Disability Claims Specialist (Part Time 20 hours+)
Hays 4.8
Claim specialist job in Tampa, FL
We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Essential Business Experience and Technical Skills:
Required:
**3+ years of LTD/IDI Insurance Claims experience
•Prior experience with independent judgement and decision making while relying on the available facts
•Be able to demonstrate the use of critical thinking and analysis when reviewing the information
•Creative problem-solving abilities and the ability to think outside the box
•Excellent interpersonal and communication skills in both verbal and written form
•Excellent customer service skills proven through internal and external customer interactions
•Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
•Organizational and time management skills
• Bachelor's degree
Key Responsibilities:
•Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators
•Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
• Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
•Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
•Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available
•Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
•Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
•Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments
•Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
•Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
$56k-88k yearly est. 2d ago
Looking for a job?
Let Zippia find it for you.
Casualty Claim Specialist - Florida
The Auto Club Group 4.2
Claim specialist job in Tampa, FL
***This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events***
Florida Casualty ClaimSpecialist- The Auto Club Group
Reports to: Claim Manager II
What you will do: (Primary Duties & Responsibilities)
The Auto Club Group is seeking prospective Casualty ClaimSpecialistswho canwork under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims.
In this position, you will have the opportunity to:
Reviewing assigned claims
Contacting the insured and other affected parties,
Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file.
Complete complex coverage analysis,
Ensure all possible policyholder benefits are identified,
Complete an investigation of the facts regarding the claim,
Determine if the claim should be paid and confirm recovery potential.
Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim.
Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit).
Possess strong critical thinking and negotiating skills.
Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation,liability disputes, bodily injuries, and litigation.
Assist Claim Manager with file reviews and training.
With our powerful brand and the mentoring, we offer, you will find your position as aClaim Specialistcan lead to a rewarding career at our growing organization.
How you will benefit:
ClaimSpecialistwill earn a competitive salary of $68,000 - $78,000 annually with an annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
We're looking for candidates who:
Preferred Qualifications:
Education:
Degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Required Qualifications:
Education:
In states where an Adjuster's license is required, the candidate must have a Florida State Adjuster License.
Degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Must have a valid State Driver's License
Experience:
Three years of experience or equivalent training in the following:
Negotiation of claim settlements
Evaluation of injury claims
Securing and evaluating evidence
Subrogation claims
Coverage analysis and resolution of coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Knowledge of:
Fair Trade Practices Act as it relates to claims
Subrogation including intercompany arbitration
Litigation as it relates to claims
Negligence Law
No-Fault Law
Medical terminology and human anatomy
Ability to:
Handle claims to ACG Claim Handling Standards including following and applying ACG Claim policies, procedures, and guidelines
Work within assigned ACG Claim systems including basic PC software
Perform claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize, and plan workload and responsibilities
Must Reside within 50 miles from Tampa, Florida
Work Environment
This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
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.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
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. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$68k-78k yearly 1d ago
Associate Claims Specialist - Medical Only Claims - FL, GA, AL - Tampa, FL
PMA Companies 4.5
Claim specialist job in Tampa, FL
Back Associate ClaimsSpecialist - Medical Only Claims - FL, GA, AL #4706 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description:
As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service.
Responsibilities:
Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up
Process payments, answer phone calls, authorize treatment associated with Medical Only claims
Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up
Determine whether treatment is appropriate and causally related to the compensable injury
Redirect treatment to network physicians as appropriate
Refer subrogation potential claims or potential permanency claims to Supervisor
Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable
Maintain a working knowledge of jurisdictional requirements and obtain/maintain state adjusting licenses
Administer benefits on Permanent Total or Death cases, which includes monitoring for changes in life or work status, implied interest in resolution or marked increases in costs.
Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
Requirements:
High school diploma or equivalent
One or more years of Workers Compensation claims handling experience
License required or ability to obtain license within 90 days of employment in mandated states
Familiarity with medical terminology
Ability to work independently, handle multiple tasks simultaneously, make difficult decisions and focus on details
Strong organizational skills
Excellent verbal and written communication skills
Proficiency MS Excel and MS Word.
