Post job

Claim specialist jobs in Tallahassee, FL - 2,459 jobs

All
Claim Specialist
Specialist
Claims Representative
Claims Analyst
Adjuster
Medical Claims Analyst
Claims Adjuster
Claim Processor
Senior Claims Specialist
Claim Investigator
Insurance Specialist
Senior Claims Analyst
Claims Associate
Claims Technician
Liability Claims Manager
  • Disability Claims Specialist (Part Time 20 hours+)

    Hays 4.8company rating

    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. 3d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Manager, Liability Claims

    CRH 4.3company rating

    Claim specialist job in Atlanta, GA

    CRH is a leading global diversified building materials group, employing over 75,800 people at more than 3,160 locations in 29 countries. CRH is the leading building materials company in North America and the world. We manufacture and distribute a diverse range of superior building materials, products, and solutions, which are used extensively in construction projects of all sizes. Job Summary CRH Americas, Inc., is seeking a Manager - Liability Claims to lead Auto Liability and General Liability claims' management for its US businesses. This newly created role, reporting to the Senior Manager, Risk Management Programs, will enhance consistency of Auto Liability and General Liability claims' management across the enterprise. Successful candidates will have the ability to provide strategic solutions for internal stakeholders and work closely with our advisors and partners while also being a hands-on member of the risk management team. Job Location This is a remote position, but candidates must be located in either the Central or Eastern US time zone. Job Responsibilities Navigating Liability claims through investigation, valuation, reserving, and ultimate resolution for non-litigated and litigated Liability claims Partnering with internal stakeholders, legal counsel, and third-party administrator (TPA) to drive Liability claims' resolution Securing Liability claims' resolution results throughout the organization through influence, persuasion, and leadership Job Requirements 10 or more years of experience managing Liability claims with an insurer, third-party administrator (TPA), or risk management function Demonstrated skills working with outside advisors, insurers, TPA, and legal partners Professional designation preferred Exposure to the building materials, construction or manufacturing sectors preferred Must be willing to travel and work away from home when required Strong ability to gain stakeholder trust Excellent communication skills (both oral and written) with strong problem-solving skills High ethical standards Complete work independently and collaborate within a team environment Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures and capabilities Ability to resolve issues under pressure Demonstrated sense of urgency Demonstrates strong analytical and problem-solving skills Compensation Base salary - $120,000-$127,000 per year 401k plan Short-Term/Long-Term Disability Opportunity for annual bonus What CRH Offers You Highly competitive base pay Comprehensive medical, dental and disability benefits programs Group retirement savings program Health and wellness programs An inclusive culture that values opportunity for growth, development, and internal promotion About CRH CRH has a long and proud heritage. We are a collection of hundreds of family businesses, regional companies and large enterprises that together form the CRH family. CRH operates in a decentralized, diversified structure that allows you to work in a small company environment while having the career opportunities of a large international organization. If you're up for a rewarding challenge, we invite you to take the first step and apply today! Once you click apply now, you will be brought to our official employment application. Please complete your online profile and it will be sent to the hiring manager. Our system allows you to view and track your status 24 hours a day. Thank you for your interest! CRH is an Affirmative Action and Equal Opportunity Employer. EOE/Vet/Disability CRH is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or any other characteristic protected under applicable federal, state, or local law.
    $120k-127k yearly 1d ago
  • Mechanical Vehicle Claims Adjuster

    Ascendo Resources 4.3company rating

    Claim specialist job in Jacksonville, FL

    Vehicle Claims Adjuster 📍 On-site | Full-Time 🚗 From the dealership or shop floor to the office - without leaving automotive behind. We're hiring a Vehicle Claims Adjuster to join our in-office claims team. This role is ideal for professionals with experience as a Service Advisor, Technician, Warranty Administrator, or Claims Adjuster who want to leverage their automotive knowledge in a stable, professional claims environment. In this role, you'll evaluate mechanical failures, review repair estimates, and determine coverage under vehicle service contracts (VSCs), while working closely with repair facilities, dealerships, inspectors, and internal teams. What You'll Do Investigate, evaluate, and adjudicate mechanical and vehicle service contract (VSC) claims Review shop diagnostics, repair estimates, inspections, labor times, and parts pricing Determine coverage based on contract terms and service guidelines Authorize or deny repairs within settlement authority; escalate complex claims with recommendations Communicate professionally with customers, repair facilities, dealerships, agents, and inspectors Negotiate labor times, parts pricing, and scope of repairs when needed Ensure repairs and costs align with industry standards and contract limitations Accurately document claim decisions across multiple claims and estimating systems Identify and escalate gray-area or complex coverage issues Support service-level goals while delivering a positive customer and dealer experience Additional Responsibilities Participate in quality audits, peer reviews, and calibration sessions Assist with onboarding and training of new or junior adjusters Provide feedback on claim trends, cost drivers, and process improvements Support volume spikes, new program launches, or system migrations Collaborate with underwriting, compliance, product, and leadership teams on escalated claims Complete special projects and reporting as assigned What We're Looking For High school diploma or equivalent required; Bachelor's degree or equivalent experience preferred 2-4+ years of experience in automotive claims, VSC/extended warranty claims, warranty administration, or insurance adjusting Strong automotive background, including experience in: Automotive repair or diagnostics Dealership service roles (Service Advisor, Technician, Warranty Administrator) Fleet maintenance, parts management, or service writing Working knowledge of automotive diagnostics, repair procedures, labor times, and parts pricing Experience in a high-volume or call-based claims environment preferred Comfortable navigating multiple systems and platforms Preferred Qualifications ASE Certifications, factory training, or other automotive industry certifications Experience with Vehicle Service Contracts (VSCs), extended warranties, or TPAs Spanish / bilingual skills a plus Skills & Competencies Strong analytical and decision-making skills Excellent verbal and written communication Professional negotiation and conflict-resolution abilities High attention to detail and documentation accuracy Ability to interpret technical repair information and contract language Strong time management and schedule adherence Customer-focused mindset Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law
    $43k-52k yearly est. 5d ago
  • Casualty Claim Specialist - Florida

