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Claim specialist jobs in Town North Country, FL - 109 jobs

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  • 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. 2d ago
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  • Transportation Claims & Carrier Qualifications Specialist

    Patterson Companies 4.7company rating

    Claim specialist job in Lakeland, FL

    Patterson Companies was founded in 1985 and has grown from a single office specializing in transporting perishable goods to a comprehensive supply chain solutions company. Serving thousands of customers annually, Patterson expertly handles Full Truckload (FTL), Less-Than-Truckload (LTL), Expedited, Refrigerated, Flatbed, and Dry Van transport markets. The company is committed to ensuring every shipment is delivered efficiently and in optimal condition. In addition to being a leading logistics company, Patterson boasts large asset divisions with refrigerated and dry van fleets, as well as warehouse and distribution locations. Role Description This is a full-time, on-site role located in Plant City, FL, for a Transportation Claims & Carrier Qualifications Specialist that plays a critical role in protecting Patterson Companies from operational, financial, and reputational risk. This position is responsible for managing all Overages, Shortages, and Damages (OS&D), processing and resolving freight claims, qualifying and onboarding carriers, maintaining carrier insurance compliance, and overseeing organizational risk management procedures. This role ensures that Patterson Companies operate within industry regulations while building strong partnerships with carriers and safeguarding our customers' freight. Key Responsibilities Claims & OS&D Management Serve as the first point of contact for all OS&D and freight claims from shippers, carriers, and internal teams. Investigate, document, and process claims in compliance with company policies, federal regulations, and industry best practices. Communicate with carriers, customers, and internal stakeholders to resolve disputes promptly and fairly. Maintain detailed claim files, documentation, and reporting for trend analysis and process improvement. Carrier Vetting & Qualification Conduct thorough vetting of new carriers, including verifying MC/DOT authority, safety ratings, insurance coverage, and operational capabilities. Ensure carriers meet Patterson Companies' safety and compliance standards before onboarding. Monitor ongoing carrier compliance, including insurance renewals, safety performance, and regulatory changes. Manage the carrier onboarding process in collaboration with the operations team, utilizing TMS-integrated vetting tools (e.g., Highway). Insurance & Compliance Management Track and verify carrier insurance policies, ensuring timely renewals and appropriate coverage. Coordinate with carriers and insurance providers to update coverage documents in company systems. Monitor regulatory requirements and ensure company compliance with FMCSA, DOT, and other governing bodies. Organizational Risk Management Identify operational risks and recommend preventive strategies to mitigate exposure. Develop and update company policies related to risk, claims, and carrier compliance. Provide regular risk and claim trend reports to leadership to inform decision-making. Collaborate with sales, operations, and leadership to ensure contractual agreements protect company interests. Carrier Relations & Partnership Management Serve as a primary point of contact for carriers regarding qualification requirements, insurance compliance, claims processes, and risk-related inquiries Communicate Patterson's carrier standards, documentation requirements, and expectations clearly and professionally Build and maintain respectful, solutions-oriented relationships with approved carriers while enforcing compliance and risk policies consistently Support carrier onboarding and requalification by providing guidance on required documentation, timelines, and corrective actions Manage carrier communications during claims, incidents, or service failures with a focus on transparency, resolution, and professionalism Collaborate with Operations and Carrier Sales teams to balance carrier partnership, service reliability, and risk mitigation Identify recurring carrier issues or trends and proactively recommend improvements to processes, standards, or communication De-escalate disputes when necessary while protecting Patterson's interests and maintaining long-term carrier trust Qualifications Strong Analytical Skills for evaluating claims, problem-solving, and ensuring data accuracy Excellent Communication and Customer Service abilities to effectively collaborate with clients and carriers Ability to work in a fast-paced, detail-oriented environment Proficiency in using standard office software and transportation management systems Previous experience in logistics, supply chain, or transportation management is preferred Minimum 3 years of experience in transportation, logistics, risk management, or claims processing
    $41k-52k yearly est. 3d ago
  • Casualty Claim Specialist - Florida

    The Auto Club Group 4.2company rating

    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 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 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. 1d ago
  • Inside Claims Examiner-P&C Homeowners Insurance

