skills are required to succeed and fulfill customer needs. This role provides exemplary customer service in all areas of helping client families following the loss of a loved one.
Collections Specialist- Evernorth- Remote The Cigna GroupCollections Specialist- Evernorth- RemoteFLRemote$17.75–$26 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewCoordination of Benefits Specialist tenavistaffingCoordination of Benefits SpecialistMiami, FL$19–$21 / hourp>This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. Tenavi Staffing is seeking a detail-oriented Coordination of Benefits Specialist I to support healthcare payer operations and ensure accurate member eligibility and claims coordination.
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.
Member Resolution Specialist Leon Health IncMember Resolution SpecialistMiami, FLli>Handles cases originating from member centers via email or fax, managing initial outreach and subsequent follow-ups. The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and resolution of member billing inquiries and complex member issues.