    The Auto Club Group 4.2company rating

    Claim specialist job in Jacksonville, 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 Claim Specialist- The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective Casualty Claim Specialistswho 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: Claim Specialistwill 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 2d ago
  • Claims Examiner

    Securian 3.7company rating

    Claim specialist job in Macon, GA

    ** At Securian Financial, the internal title is Customer Benefit Payments Sr Rep** The Claims team is looking for a highly motivated, energized and positive individual. We work in a fast-paced, ever-changing environment where claim information needs to be processed efficiently and accurately. We take pride in providing high standards of performance to our customers and strive to exceed those standards. If you enjoy assisting people in their time of need, being customer focused and working in a team-oriented environment, then joining our team may be right move for you. Responsibilities include but not limited to: Serves department dedicated to issuing timely, accurate benefit payments to customers and channel partners. Tasks include payment processing, data entry, records management, fraud prevention, and loss or eligibility investigations. Provides effective, customer-centric, and compliant communication to internal and external resources, clients, and partners. Adjudicates payments in compliance with regulatory requirements and applicable law, engaging legal, medical, and investigative resources as necessary. Maintains accurate and complete payment record to improve the customer experience, quality review/audit process, and protect our company in the event of litigation and regulatory investigations. Makes critical risk assessments on behalf of Securian Financial and its clients. May manage or serve as subject matter expert for special projects. Ensures payment practices are efficient and in keeping with our organization's values and the highest ethical standards. Qualifications: Strong analytical skills and attention to detail Good judgment/decision-making skills and organizational skills Strong written and verbal communication skills Willingness to maintain a positive and compassionate attitude in a high volume setting Ability to work independently within a team environment Desire to provide world-class customer service Preferred qualifications: Experience on claims processing systems Financial institution background Demonstrated proficiency with Microsoft Word and Outlook Telephone customer service experience #LI-Hybrid This role requires 2 days onsite a month and for moments that matter. The estimated base pay range for this job is: $18.27 - $31.73 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information on base pay and incentive pay (if applicable) can be discussed with a member of the Securian Financial Talent Acquisition team. Be you. With us. At Securian Financial, we understand that attracting top talent means offering more than just a job - it means providing a rewarding and fulfilling career. As a valued member of our high-performing team, we want you to connect with your work, your relationships and your community. Enjoy our comprehensive range of benefits designed to enhance your professional growth, well-being and work-life balance, including the advantages listed here: Paid time off: We want you to take time off for what matters most to you. Our PTO program provides flexibility for associates to take meaningful time away from work to relax, recharge and spend time doing what's important to them. And Securian Financial rewards associates for their service by providing additional PTO the longer you stay at Securian. Leave programs: Securian's flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave. Holidays: Securian provides nine company paid holidays. Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian's 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service. Health insurance: From the first day of employment, associates and their eligible family members - including spouses, domestic partners and children - are eligible for medical, dental and vision coverage. Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you. Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including: Mental Wellness and Disability Pride at Securian Financial Securian Young Professionals Network Securian Multicultural Network Securian Women and Allies Network Servicemember Associate Resource Group For more information regarding Securian's benefits, please review our Benefits page. This information is not intended to explain all the provisions of coverage available under these plans. In all cases, the plan document dictates coverage and provisions. Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at , by telephone (voice), or 711 (Relay/TTY). To view our privacy statement click here To view our legal statement click here
    $18.3-31.7 hourly 1d ago
  • Unemployment Claims Analyst