    Slide 2.8company rating

    Claim specialist job in Tampa, FL

    Calling all innovators and people ready to take a proactive approach to claims handling in a digital world!!! Slide is a cutting-edge Tampa-based insurtech company (have you seen us in the news lately?!) and we are looking for tech-savvy Claims professionals! Slide is an insurtech bringing together top talent, cutting-edge technology, world-class data science, and a human-centric approach. We work and think differently, leveraging Big Data, AI, and machine learning to simplify and hyper-personalize every part of the insurance process. Why? Because modern consumers expect and deserve more from the insurance experience. And we have what it takes to deliver it. Rebuilding every part of the insurance process to modernize the way it is written, explained, and managed is no small feat, but we are up for the challenge….are you? Job Summary: The position is responsible for the investigation, evaluation, negotiation, and settlement of personal lines property claims including dispute resolution and/or recovery. Duties and Responsibilities: Proactively communicate and set accurate claims expectations with customers throughout the Claims process while providing high quality customer service. Research, analyze, and interpret policy language and state law as it applies to submitted claims. Examine and appropriately interpret policies, forms, and other records to determine coverage and extent of company's exposure or liability. Appropriately apply knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines. Draft, approve, and adjust estimates of damage and loss amounts. Negotiate and settle claims in accordance with Slide's best practices, guidelines, and industry standards. Assign, direct, and monitor vendors conducting mitigation and/or other services during the adjustment process. Model ethical behavior and execute job responsibilities in accordance with Slide's core values, ethics, and information protection policies. Document all relevant information in the electronic claims management system. Contribute to the business production goals and objectives. Establish timely and appropriate claim reserves in accordance with claim standards. Appropriately represent the company by executing a high level of service and always maintaining professionalism. Perform other duties, as assigned. Education, Experience and Licensing Requirements: Bachelor's degree in a field with skills transferable to insurance preferred; HS Diploma required. Active Florida 6-20 Resident All Lines Adjuster License required. 3+ years of first-party property claims adjusting experience. 2+ years of experience working directly for a carrier Working knowledge of Florida insurance laws and Florida good faith claims handling experience. Technical savviness. Xactimate proficiency a plus Proficiency in Microsoft Windows environment. Industry designations or certifications a plus. Qualifications/Skills and Competencies: Excellent interpersonal and critical thinking skills. Data-driven, analytical approach necessary. Working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions. Possesses strong customer service skills and can address customer escalations. Strong analytical, organizational, negotiation and communication skills. Ability to work independently, multi-task and adapt to frequent priority changes. Ability to plan, prioritize workload, organize, and coordinate multiple tasks and projects. Must possess excellent writing skills. Desire to live Slide's Core Values. What's in it for you?? A paycheck of course but really, much more! The Slide Vibe - An opportunity to be a part of a fun and innovation-driven Culture fueled by Passion, Purpose and Technology! Benefits - We have extensive and cost-effective benefits that cover you and your family from every angle... Physical Health, Emotional Health, Financial Health, Social Health, and Professional Health.
    $33k-44k yearly est. 60d+ ago
  • Claims Representative - Tampa, FL

    Federated Mutual Insurance Company 4.2company rating

    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 14d ago
  • Patient Claims Specialist - Bilingual Only

    Modmed 4.5company rating

    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 Claim Specialist 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 38d ago
  • Property Insurance Claims Examiners

    West Point Underwriters 3.8company rating

    Claim specialist job in Pinellas Park, FL

    Job DescriptionDescription: We are growing and are in search of experienced claims examiners to join our team! ; located in Pinellas Park, Florida. Our Desk Examiners employ a high level of customer service to our policyholders by empathetically handling each claim and working as efficiently with focus on amicable indemnity. Our Desk Examiners also have direct responsibility for homeowners' property claims, starting with contacting the insured at first notice of loss, handling through a fair claims resolution. Who are we? Following the destructive hurricane seasons of 2004 and 2005, a group of seasoned insurance professionals saw the lack of private companies devoting themselves to the Florida marketplace and wanted to provide a solution for Florida homeowners. Among this investment group is the Jerger family, who have been leaders in the Florida insurance industry since 1946. Since 2006, American Traditions Insurance Company has become the largest writer of manufactured home insurance in Florida. Why work with us? We are a family-based organization where your voice can be heard, and you will not get “lost in the crowd”. It is our mission to provide a reliable and timely claims experience for our customers, with a corporate culture that supports personal growth and development opportunities for all employees. We value our employees and are committed to providing competitive compensation and benefit packages to our employees including: This is a full-time salary/exempt position with a starting salary range of $60,000-85,000 based on experience. Medical, Dental, and Vision starting day 1 of employment Multiple plans to choose from in order to fit your needs and the company pays 90% of the employee only premium 401k plan participation available the 1st quarter after hire with 100% match of 3% and then 50% on the next 2%...fully vested Generous PTO and paid holiday schedule 1 day of paid volunteer time off per year Onsite workout facility Casual dress code (work appropriate) 37.5 hour work weeks with great work/life balance as our goal! What will you be doing? Act as primary service contact and first notice of loss liaison for customers and agents Respond to the service needs of policy owners, general agents, producers, field personnel and home office employees. Provide technical guidance, information and procedural advice on a variety of customer service issues, requiring knowledge of products and services Respond to telephonic, email, and written correspondence Process assigned policy level transactions within level of authority Conduct research when needed to complete service requests Handle all service requests within department service standards Assist with preparation of service reports as requested Communicate with co-workers, management, clients, vendors, and others in a courteous and professional manner Identify, recommend, and implement customer conservation approaches to enhance policy retention Requirements: The Ideal Candidate will possess: At least five years of professional experience in Homeowners P&C claims handling Associate's degree or other industry-recognized designation(s) (e.g. CPCU, AIC, SCLA,) - Bachelor's degree (preferred). Maintain currently active adjuster license and complies with continuing education (“CE”) requirements Excellent time management, organization, multi-tasking, mathematical and analytical skill Excellent oral and written communication skills - Bi-lingual Spanish (preferred) Intermediate level understanding of residential construction (preferred) Proficiency with all Microsoft Office© products Experience using Xactimate© and Xactanalysis© (preferred) Additional Info: Our office is located at 7785 66th St. N, Pinellas Park, FL 33781 in the Richard and Evelyn Jerger Building. This position is an in-office position. Typical Office hours are 8:30-5:00 pm Monday-Friday; however, slight variations in schedule can be accommodated. Physical requirements: This position is in an office environment and would require: Must be able to remain in a stationary position for 50%- 75% of the time The person in this role needs to occasionally move about inside the building to access office machinery and support team members Constantly operates a computer and other office machinery such as a copy machine, phone/headset, and key board. West Point is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $60k-85k yearly 19d ago
  • Insurance Claims Specialist