$30k-37k yearly est. 1d ago
Claims Representative - Tampa, FL
Federated Mutual Insurance Company 4.2
Claim specialist job in Tampa, FL
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Are you looking to make a change to work for a company that values work/life balance? Federated Insurance has a career opportunity for you in this office-based Auto and Commercial Liability Claims Adjuster position. No specific state experience is required.
Responsibilities
Gather evidence and document claims facts.
Determine the value of damaged items.
Understand and explain insurance policy coverage to clients and third parties.
Negotiate settlements with clients or third parties.
Resolve claims, which may include paying or denying claims.
Communicate with clients, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair, and courteous way.
Occasionally handle defending policyholders in court, compromising, or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
1-5 years' experience in handling auto or general liability claims.
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
$63.8k-78k yearly Auto-Apply 17d ago
Patient Claims Specialist - Bilingual Only
Modmed 4.5
Claim specialist job in Tampa, FL
We are united in our mission to make a positive impact on healthcare. Join Us!
South Florida Business Journal, Best Places to Work 2024
Inc. 5000 Fastest-Growing Private Companies in America 2024
2024 Black Book Awards, ranked #1 EHR in 11 Specialties
2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.
ModMed is hiring a driven Patient ClaimSpecialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine!
Your Role:
Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
Input and update patient account information and document calls into the Practice Management system
Special Projects: Other duties as required to support and enhance our customer/patient-facing activities
Skills & Requirements:
High School Diploma or GED required
Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST
Minimum of 1-2 years of previous healthcare administration or related experience required
Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
Manage/ field 60+ inbound calls per day
Bilingual required (Spanish & English)
Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
Ability and openness to learn new things
Ability to work effectively within a team in order to create a positive environment
Ability to remain calm in a demanding call center environment
Professional demeanor required
Ability to effectively manage time and competing priorities
#LI-SM2
ModMed Benefits Highlight:
At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
Allowances: Annual wellness allowance to support your well-being and productivity,
Earned, casual, and sick leaves to maintain a healthy work-life balance,
Bereavement leave for difficult times and extended medical leave options,
Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
Comprehensive medical, dental, and vision benefits
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs,
Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
$79k-100k yearly est. Auto-Apply 43d ago
Insurance Claims Specialist
Mid Florida Finance 4.1
Claim specialist job in Lakeland, FL
Mid Florida Financing is looking for an Insurance Specialist to join our team in Lakeland, FL. This position will provide insurance coverage to our new and existing clients. We are looking for someone who is self-motivated, organized, and has the ability to work independently.
Benefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance
Responsibilities:
Provides exceptional customer service while investigating policy coverage, liability and damages in a timely manner
Gathers information and documents claim file to comply with company guidelines and state compliance and regulations
Negotiates timely and appropriate settlements with insurance companies
Manages pending claims to meet company quality criteria
Recognizes recovery opportunities in regards salvage vehicles
Performs other related duties as assigned or required.
Assists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.
Job Type:
Full-time
Pay:
$16.00 per hour
Expected hours:
40 per week
Schedule:
Monday to Friday
Work Location:
In person
We are an equal opportunity employer.
Travel Orders and ClaimsSpecialist Please note: This position is contingent upon the award of a contract. We will provide updates on the status of the contract and next steps during the hiring process.