    Westgate Resorts

    Claim specialist job in Ocoee, FL

    Westgate Resorts is the largest privately held timeshare company in the world, with 60+ resorts in top destinations like Orlando, Las Vegas, Gatlinburg, Park City, and Myrtle Beach. Recognized by U.S. News & World Report as one of the Best Companies to Work For, we're committed to creating a supportive, rewarding workplace where our 9,000 Team Members can grow and thrive. Since 1982, we've delivered unforgettable vacations through exceptional service, innovation, and community engagement. With the recent addition of VI Resorts by Westgate, our footprint now includes the Pacific Northwest, Hawaii, Canada, and Mexico. Join us and be part of a team that values passion, integrity, and excellence, where your work helps create memories that last a lifetime. Job Description Primary contact between the organization and state unemployment agencies, responsible for receiving, analyzing, determining appropriate documentation, and responding to unemployment claim-related documents and state agency inquiries within regulatory time limits. Works independently to meet daily goals and project deadlines while maintaining a high level of accuracy and technical diligence. Responsibilities Receive and prioritize claims, state agency documents, determinations, and other unemployment-related data. File timely claim protests and appeals with state UI agencies on behalf of the company. Review files and hearing notes to assist in drafting written appeals to the Board of Review for unfavorable hearing decisions. Provide representation for Westgate Resorts at unemployment hearings. Analyze individual unemployment compensation cases by reviewing company databases, conducting investigative telephone calls, and examining document images to determine appropriate responses to state agencies. Transfer completed claim responses to the Unemployment Claims Specialist for imaging and appropriate storage. Effectively communicate with Human Resources and company leadership regarding the fiscal impact, strengths, and weaknesses of unemployment compensation cases. Respond to internal customers and state agencies with all pertinent information in accordance with mandatory state and organizational compliance guidelines. Initiate timely contact, follow-up, and collaboration via telecommunications, in-person communication, telephone, email, and fax with identified organizational leadership to obtain required documentation. Establish and maintain professional relationships with state agencies and internal customers. Investigate and resolve operational requirements in a timely manner, and coach and assist Human Resources on unemployment compensation topics. Assist in the development and delivery of verbal presentations on unemployment compensation compliance training for Human Resources and organizational leadership. Perform additional responsibilities as needed to ensure departmental operations and governmental compliance, which may include working outside of normal business hours to accommodate varying time zones. Qualifications Must live within a commutable distance to Ocoee, FL. Knowledge, skills, and abilities required are representative of the job's demands. Must demonstrate the ability to exercise independent discretion and judgment. Working knowledge of the overall unemployment compensation cost control process is important. Proven success in working independently and as part of a team to achieve goals and meet deadlines while maintaining high accuracy and focus. Education and/or Experience Bachelor's degree (BA/BS) in Business, Human Resources, Finance, or a related field, and 3-5 years of related experience/training preferred. May consider an AA degree in a related field with 5-7 years of related experience. Equivalent combinations of education and experience are also acceptable. Certificates, Licenses, Registrations PHR or SPHR certifications are a plus. Additional Information Why Westgate? Comprehensive health benefits - medical, dental and vision Paid Time Off (PTO) - vacation, sick, and personal Paid Holidays 401K with generous company match Get access to your pay as you need it with our Daily Pay benefit Family benefits including pregnancy, and parental leave and adoption assistance Wellness Programs Flexible Spending Accounts Tuition Assistance Military Leave Employee Assistance Program (EAP) Life, Disability, Accident, Critical Illness & Hospital Insurance Pet Insurance Exclusive discounts for Team Member (i.e., hotels, cruise, resorts, restaurants, entertainment, etc.) Advancement & development opportunities Community Involvement Programs Westgate Resorts is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status or any other protected status under federal, state or local law. If you have a disability and believe you need a reasonable accommodation in order to complete your application or any part of the recruiting process, please email WGAccommodations@wgresorts.com with the job title and the location of the position for which you are applying. This job posting is intended to provide a general overview of the position and may not include every responsibility, duty, or qualification required. Duties, responsibilities, and activities may change at any time with or without notice.
    $27k-46k yearly est. 4d ago
  • Seasonal CAT Adjuster