    Mid Florida Finance 4.1company rating

    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.
    $16 hourly Auto-Apply 60d+ ago
  • Travel Orders and Claims Specialist

    Lukos

    Claim specialist job in Tampa, FL

    Travel Orders and Claims Specialist 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 Claims Specialist 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 Claims Specialist 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 Claims Specialist 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 Examiner

    Heritage Mga LLC

    Claim specialist job in Tampa, FL

    THIS ROLE IS FOR: 1401 N Westshore Blvd, Tampa, FL 33607 The Role is 100% ON SITE Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition. Responsibilities: Provides voice to voice contact within 24 hours of first report. Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Records necessary statements. Identifies resources for specific activities required to properly investigate claims such as Subro, Fire or Fraud investigators and to other experts. Requests through Unit Manager and coordinates the results of their efforts and findings. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Maintains effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity and expense reserves, at required time intervals. Utilizes evaluation documentation tools in accordance with department guidelines. Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insured's and claimants or their legal representatives. Recognizes and implements alternate means of resolution. Maintains and document claim file activities in accordance with established procedures. Attends depositions and mediations and all other legal proceedings, as needed. Protects organization's value by keeping information confidential. Maintains compliance with Claim Department's Best Practices. Provides quality customer service and ensures file quality Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs. Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner. Participates in special projects as assigned. Some overnight travel maybe required. Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures. Qualifications: Associate's Degree required; Bachelor's Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree. 620 Licensure required. One to three years of experience processing claims; property and casualty segment preferred. Experience with Xactware products preferred. Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions. Proficiency with Microsoft Office products required; internet research tools preferred. Demonstrated customer service focus / superior customer service skills. Excellent communication skills and ability to interact on a professional level with internal and external personnel Results driven with strong problem solving and analytical skills. Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities effectively. Detail-oriented and exceptionally organized Collaborative partner; ability to contribute to a positive work environment. General Information: All employees must pass a pre-employment background check. Other checks may be needed based on position: driving history, credit report, etc. The preceding has been designed to indicate the general nature of work performed; the level of knowledge and skills typically required; and usual working conditions of this position. It is not designed to contain, or be interpreted as, a comprehensive listing of all requirements or responsibilities that may be required by employees in this job. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Heritage Insurance Holdings, Inc. is an Equal Opportunity Employer. We will not discriminate unlawfully against qualified applicants or employees with respect to any term or condition of employment based on race, color, national origin, ancestry, sex, sexual orientation, age, religion, physical or mental disability, marital status, place of birth, military service status, or other basis protected by law.
    $29k-47k yearly est. Auto-Apply 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 60d+ 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 57d 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. 6d 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. 30d ago
  • Life Insurance Specialist - Central Florida

    The Auto Club Group 4.2company rating

    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.
    $25k-30k yearly est. 5d 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 6h 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
    $39k-54k yearly est. Auto-Apply 57d ago

Learn more about claim specialist jobs

How much does a claim specialist earn in Town North Country, FL?

The average claim specialist in Town North Country, 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 Town North Country, FL

$45,000

What are the biggest employers of Claim Specialists in Town North Country, FL?

The biggest employers of Claim Specialists in Town North Country, FL are:
  1. GEICO
  2. ACG
  3. Auto Club Speedway
  4. ModMed
  5. Hays Companies
  6. Contingentcrew
  7. Lukos
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