Minimum Qualifications Summary
Certification & Education
Must possess a current US Passport with ability to travel and work overseas
Must be able to meet COMSEC briefing and Local Element management certification requirements available under the OPNAVINST 2201.4, DoD Instruction 8523.01 and Air Force Manual 17-1301
Must possess a SECRET Security Clearance
Experience Required
Possess full understanding and experience of federal and DoD policies, processes, procedures and systems - including Defense Travel System - used to enable worldwide travel
Five years' military experience
Job Objective Under a five-year contract, the Travel Orders and ClaimsSpecialist will support the United States Marine Corps Forces, Central Command (MARCENT) and subordinate commands. The scope of the requirement includes professional services for MARCENT located aboard MacDill Air Force Base (AFB), Florida, which serves as a Component Command to U.S. Central Command (USCENTCOM). Specifically, the Travel Orders and ClaimsSpecialist will support the Manpower Directorate (G-1) within the continental United States (CONUS) and outside the continental United States (OCONUS). The G-1 performs analysis of manpower requirements to support operations. Additionally, the G-1 advises and assists the Commander in matters relating to personnel operations, management, policy, administration, awards, correspondence, travel management, the Government Travel Charge Card (GTCC) Program, and administrative support to all Marines stationed at MacDill AFB as well as individual augments in the USCENTCOM Area of Responsibility (AOR). Responsibilities
Provide travel orders processing support services
Execute travel arrangement coordination with travelers and designated DoD Commercial Travel Offices
Inform travelers on travel requirements, allowances, limitations, and process travel claims, coordinate settlement actions with associated finance/disbursing entities, assist the Government Travel Charge Program Manager, and support the Director, Personnel Admin Center
Provide a capability to process (from inception to settlement), a minimum of 450 up to a maximum of 2,800 travel claims per month
Coordinate and arrange travel logistics, ensuring all transportation, lodging, and meals are scheduled efficiently and in compliance with military regulations
Book airline tickets, ground transportation, hotel accommodations, and any other necessary travel-related services for military personnel
Develop, manage, and distribute detailed travel itineraries, ensuring all schedules are clearly communicated and updated as needed
Adjust travel plans in the event of changes or emergencies, ensuring MARCENT personnel are promptly informed of modifications
Ensure all travel arrangements comply with military regulations, including the Joint Travel Regulations (JTR) and Department of Defense (DoD) policies
Maintain and process all necessary travel documentation, including travel authorizations, vouchers, receipts, and expense reports
Assist in monitoring travel budgets and ensure that all travel expenses remain within allocated limits
Submit travel-related financial reports and keep accurate records of expenses.
Serve as the primary point of contact for travel-related inquiries
Liaise with transportation companies, lodging facilities, and other service providers to ensure smooth and cost-effective travel
Provide support and assistance during travel disruptions, such as cancellations, delays, or unexpected changes, to ensure travel needs are met promptly
Assist with rebooking travel and arranging alternative accommodations if necessary
Provide guidance to personnel on travel policies, entitlements, and procedures
Conduct travel training sessions or distribute materials to ensure MARECENT personnel understand the proper travel protocols
Maintain organized records of all travel-related documents, including tickets, itineraries, receipts, and travel authorizations
Generate and submit travel-related reports and summaries as required by supervisors or higher command
Address any travel-related concerns or complaints, providing prompt and professional solutions
Offer superior customer service by assisting with travel inquiries, changes, or issues during the travel process
Continuously evaluate and improve travel processes to enhance efficiency and minimize costs
Recommend changes to improve the overall effectiveness of the MARCENT travel program
Education & Certification
Must possess a current US Passport with ability to travel and work overseas
Must be able to meet COMSEC briefing and Local Element management certification requirements available under the OPNAVINST 2201.4, DoD Instruction 8523.01 and Air Force Manual 17-1301
Security Clearance
Must possess a SECRET Security Clearance
Work Location
MARCENT, MacDill Air Force Base, Tampa, Florida
Travel: Contractor personnel must support the projected travel in support of government requirements to MARCENT AOR and supporting locations, which includes but not limited to the following countries: Bahrain, United Arab Emirates (UAE), Saudi Arabia, Jordan, Egypt, France, Germany, United Kingdom, Oman, Qatar, Kuwait, Iraq, Israel, Afghanistan, Syria, Lebanon, Yemen, Pakistan, Turkmenistan, Uzbekistan, Kyrgyz Republic, Tajikistan, Kazakhstan, Djibouti, Cyprus, Turkey, Italy, and Greece. The ideal candidate will be available for travel on less than 24 hours-notice to support personnel recovery and training for forward deployed forces. The ideal candidate will possess the ability to execute OCONUS travel throughout the Central Command (CENTCOM) AOR.