    Munich Re 4.9company rating

    Claim specialist job in Atlanta, GA

    All locations Amelia, United States; Atlanta, United States; Dallas, United States; Denver, United States; Des Moines, United States; Fort Worth, United States; American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't. American Modern Insurance Group is recruiting Seasonal CAT Adjusters to join our CAT team! This is a temporary, full-time position till October/November and will be required to travel for CAT deployments across the United States. As a CAT Adjuster, you will be deployed to the front lines supporting customers in times of need and disaster when they need it the most. We're seeking an individual with excellent decision making skills, the ability to work under pressure, solid organizational skills, exemplary customer service skills, as well as time management skills to balance various tasks. A majority of claims handled would be catastrophe related (Occasionally, adjusters may handle day to day claims) Provide prompt contact and timely adjustment of assigned claims. Handle assigned claims from start to finish, including investigation, documentation, coverage analysis and subrogation/salvage assessment. Perform on-site inspections including carrying and setting up a 40-pound ladder, walking on roofs, and accessing tight spaces. Travel is expected about 75% of the time This career might be right for you if: Previous property claim handling experience is required. Preferably experience CAT property claims experience is required. Ability to perform physical inspections; climb roofs, stoop, bend, etc. Mobile home and Dwelling construction knowledge preferred. You must have a Bachelor's degree or equivalent work/industry experience. A clean driving record and a valid driver's license are required. Proficiency in Symbility, Xactimate or similar estimating platform experience Industry training, coursework, certifications are preferred. (AIC, CPCU, SCLA) Ability to lift, carry, set-up, ascend and descend ladders in excess of 40 pounds. Ability to complete field inspections (scope, diagram and estimate damages) At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Apply Now Save job
    $47k-61k yearly est. 2d ago
  • Claims Technician - Cyber

    Beazley Group

    Claim specialist job in Atlanta, GA

    General Job Title: Claims Technician Division: Group Claims Reports To: Claims Product Specialist and/or Claims Focus Group Leader, as per Beazley's organisation chart Key Relationships: Claims management and staff, underwriters, insureds, brokers and service providers Job Summary: An entry level claims handler proactively managing low-value/low-complexity claims with support from a line manager to help achieve the Beazley vision of being the highest performing specialist insurer through the proactive management of claims. To support claims management staff in the delivery of projects and improvement initiatives as required. To support claims management to - and work in - a manner that best meets the challenges of our clients. To engage in continuous professional development in claims management. FLSA: Exempt Key Responsibilities: Individual Claims Leadership * Develop capabilities to independently manage low value/low complexity claims on a proactive basis, with support from line management, from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and quantum of the claim. * Focus primarily on the management of claims with an expected, Blend estimated, or actual value at or below $100,000 and with limited complexity. * Escalate claims and issues as appropriate to line management where additional experience of knowledge is required or may be beneficial. * Adhere at all times to Beazley's Claims Reserving Philosophy and Standards. * Develop an understanding of Beazley's Conduct Risk Policy. Claims Portfolio Management Work alongside and support Assistant Claims Managers and Claims Managers in the management of the claims portfolio to optimise performance including the: * Review of individual claims within the portfolio on a regular basis and ensuring reserves and records are maintained in a timely manner as required by Beazley's claims controls and standards. Be cognizant of and flag trends identified by Claims team. Working with Underwriters * Start to develop working relationships with Underwriters. * When requested, provide input to Underwriters on existing insured's claims experience under supervision of senior Claims staff. Authority & Minimum Standards Observance * Operate within approved claims authorities at all times. * Maintain a thorough knowledge of industry regulations and minimum standards. * Ensure compliance with the regulations and Beazley's claims control standards and protocols. Supporting Senior Claims Handlers * Support Claims staff with any relevant tasks, projects or initiatives to further develop skills and understanding of the broader organisation. Operational * Assist to ensure the management of claims conforms to the agreed standardised processes and use of share service functions as appropriate. * Contribute to the commitment to and active development of a continuous improvement culture within the overall claims function. Professional Development * Proactively enhance professional skills and knowledge in claims management by engaging in continuous learning and development opportunities. Conflicts of Interest * Adhere to Beazley's Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly. * Immediately advise your Head of or Group Head of Claims if any Beazley employee seeks to exert undue influence on you or any other team member to act improperly in the management, reserving, or settlement of any claim. General It is important that within all your interactions both internally and externally you adhere to Beazley's core values - Being Bold, Striving for Better, and Doing the Right Thing - as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. We also expect Beazley employees to: * Comply with Beazley procedures, policies and regulations including the code of conduct which incorporates the FCA and PRA Conduct. * Undertake training on Beazley policies and procedures as delivered by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system. * Display business ethics that uphold the interests of all our customers. * Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs. * Comply with any specific responsibilities necessary for your role as outlined by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas. This may include, amongst others, Beazley's underwriting control standards, Beazley's claims control standards, other Beazley standards and customer relationship management. * Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system. These may include membership of any Beazley committees or working groups. Personal Specification: Education and Qualifications * Degree Educated / Bachelor's Degree Skills and Abilities * Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making * Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus * Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening Essential Criteria * Past claims experience establishing liability and/or settlement resolutions. * Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US/RoW legal and regulatory environment, Alternative resolution approaches Aptitude and Disposition * Outcome focussed, self-motivated, flexible and enthusiastic * Professional approach to successfully interact with senior management/colleagues/external suppliers * Diplomatic Competencies * Problem-solving * Decisiveness * Customer-focused * Influencing others * Team work * Self-starter * Analytical thinking * Managing resources effectively * Technical competency and expertise Who We Are: Beazley is a specialist insurance company with over 30 years' experience helping people, communities and businesses to manage risk all around the world. Our mission is to inspire our clients and people with the confidence and freedom to explore, create and build - to enable businesses to thrive. Our clients want to live and work freely and fully, knowing they are benefitting from the most advanced thinking in the insurance market. Our goal is to become the highest performing sustainable specialist insurer. Our products are wide ranging, from cyber & tech insurance to marine, healthcare, financial institutions and contingency; covering risks such as the weather, film production or protection from deadly weapons. Our Culture We have a wonderful mix of cultures, experiences, and backgrounds at Beazley with over 2,000 of us working around the world. Employee's diversity, experience and passion allow us to keep innovating and moving forward, delivering the best. We are proud of our family-feel culture at Beazley that empowers our staff to work from when and where they want, in an adult environment that is big on collaboration, diversity of thought and personal accountability. Our three core values inspire the way we work and how we treat our people and customers. Be bold Strive for better Do the right thing Upholding these values every day has enabled us to become an innovative and responsive organization in touch with the changing world around us - our ambitious inclusion & diversity and sustainability targets are testament to this. We are a flexible and innovative employer offering a friendly, collaborative, and inclusive working environment. We actively encourage and expect applications from all backgrounds. Our commitment to fostering a supportive and dynamic workplace ensures that every employee can thrive and contribute to our collective success. Explore a variety of networks to assist with professional and/or personal development. Our Employee Networks include: Beazley RACE - Including, understanding and celebrating People of Colour Beazley SHE - Successful, High potential, Empowered women in insurance Beazley Proud - Our global LGBTQ+ community Beazley Wellbeing - Supporting employees with their mental wellbeing Beazley Families - Supporting families and parents-to-be We encourage internal career progression at Beazley, giving you all the tools you need to drive your own career here, such as: Internal Pathways (helping you grow into an underwriting role) iLearn (our own learning & development platform) LinkedIn Learning Mentorship program External qualification sponsorship Continuing education and tuition reimbursement Secondment assignments The Rewards The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization Attractive base compensation and discretionary performance related bonus Competitively priced medical, dental and vision insurance Company paid life, and short- and long-term disability insurance 401(k) plan with 5% company match and immediate vesting 22 days PTO (prorated for 1st calendar year of employment), 11 paid holidays per year, with the ability to flex the religious bank holidays to suit your religious beliefs Up to $700 reimbursement for home office setup Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance Up to 26 weeks of fully paid parental leave Up to 2.5 days paid annually for volunteering at a charity of your choice Flexible working policy, trusting our employees to do what works best for them and their teams Salary for this role will be tailored to the successful individual's location and experience. The expected compensation range for this position is $70,000-$77,000 per year plus discretionary annual bonus. Don't meet all the requirements? At Beazley we're committed to building a diverse, inclusive, and authentic workplace. If you're excited about this role but your experience doesn't perfectly align with every requirement and qualification in the job specification, we encourage you to apply anyway. You might just be the right candidate for this, or one of our other roles. We are an equal opportunities employer and as such, we will make reasonable adjustments to our selection process for candidates that indicate that, owing to disability, our arrangements might otherwise disadvantage them. If you have a disability, including dyslexia or other non-visible ones, which you believe may affect your performance in selection, please advise us in good time and we'll make reasonable adjustments to our processes for you.
    $70k-77k yearly 5d ago
  • RCRA Specialist