About Lukos Lukos has been delivering professional services to the Federal Government for 15 years. We help a variety of federal agencies in areas such as national security, homeland security, international development, training, analytics, healthcare, and other professional services. Since our founding, we have grown to support all military services and multiple federal civilian agencies. About Our Name: Lukos is ancient Greek for “wolf”. The characteristics of the wolf match our approach to national security. The wolf is known for cunning, aggression, patience, and teamwork. An individual wolf is smart, strong, and resilient, but the true strength of wolves is their ability to work together as a wolfpack. Kipling said it best in The Law of the Jungle. "For the strength of the pack is the wolf, and the strength of the wolf is the pack." At Lukos we take care of our pack by offering full time employees competitive benefits to include: medical, dental, vision, 401(k), life insurance, short and long term disability coverage, paid time off and Federal holidays.
Lukos is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or national origin.
$33k-60k yearly est. 60d+ ago
GL Litigation and Complex Claims Specialist
Frank Winston Crum Insurance
Claim specialist job in Clearwater, FL
FrankCrum is a Top Workplace!
Frank Winston Crum Insurance (FWCI) issues Workers' Compensation and General Liability policies by offering flexible coverage and payment options to meet the varied needs of businesses. Over the years, FWCI has grown from a single-state insurance carrier to one that is licensed in 45 states and continues to expand. In addition to regional and product line growth, FWCI has enhanced its value-added services. What has not changed though is the firm's commitment - echoed throughout the family of companies - "always to do the right things for the right reasons!"
Click here to learn more about FrankCrum!
The Role You'll Play to Create Success
We are eager to announce a GL Litigation and Complex ClaimsSpecialist position filled with many exciting opportunities! This job contributes to the mission of FrankCrum by adjusting the most complex General Liability claims in the company's inventory and assisting in establishing the best and most cost-effective strategy for handling this claim type.
Investigates, evaluates and brings to timely resolution of an inventory of the most severe and complex general liability claims in the company's inventory of which most are litigated and may involve large property damage, catastrophic bodily injury, and other coverages in accordance with established claim handling standards and applicable state regulations and laws.
Understands and is able to implement proactive litigation management principles and techniques and works well and proactively with defense counsel and insureds to reach optimal outcomes.
Understands and can analyze complex general liability coverage issues and handles complex coverage issues including issuing reservation of rights letters and denial of coverage letters.
Negotiates the duty to defend and indemnify with liable insurers when appropriate.
Demonstrates a strong knowledge and understanding of litigation defense strategy and trial preparation via proper utilization of experts, independent medical reviews or exams, evaluation of liability and damages regarding complex bodily injuries and property damage claims.
Demonstrates a strong knowledge and understanding of resolution techniques such as high-low agreements, proposals for settlement, offers of judgement to obtain optimal outcomes.
Demonstrates an understanding of how to evaluate and respond timely to time limit demands in various states such as Texas, Florida and Georgia, consumer complaints and Department of Insurance.
Complaints often filed and associated with general liability claims.
Demonstrates knowledge of residential and commercial building construction, repair processes, and understands how to review and analyze the accuracy of damage reports prepared by contractors, engineers, and appraisers in order to assess property damage.
Demonstrates strong negotiations skills in alternative dispute resolution forums such as mediations and assists in finding early resolutions in order to obtain optimal outcomes when appropriate.
Demonstrates an understanding of reserving requirements and philosophies and is able to maintain appropriate reserves on all assigned claim files.
Identifies claims effectively with potential severity and institutional risk and timely escalates those claims with proper detailed reports detailing claim exposure, status, payments, reserve, litigation
The Attributes We Seek
Bachelor's degree in a related field or equivalent experience preferred. Juris Doctorate a plus.
8-10 years of general liability claims adjusting experience with exposure of $500,000 or more
Holds Proper Public adjuster licenses in Florida and/or Texas and other states with the ability to obtain additional licenses as needed
Our Competitive Benefits
Along with this great opportunity, FrankCrum also provides exceptional benefits from top carriers including:
Health Insurance is zero dollar paycheck cost for employee's coverage and only one-hundred-ninety-five dollars a month for family!