    Actalent

    Claim specialist job in Titusville, FL

    We are seeking an experienced RCRA Specialist who will play a critical role in supporting operational efforts to ensure compliance with local, state, and federal waste regulations. The successful candidate will work collaboratively with external entities, operations personnel, and corporate management to maintain compliance and identify opportunities for continual improvement of the company's waste and compliance programs. The RCRA Specialist will also serve as a project manager for disposal projects, handling customer needs, managing project setup, and invoicing within the project management software. Responsibilities + Provide guidance to team members and customers on RCRA compliance. + Perform technical field and office work as required. + Manage a variety of waste stream determinations for RCRA status. + Properly classify, identify, package, label, and schedule disposal of hazardous and non-hazardous waste. + Characterize, sample, and profile waste streams. + Prepare shipping documents in accordance with EPA and DOT regulations. + Work closely with Strategic Development to provide pricing and options for waste disposal and transportation. + Prepare and submit required regulatory reports. + Assist management in preparing and maintaining permit applications and modifications. + Perform inspections of staging and storage areas to ensure proper housekeeping and compliance. + Review and approve all profiles for acceptance into the Solid Waste Processing Facility. + Meet with customers to participate in job walks to understand the scope of work and any issues that may impact costs and execution. + Work with management to schedule the work and ensure availability of manpower and equipment resources. + Follow up on jobs with the operational team and customers to ensure work is completed satisfactorily, issues are resolved, and invoiced. Essential Skills + Bachelor's Degree in physical sciences, geology, engineering, environmental science, or a related field. + Experience with environmental or industrial services projects preferred. + OSHA 40-hour HAZWOPER training. + DOT HazMat (HM-141) Training. + Extensive knowledge of environmental regulations related to waste characterization and management of contaminated sites. + Understanding of FDEP or EPA standard operation procedures for field sampling. + Understanding of laboratory methodology. + Technical writing skills. + Proficient computer skills, including Microsoft Office Suite. + Knowledge of Project Management Software. + Strong interpersonal skills to support leadership, management, negotiation, and problem-solving functions. + Excellent judgment and discretion. + Effective communication skills regarding safety, quality, and integrity. + Ability to handle multiple priorities simultaneously, meet deadlines, and adapt to quick-changing environments. + Ability to remain calm and professional in stressful situations. Additional Skills & Qualifications + Friendly, courteous, customer service-oriented, professional, and outgoing demeanor. + Ability to work independently and productively with minimum supervision. + Ensures that assigned tasks are performed with the highest level of quality. + Positive and team-oriented attitude. Work Environment The position is based in Titusville, with most of the work conducted inside the office and processing facility. Periodic one-day travel is required, and there may be projects throughout Florida that require overnight stays. The company offers a supportive family environment with recognition for performance, birthdays, and anniversaries. There are numerous opportunities for career development, training, and exposure to a wide variety of projects and clients. Benefits include health, dental, and vision insurance, a company truck for most positions, a 401k with company match, PTO, and company-paid holidays. Job Type & Location This is a Contract to Hire position based out of Titusville, FL. Pay and Benefits The pay range for this position is $33.65 - $38.46/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Titusville,FL. Application Deadline This position is anticipated to close on Jan 23, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
    $33.7-38.5 hourly 3d ago
  • Cleaning Specialist

    Diamonds International 4.5company rating

    Claim specialist job in Miramar, FL

    We are looking for a full time cleaning aide for our offices in Miramar to perform general cleaning tasks like sweeping, mopping, and vacuuming floors; dusting and polishing surfaces; and emptying trash and recycling bins. Responsibilities also cover thorough cleaning and sanitizing of restrooms and kitchens, restocking supplies, and ensuring all areas are clean and presentable. Duties and responsibilities Floor care: Sweep, mop, and vacuum carpets and hard floors. Buff and polish hard floors as needed. Surface cleaning: Dust and wipe down all surfaces, including desks, tables, countertops, shelves, and cabinets. Restroom cleaning: Thoroughly clean and sanitize toilets, sinks, mirrors, and other surfaces. Restock supplies like toilet paper and paper towels. Kitchen/breakroom cleaning: Clean sinks, countertops, and appliances in kitchen areas. Waste management: Empty trash and recycling bins and replace liners. Sanitization: Disinfect high-touch surfaces such as doorknobs, light switches, and shared equipment. Equipment and supplies: Safely operate and maintain cleaning equipment. Keep cleaning supplies properly stored. Qualifications and skills Prior experience as a janitor or cleaner is often preferred. Strong attention to detail. Ability to work independently and manage time effectively. Physical stamina to perform tasks such as lifting and carrying equipment supplies and being on your feet for extended periods. Ability to follow instructions and safety protocols. Good communication skills.
    $39k-54k yearly est. 1d ago
  • Associate Claims Specialist - Medical Only Claims - FL, GA, AL - Tampa, FL

    PMA Companies 4.5company rating

    Claim specialist job in Tampa, FL

    Back Associate Claims Specialist - 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. 2d ago
  • RCM OPEX Specialist

    Femwell Group Health 4.1company rating

    Claim specialist job in Miami, FL

    The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency
    $34k-49k yearly est. 4d ago
  • Workplace Experience Specialist

    Procore 4.5company rating

    Claim specialist job in Tampa, FL

    We're looking for a customer service oriented Workplace Experience Specialist to support Procore's Workplace Experience team and employees at our Tampa office. You'll oversee the office's day-to-day operations, from food and beverage to maintenance and office supplies. You'll ensure we are adhering to best practices and are set up to scale in a fast and efficient way. As a successful Workplace Experience Specialist, you're collaborative, detail-oriented, personable, and can navigate high-growth environments with ease-no two days will be the same. You have a diverse skill set and are comfortable working on facility operations, food and beverage and IT. This position reports into the Director of Workplace Experience and will be based in our Tampa, FL office.. We're looking for someone to join us immediately. What you'll do: General office management duties including ordering and maintaining balanced levels of food and office supply inventory for the office, daily cleaning duties in kitchens, conference rooms and communal areas Regularly perform walk-throughs and basic building repairs if needed; escalate issues to appropriate vendors or submit building work orders as needed Plan, assist, and execute creative internal events that add to an amazing workplace environment and vibrant culture Run office ticketing systems including answering, evaluating, prioritizing, assigning, and executing incoming requests for assistance Register and greet visitors, have an awareness of all ongoing team activities, department meetings, visitors, and deliveries Assist in the installation of desks, desk equipment, and furniture in conjunction with the IT department and help execute office moves Daily written and verbal communication to all employees regarding office announcements as well as continuously communicate with extended Building Operations team members via email or Slack Assist other departments at Procore as needed with operations related projects Welcome new hires by setting up their workspace and presenting in-office orientation What we're looking for: 1+ year of experience in a professional setting, as office coordinator, assistant, or other relevant roles Although a bachelor's degree is not required, this position requires a business/office management background equivalent to a bachelor's degree in a business or related administrative field An up-for-anything attitude, change is the only constant Quality written and verbal communication skills Ability to multitask, prioritize, and stay organized Customer service - must be able to interface with all guests, employees, and executives Demonstrated competence in Microsoft Office and Google Applications and web conferencing Respect for confidential information Strong commitment to customer service, employee happiness, and company growth Ability to lift 50lbs Additional Information Base Pay Range: 19.21 - 26.42 USD HourlyFor Los Angeles County (unincorporated) Candidates: Procore will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the California Fair Chance Act. A criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: 1. appropriately managing, accessing, and handling confidential information including proprietary and trade secret information, as well as accessing Procore's information technology systems and platforms; 2. interacting with and occasionally having unsupervised contact with internal/external customers, stakeholders, and/or colleagues; and 3. exercising sound judgment.
    $46k-64k yearly est. 1d ago
  • Single Point of Failure (SPOF) Specialist

    Virginia Transformer Corp 4.0company rating

    Claim specialist job in Rincon, GA

    On the heels of achieving 3X growth, Virginia Transformer is hiring to do it again! We're strategically building our team for the next 3X growth cycle - a phase that is both intense and incredibly rewarding. We're highly selective about who joins us, because this journey isn't for everyone. If you have the drive, grit, and expertise to perform at a high level - and you want to grow your career 3X alongside the Company's growth - we'd love to talk. Apply below and let's start the conversation. Who We Are Virginia Transformer is the largest U.S.-owned producer of power transformers in North America, and we've been able to grow the past 50-plus years through an unwavering focus on delivering for our customers. We're more than 5,400 people strong and are known throughout the industry for being an engineering company that makes premium quality transformers in the shortest lead times. As a privately held, organically growing company, we thrive on nimbleness, innovation, and tenacity. Join Our Team If you love the thrill of securing the U.S. electric grid, enabling all manufacturing in the country, and the energy of a fast-moving train - this is the place for you. We train hard, grow together, and lead with purpose. Every transformer we build is custom, every challenge unique, and every team member essential. We're looking for those ready to lead, fueled by commitment, and driven by impact. We are growing so fast that all our available roles are not yet posted, so let us know if you are interested and we will follow-up. Job Title and Job Description Single Point of Failure (SPOF) Specialist Location: On-Site | Rincon, Georgia Company: Virginia Transformer Corporation About Virginia Transformer Virginia Transformer Corporation (VTC) is one of the largest privately held power transformer manufacturers in North America. VTC supports critical power infrastructure through highly engineered manufacturing operations and is committed to equipment reliability, risk mitigation, and operational continuity across its facilities. Position Summary The Single Point of Failure (SPOF) Specialist is responsible for identifying, managing, and mitigating Single Points of Failure across critical manufacturing equipment and supporting systems. This role ensures that critical assets have clearly defined risk mitigation strategies, including spare parts availability, redundancy, backup equipment, and documented recovery plans to minimize production disruption in the event of equipment failure. Key Responsibilities SPOF Identification & Risk Management Identify, document, and maintain the corporate SPOF equipment and critical spare parts lists. Perform SPOF risk assessments across manufacturing equipment and support systems. Evaluate risk exposure based on equipment criticality, failure impact, and recovery time. Spare Parts & Inventory Strategy Define critical spare parts, minimum and maximum stock levels, and part interchangeability. Coordinate with maintenance, storeroom, and procurement teams to ensure spare parts readiness. Support supplier development and alternative sourcing strategies for critical components. Mitigation Planning & Execution Develop and coordinate SPOF mitigation plans including redundancy, backup equipment, and recovery procedures. Support projects related to equipment redundancy, system upgrades, and risk reduction. Ensure SPOF-related preventive maintenance and predictive inspections are planned and executed as required. Cross-Functional Coordination Partner with maintenance, engineering, operations, and procurement to align SPOF strategies with plant priorities. Support emergency response and recovery planning for critical equipment failures. Provide technical input during equipment failures and recovery efforts. Performance Tracking & Continuous Improvement Track and report SPOF KPIs, risk exposure metrics, and mitigation status across plants. Maintain accurate documentation, risk registers, and recovery plans. Support continuous improvement initiatives focused on reducing operational risk and unplanned downtime. Qualifications Required Experience in maintenance, reliability, engineering, or asset management within an industrial or manufacturing environment. Strong understanding of equipment criticality, risk assessment, and failure impact. Experience coordinating cross-functional teams to address equipment risk and mitigation strategies. Strong organizational, documentation, and communication skills. Ability to work on-site in a manufacturing environment. Preferred Technical degree or certification in engineering, maintenance, or reliability-related field. Experience with spare parts management, inventory strategy, and supplier coordination. Familiarity with predictive maintenance practices and reliability methodologies. CMMS experience and working knowledge of maintenance and reliability KPIs. Background in heavy manufacturing, electrical equipment, or transformer manufacturing. Why Join Virginia Transformer Critical role supporting manufacturing continuity and operational risk reduction. Opportunity to directly influence plant reliability and business resilience. Stable, growth-oriented organization supporting critical energy infrastructure. Competitive compensation and comprehensive benefits. On-site role at Virginia Transformer's Rincon, GA manufacturing facility.
    $94k-116k yearly est. 3d ago
  • Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout 4.2company rating