Dental and Vision Insurance
Short Term Disability and Term Life Insurance at no cost to the employee
Long Term Disability and Voluntary Term Life Insurance
Supplemental insurance plans such as Accidental, Critical Illness, Hospital Indemnity, Legal Services and Pet Insurance
401(k) Retirement Plan where FrankCrum matches 100% of the first 4% the employee contributes, and the employee is immediately vested in the employer match
Employee Assistance Program at no cost to the employee
Flexible Spending Accounts for Medical and Dependent Care Reimbursement
Health Savings Account funded by FrankCrum
Paid time off and holiday pay
Education reimbursement
PTO cash out
Tickets at Work
Access to the Corporate America Family Credit Union
Employee and client referral bonus programs
Disaster Relief Fund for employees
What's Special About FrankCrum
FrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida. This "family of employer solutions" employs approximately 500 people who serve over 4,000 clients throughout the United States. FrankCrum employees are trained to deliver high value through exceptional customer service and treat clients and coworkers like family. By living by our Brand Pillars (Integrity, Affinity, and Prosperity) employees are recognized at quarterly events for exceptional customer service and milestones in tenure.
The FrankCrum headquarters spans 14 acres and includes a cafe, subsidized for employees. Menus include made-to-order breakfast, hot lunch options and even dinners that can be ordered to-go, all at very affordable prices. The cafe also plays host to monthly birthday and anniversary celebrations, eating and costume contests, and yearly holiday parties. Through the input of its own employees, The Tampa Bay Times has recognized FrankCrum as a Top Place to Work for more than 10 years in a row! FrankCrum also supports several community efforts through Trinity Cafe, the Homeless Empowerment Program, and Clearwater Free Clinic!
If you want to play this role to positively impact our clients' day-to-day business, then apply now!
This job posting will remain open continuously and qualified applicants will be considered as applications are received.
Pay Data
As required by applicable state and/or local regulations the following pay data provides a reasonable estimate of the compensation range for this position at the time of posting. FrankCrum may ultimately pay more or less than the posted pay range due to many economic and individualized considerations. The 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. The annualized pay range at the time of initial posting for this position is $105,000-$125,000. These figures represent the annualized pay for both hourly and salaried types of positions and does not indicate employment is on a yearly basis nor remove the employee's employment at-will status.
FrankCrum is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.
Privacy Policy CA Residents
#LI-GH1
$34k-60k yearly est. Auto-Apply 60d+ ago
Bilingual Claim Specialist
Contingentcrew
Claim specialist job in Tampa, FL
Full-time Description
Shift/Schedule: Monday through Friday 8-5 onsite; Saturdays onsite or remote
Essential Duties & Responsiblities:
Responsible for handling incoming claim requests. Need to have excellent communication skills- both written, verbal and interpersonal skills.
Strong work ethic and reliability a must.
Must be able to multitask.
Excellent computer skills including data entry.
Must pay attention to detail and be able to prioritize.
Must be able to engage with clients in friendly professional manner.
Ability to learn dispatch system and accurately enter information.
Must work well under pressure.
Ability to handle high volume intake and work in a fast-paced environment.
Must be an active listener.
Skills & Experience:
Customer service experience preferred.
Dispatching 1 year preferred.
Bilingual/ Spanish speaking candidates!
Salary Description $20/hour - $23/hour
$20 hourly 60d+ ago
Claims Specialist
Healthcare Support Staffing
Claim specialist job in Clearwater, FL
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Assesses insurance reimbursement for individual supplies to ensure maximum reimbursement
Verifies that all appropriate supporting documentation are obtained prior to shipment and/or prior to billing
Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer compatibility
Qualifications
High school diploma or GED equivalent
Minimum of two years of medical billing/collections/claims experience necessary.
Must be knowledgeable of reimbursement processes and procedures.
Ability to work with other employees and provide assistance as needed
Proficient in basic PC skills (MS Office)
Additional Information
Shift:
8-5
Monday-Friday
Advantages of this Opportunity:
Competitive salary $15-$16, based on experience
Growth potential
Excellent benefits offered: Medical, Dental, Vision, 401k and PTOFun
Positive work environment
$15-16 hourly 1d ago
Public Adjuster
The Misch Group
Claim specialist job in Tampa, FL
Job DescriptionDescriptionQUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well
W2, Base Salary 70K+, and industry leading commission package
We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$39k-54k yearly est. 5d ago
Liability Adjuster II
TWAY Trustway Services
Claim specialist job in Tampa, FL
The Liability Adjuster II is responsible for the initial handling of claims involving straightforward coverage and liability issues. This role involves managing a caseload of non-complex claims and conducting thorough investigations to determine liability, assess damages, and identify any potential injury exposures. Leveraging a solid understanding of policy language, the adjuster will make informed coverage determinations under the guidance and support of a supervisor.
About the ROLE
Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will:
Initial contact with insured and claimants to determine coverage and liability exposure.
Determine any injuries involved in the accident and develop the exposure, handling first call settlement injury claims and minor injury claims.
Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures.
Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews.
Properly utilize underwriting and policy systems and understand its features and functionality, as needed.
Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities.
Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims.
About YOU
Excellent communication skills with demonstrative ease with both verbal and written formats.
Attention to detail and ability to multi-task.
A high degree of motivation and team orientation.
Direct, results driven, and dedicated to the success of the business and each other.
Required
Minimum one year experience handling auto claims.
Preferred
Bachelor's degree or equivalent.
Non-standard experience.
Adjuster's license in relevant state or the ability to obtain one quickly.
Bilingual (English-Spanish).
Physical Requirements
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to navigate various departments of the organization's physical premises.
$39k-54k yearly est. Auto-Apply 60d+ ago
Licensed Public Adjuster Tampa
Rockwall National Public Adjusters
Claim specialist job in Tampa, FL
Job DescriptionSalary:
About Us
Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry.
We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers.
At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth.
The Role
We are seeking a motivated and Licensed Public Adjuster in the Tampa area to join our team in a hybrid, commission-based role.
As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests.
This position is designed to support all levels of experience:
Newly licensed adjusters benefit from structured training, mentorship, and back-office support.
Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation.
Key Responsibilities
Collaboratively solicit residential and commercial new claims and referral partners
Sign, inspect, evaluate, and document property damage for residential and commercial claims
Prepare, submit, and negotiate insurance claims on behalf of policyholders
Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently
Advocate for clients best interests and ensure fair settlements are achieved
Maintain accurate records, reports, and claim documentation
Deliver exceptional customer service while educating clients on the claims process
Generate new business and efficiently close provided leads
Required Qualifications
Active Florida Public Adjuster license (or ability to obtain one)
Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required
Strong negotiation and communication skills
Organized, detail-oriented, and able to manage multiple claims simultaneously
Professional demeanor with a client-focused mindset
Valid drivers license and reliable transportation for field inspections
Compensation & Benefits
Commission-based structure with unlimited earning potential
Training and ongoing professional development
Career growth opportunities within a supportive and collaborative team
Hybrid work flexibility (field + office)
Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments)
The Rockwall Difference
At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers.
Key Advantages:
Comprehensive adjuster onboarding and mentorship programs
Professional ongoing sales training to close contracts faster and expand referral networks
Proprietary lead generation sources and affiliate networks
Automated client onboarding to reduce paperwork
Access to advanced claims management software for streamlined workflows
Hands-on field training for residential and commercial claims
Xactimate training and estimate reviews to ensure complete assessments
Seamless invoicing and fee collection support
Regular updates on case law, legislation, and industry trends
A collaborative team environment that promotes growth and shared knowledge
Why Join Rockwall NPA
20+ years of insurance industry expertise
15+ years as a trusted, established firm
Strong reputation and high staff retention
Proprietary lead generation sources and long-standing affiliate networks
Full support systems that empower adjusters to succeed
A company culture built on professionalism, advocacy, and results
$39k-54k yearly est. 11d ago
Customer Claims Representative
Service Pros Auto Glass
Claim specialist job in Lakeland, FL
Job Description
Customer Claims Representative - Lakeland
Join the Service Pros Auto Glass team inside our partnered dealerships! You'll engage customers, spot glass-replacement opportunities, and coordinate quick, professional service - all while building strong relationships and developing a personal team. This role is perfect for a teachable person who loves being part of a supportive, winning team.