    Claim specialist job in Huntsville, AL

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
    $31k-38k yearly est. 2d ago
  • ECMO Specialist Nights

    Adventhealth 4.7company rating

    Claim specialist job in Ocala, FL

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 1500 SW 1ST AVE City: OCALA State: Florida Postal Code: 34471 Job Description: Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. Observes, monitors, assesses, and reports patient status and response to ECMO therapy. Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. Participates in building and priming disposable ECMO circuits and other related equipment. Leads ECMO patient transport, both within and between hospitals. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body Pay Range: $34.71 - $64.55 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $20k-35k yearly est. 5d ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance Co 4.3company rating

    Claim specialist job in Tallahassee, FL

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-CH1 #LI-HYBRID #LI-DNP #IN-DNI
    $42k-60k yearly est. Auto-Apply 43d ago
  • Inside Claims Rep- Tallahassee, FL

    Sfbcic

    Claim specialist job in Tallahassee, FL

    This job is with Florida Farm Bureau which is the Florida state office for Southern Farm Bureau Casualty Insurance Company, and we currently have an opening for an Inside Claims Representative to work in Tallahassee, FL. This position is responsible for resolving damage and injury claims caused by or incurred by insureds. Starting salary of $54,800. We offer many benefits including health, dental, vision, PTO, Extended Illness Leave, Pension and matching 401K. ESSENTIAL DUTIES AND RESPONSIBILITES: Include the following. Other duties may be assigned. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Maintain claim files and follow departmental reporting procedures. Submit reserve recommendations on assigned claims. Communicate with customers and other Claims personnel regarding procedures, problems, and coverages. Enroll in training and continuing education courses when and where required. Negotiate fair settlements with individual claimants or attorneys. Report risk reviews to Underwriting Department. Regular and predictable attendance is required. EDUCATION and/or EXPERIENCE: Bachelor's degree from four-year college or university Obtain Adjuster's license in 6 months SKILLS/ABILITY Strong Verbal communication & listening skills Effective negotiation skills Effective conflict management skills Ability to simultaneously handle multiple priorities Possesses strong product knowledge PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to sit at a desk or table with some walking, standing, bending, stooping or carrying of light objects. The employee frequently is required to perform continuous operations of personal computer for four hours or more and use their hands to finger, handle, or feel objects, tools, or controls; and talk or hear. Specific vision abilities required by this job include close vision.
    $54.8k yearly 42d ago
  • Independent Insurance Claims Adjuster in Tallahassee, Florida

    Milehigh Adjusters Houston

    Claim specialist job in Tallahassee, FL

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $42k-51k yearly est. Auto-Apply 60d+ ago
  • Claims Investigator - Experienced

    Command Investigations

    Claim specialist job in Tallahassee, FL

    Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer.
    $29k-40k yearly est. Auto-Apply 60d+ ago

Learn more about claim specialist jobs

How much does a claim specialist earn in Tallahassee, FL?

The average claim specialist in Tallahassee, FL earns between $25,000 and $73,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.

Average claim specialist salary in Tallahassee, FL

$43,000

What are the biggest employers of Claim Specialists in Tallahassee, FL?

The biggest employers of Claim Specialists in Tallahassee, FL are:
  1. Sedgwick LLP
  2. Auto-Owners Insurance
Job type you want
Full Time
Part Time
Internship
Temporary