What You'll Do:
Engage customers in the service drive and identify windshield replacement needs.
Educate and guide customers through their options and next steps.
Build strong relationships with service advisors, managers, and technicians.
Encourage dealership referrals and hit daily/weekly sales goals.
Schedule and coordinate on-site glass services.
Keep accurate records of leads, interactions, and completed jobs.
Represent the company with a professional, positive attitude.
What Makes You a Great Fit:
Experience in customer service or sales is a plus, but not required.
Strong communication and people skills.
A self-motivated, proactive approach - you enjoy taking the lead.
Team-oriented mindset with a friendly, professional appearance.
Valid driver's license and reliable transportation.
What We Offer:
A fun, energetic, team-first culture
Ability to earn $1000 - $2500 per week
You are
paid on a weekly basis
Promotion from within and clear growth paths
Ongoing training and development
Team events, company outings, and a culture that celebrates wins
$28k-40k yearly est. 12d ago
Medical Billing Claims Rep
Globalchannelmanagement
Claim specialist job in Palm Harbor, FL
Medical Billing Claims Rep needs 1-2 years experience in medical billing claims/posting payments
Medical Billing Claims Rep requires:
Intermediate knowledge of MS Outlook, Excel and Data Entry.
Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare)
Accounts payable and receivable knowledge is a plus.
Medical Billing Claims Rep duties:
Follow up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes.
Assisting in Medical Billing Claims , follow up with denials.
Work closely with a team, collaborating, being adaptable, follow policies and procedures
Provide support in other departments if needed when requested by management and provide superior customer service to internal and external customers.
$28k-40k yearly est. 43d ago
Life Insurance Specialist - Central Florida
The Auto Club Group 4.2
Claim specialist job in Tampa, FL
$2,500 Sign-On Bonus
Payment Terms: $1000 paid after 30 days of employment, $1500 paid after 90 days of employment.
Join America's most trusted brand with over 100 years of service
HOW WE REWARD OUR EMPLOYEES
UNLIMITED Income Potential
*Average Earnings $75,000 - $100,000 (base plus commissions)
Pay Structure
* UNLIMITED LEADS, at no cost
* Elevated tiered commissions for the first 12 months
* Annual Base Pay $29,000 (non-exempt, eligible for overtime)
ACG offers excellent and comprehensive benefits packages:
* Medical, dental and vision benefits
* 401k Match
* Paid parental leave and adoption assistance
* Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
* Paid volunteer day annually
* Tuition assistance program, professional certification reimbursement program and other professional development opportunities
* AAA Membership
* Discounts, perks, and rewards and much more
Why Choose AAA The Auto Club Group (ACG)
* Lead generation of 14+ million members
* Access to unlimited walk-in traffic and referrals
* Online lead generation
* Annual Sales Incentive Trip
A DAY IN THE LIFE of a Field Life Agent
The Auto Club Group is seeking a Field Life Agent who will customarily and regularly be engaged in outside sales activities away from their assigned AAA branch. You will be challenged to drive new business with competitive products and help retain The Auto Club Groups 14+ million members.
* Solicit and sell Life & Health insurance and Annuity products under minimal supervision primarily within ACG branch location.
* Thorough knowledge of various product features and marketing and sales techniques, achieve established sales goals.
* Develop leads and prospects for new accounts through various marketing activities (outbound/inbound phone calls, mailings, referrals, networking, website, seminars, etc.)
* Prepare proposals, and close sales of Life, Health, Annuity, Membership, and Financial Services products.
* Complete appropriate applications, forms and follow internal processing procedures to ensure transactions are handled in accordance with company policies and practices.
* Work collaboratively with others in the Branch to reach business goals, maximize leads, sales opportunities and take advantage of cross-sell opportunities.
* Assist Underwriting and Brokerage Departments in satisfying requirements.
* Respond to customer inquiries and problems and ensure sound sales practices are used.
* Prepare reports documenting prospecting and sales activities, maintain specified production standards and persistency levels for all required products.
What it's like to work for The Auto Club Group:
* Serve our members by making their satisfaction our highest priority
* Do what's right by sustaining an open, honest and ethical work environment
* Lead in everything we do by offering best-in-class products, benefits and services
* ACG values our employees by seeking the best talent, rewarding high performance and holding ourselves accountable
WE ARE LOOKING FOR CANDIDATES WHO
* Possession of valid State Life Sales licenses
* Ability to take and pass LUTC or CLU coursework
* Maintain Life and Health licenses required to sell products
* Possession of a valid State driver's license
* Must qualify, obtain, and maintain all applicable state licenses and appointments required for selling and/or servicing Auto Club Group Membership products
Education
* High School diploma or equivalent
Work Experience
* Minimum of 2 years' experience with a proven record of successfully soliciting and selling life insurance products
* Experience selling intangible products
Successful candidates will possess:
* Strong working knowledge of Life Insurance and Annuity products and services
* Ability to listen to and analyze customer needs and make recommendations to customers that best fit customers' needs and to promote a positive Member experience.
* Effectively communicate complex information with prospective clients in a clear manner
* Ability to prepare proposals and conduct closing interviews to sell Life and Annuity products.
* Assessing and reflecting customer insurance requirements consistent with company standards when writing policies
* Ability to perform mathematical calculations to determine premiums and values of Life insurance and financial products
* Ability to build and maintain strong relationships with customers
* Prospecting and developing new sales opportunities and meeting production requirements
* Ability to work collaboratively with all team members to attain business goals.
* Strong communication skills with others in the Branch to keep partners and branch management informed on sales and the disposition of any partner generated leads
* Understands and can articulate to customers the tax and legal impacts the products have on Members
* Strong organization, planning, time management and administrative skills
* Representing Auto Club Life in a professional and positive manner
* Safely operating a motor vehicle to travel to various locations to attend meetings or community events
* Proficient writing skills to compose routine correspondence
* Working independently with minimal supervision
* Good PC skills including working knowledge of word processing, spreadsheet, presentation, and email.
Work Environment
* Works in a temperature-controlled office environment.
* Limited travel required for community events, with exposure to road hazards and temperature extremes
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
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.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
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. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Assesses insurance reimbursement for individual supplies to ensure maximum reimbursement
Verifies that all appropriate supporting documentation are obtained prior to shipment and/or prior to billing
Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer compatibility
Qualifications
High school diploma or GED equivalent
Minimum of two years of medical billing/collections/claims experience necessary.
Must be knowledgeable of reimbursement processes and procedures.
Ability to work with other employees and provide assistance as needed
Proficient in basic PC skills (MS Office)
Additional Information
Shift:
8-5 Monday-Friday
Advantages of this Opportunity:
Competitive salary $15-$16, based on experience
Growth potential
Excellent benefits offered: Medical, Dental, Vision, 401k and PTOFun
Positive work environment
$15-16 hourly 60d+ ago
PIP Adjuster I
TWAY Trustway Services
Claim specialist job in Tampa, FL
Investigate and adjust PIP claims of moderate complexity through their conclusion. The PIP adjuster will investigate coverage, medically manage files, pay medical bill as warranted and identify potential fraud indicators. This is inclusive of both PIP and Medpay claims.
Key Responsibilities
Complete initial and ongoing contact with insureds, medical providers and attorneys.
Obtain recorded statements as warranted.
Review and analyze policy language, case law and statutes and apply to claims handling.
Complete accurate coverage investigations to proper resolution.
Coordinate Independent Medical Examinations as warranted.
Establish proper reserves in accordance with company reserving guidelines.
Identify potential fraud indicators and work closely with Special Investigations Unit when appropriate.
Ability to work in a high volume, fast paced environment while maintaining accurate and detailed file handling.
Experience/Education:
Education: Bachelor's Degree or equivalent work experience.
Experience: Minimum of 2 years handling non-standard insurance PIP claims.
Must have an active Florida Adjuster's License
How much does a claim specialist earn in Brandon, FL?
The average claim specialist in Brandon, FL earns between $26,000 and $77,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.
Average claim specialist salary in Brandon, FL
$45,000
What are the biggest employers of Claim Specialists in Brandon, FL?
The biggest employers of Claim Specialists in Brandon, FL are: