Claims adjuster jobs in Kendale Lakes, FL

JOB TITLE: Medical Claim Adjuster

at Seaboard Marine Long-term employment with opportunities for growth. Discover more about our organization, culture, and employee benefits by visiting this page. Explore life at Seaboard Marine: ************************************************* We offer excellent benefits including: 401(K) Retirement Saving Plan w/ Employer Match Low-Cost Health, Dental & Vision insurance (Starting DAY ONE) Tuition & Certification Reimbursement Paid Time Off - (15 Days; prorated before 1st year) Parental Leave Paid holidays POSITION SUMMARY: In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities. Assignments are generally broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by Claims Supervisor and Claims Manager. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. GEOGRAPHIC REGION:Please note applicants out of the geographic region for position applied will not be considered. QUALIFICATIONS: Required Minimum one (1) year of recent experience as a claim's adjuster working with handling cargo, property, casualty, contents or auto claims. Must possess a general understanding of the usage of a diary-based system to move claims along towards completion. Knowledge of insurance and claims legal vocabulary in order to understand the nature of cargo claims. Knowledge of techniques of investigation, adjustment, negotiation and settlement. Must have intermediate computer skills in programs such as MS Word, Excel & Outlook, etc. Must have advanced communication skills (reading, writing & speaking) both in English and Spanish in order to communicate at different levels throughout the organization, exterior organizations, out port offices, attorneys, etc. Possess strong analytical skills. Possess organizational and time management skills with ability to prioritize and be detail oriented. Ability to conduct effective negotiations with claimants, attorneys and insurance carriers. Ability to express ideas clearly and concisely, verbally and in writing. Ability to analyze define problems, collect data, establish facts, and exercise sound judgment in drawing valid conclusions. Ability to prepare a variety of reports and meet consistent deadlines. Ability to work independently with limited supervision, multitask and possess strong initiative. Ability to establish and maintain effective working relationships with customers, vendors and fellow employees. Ability to think logically, establish and follow procedures, instructions and make sound decisions. Ability to exercise independent judgment within established systems and procedures. Ability to work a flexible schedule, extended hours, holidays, and/or weekends as needed. Possess high energy level, comfortable performing multifaceted projects in conjunction with normal activities. Must have or be able to obtain a TWIC card within 30 days of employment. Preferred Experience handling marine cargo claims Knowledge of Carriage of Goods by Sea Act (COGSA). Bachelor's degree in Business Administration or related field. DUTIES AND RESPONSIBILITIES: Primary Plan, organizes and reviews the investigation, negotiation and preparation of settlement recommendations of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provides intra-company personnel with technical advice and assistance. Manages highly complex investigation of claims, including coverage issues liability, compensability and damages Manages all types investigative activity or litigation or litigation on major claims, including the posting of appropriate reserves in a timely manner Monitoring claims to ensure file handling is compliant with established standards. Analyzes claims activities; prepare and present reports to management and other internal business partners and clients. Miscellaneous tasks to include assignment of survey inspections and provide support in a collaborative effort as needed to department manager as well as co-workers. Attend seminars and workshops to ascertain new development and/or further skills relating to required duties. Provides guidance and assistance to less experienced claims staff and other functional areas. Handling of the duty phone on a rotational basis Performs other job-related duties as assigned. PHYSICAL REQUIREMENTS: While performing the duties of this job, the employee is regularly required to sit and use his/her fingers. The employee frequently is required to talk and/or hear. The employee is continuously required to sit. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. SAFETY REQUIREMENTS: Report safety hazards. Immediately report incidents involving injury, illness, or property damage. Wear appropriate PPE as instructed by immediate supervisor. Comply with all company safety policies, procedures, and rules. Refuse any unsafe task or operation. Participate in safety meetings and training. Be constantly aware of their personal safety and that of their coworkers. SUPERVISION RECEIVED AND EXERCISED: Receives direct supervision from the Insurance and Claims Manager and the Insurance and Claims Supervisor. Does not exercise supervision over any position. CONDITIONS: Indoors office, controlled temperature environment. The noise level in the work environment is usually quiet. DISCLAIMER: We are an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other protected characteristic as outlined by federal, state, or local laws. If an applicant with a disability is unable or limited in their ability to use or access our online application center as a result of their disability, they can request reasonable accommodations by sending an email to [email protected] The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

Job DescriptionDescription: The ideal candidate is an experienced, all-lines adjuster, with at least one year of PIP handling experience for Florida PIP claims, specifically with experience clearing coverage and qualifying claimants for benefits under the policy. The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are responsible for assigned files within their department matched to their expertise in claims handling. They must follow protocols set forth by department supervisors/managers and operate within their stated authority and handle claims in accordance with the Florida adjuster code of ethics. Essential Duties and Functions The essential functions include, but are not limited to the following: · Evaluate auto insurance claims promptly and accurately to determine coverage, liability, and settlement options. · Conduct thorough investigations into the circumstances surrounding each claim, including obtaining statements, collecting evidence, and analyzing policy provisions. · Maintain detailed and organized claim files, documenting all relevant information, correspondence, and decisions made throughout the claims process. · Communicate effectively with policyholders, claimants, witnesses, and other involved parties to gather information, explain coverage, and provide updates on claim status. · Negotiate settlements within authorized limits, considering factors such as liability, damages, and policy coverage. · Provide exceptional customer service to policyholders and claimants, addressing inquiries, concerns, and complaints in a timely and professional manner. · Ensure compliance with insurance regulations, company policies, and industry standards in all aspects of claims handling. · Collaborate with internal teams, including underwriters, legal counsel, and other claims professionals, to resolve complex claims and mitigate risk effectively. · Identify opportunities for process improvement and contribute to the development of best practices within the claims department. · Perform quality reviews of claim files to ensure accuracy, consistency, and adherence to company guidelines. · Ensure timecards are reviewed daily for accurate hours worked. Requirements: Minimum Qualifications (Knowledge, Skills, and Responsibilities) · Strong knowledge of insurance principles, regulations, and industry standards. · Excellent analytical skills with the ability to assess liability and evaluate damages. · Exceptional communication and interpersonal skills, both written and verbal. · Proficiency in insurance claims software, preferably Microsoft Office suite. · Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment. · Commitment to providing outstanding customer service and maintaining professionalism in challenging situations. Required Education and Experience: · High School Diploma or equivalent experience in auto claims insurance, business administration, or a related field; Bachelor's or Associates degree preferred. · Minimum of 1+ years of PIP handling experience for Florida PIP claims · Florida Adjuster License.

JOB TITLE: Medical Claim Adjuster DEPARTMENT: Patient Accounts SUPERVISOR: Business Office Director Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment. GENERAL JOB DESCRIPTION Under the direction of the Business Office Director, the Medical Claim Adjuster is responsible for reviewing and adjusting accounts in accordance with claims processing guidelines. DUTIES AND RESPONSIBILITIES Perform adjustments using technical and claims processing expertise. Identify discrepancies in payments, adjust accounts based on expected amount. Review and interpret contract language using provider contracts to confirm whether a claim is overpaid or underpaid. Review denials and ensures posting reflects the appropriate denial reason code. Review and handle relevant correspondences assigned to the team that may result in adjustments to accounts. Preforms related duties as required. QUALIFICATIONS FOR THE JOB Education: High School diploma of equivalent (additional certifications or education in medical billing/coding preferred) Experience : 1-2+ year's claims processing experience. Other: Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance billing guidelines. Excellent numerical and analytical skills, with a keen eye to detail. Ability to interpret insurance EOBs and payment information accurately. Strong problem-solving skills, with the ability to reconcile discrepancies and resolve payment-related issues effectively.

Department: Claims Schedule: Monday to Friday; flexibility for additional hours as needed. Salary: Commensurate based on experience and qualifications About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence. Why Join Responsive? At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including: Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care. Retirement Savings: 401(k) with company match. Wellness Programs: Mental health support and wellness initiatives. Career Development: Training and growth opportunities in a collaborative environment. What You'll Do As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include: Investigating, evaluating, and resolving insurance claims. Reviewing policies to verify coverage and address coverage issues. Managing customer interactions with professionalism and accuracy. Responding to demands, requests, and questions with clear, well-documented communication. Collaborating with attorneys, medical providers, and other stakeholders. Maintaining detailed and timely records. Ensuring compliance with federal, state, and company regulations. Requirements What We're Looking For Education: Bachelor's degree OR high school diploma with 2+ years of relevant experience. Licensing: Active Florida 6-20 All Lines Adjuster License. Language Skills: Fluent in Spanish and English (written and verbal proficiency required). Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office. Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail. Mindset: Self-motivated, team-oriented, and adaptable. Our Culture Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to: Adapt: Embrace change and continuously improve. Collaborate: Work transparently and respectfully with others. Engage: Show curiosity and a commitment to serving customers and teammates. Be Data-Driven: Leverage insights to drive decisions and improvements. Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace.

Job DescriptionCLAIMS ADJUSTER (remote) ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL. This is a 90 day contract to start and could possibly extend. The Claims Adjuster must have experience with bodily injury, liability, and preferably with liability, property damage, and commercial auto. But bodily injury is required. The Claims Adjuster will investigate, evaluate, and negotiate bodily injury claims. The Claims Adjuster will ensure compliance with legal standards and company policies while also coordinating with counsel on the defense of claims. There is a preference for someone on the east coast or central time zones. Our client is a leading insurance underwriter, and this is a great opportunity for a Claims Adjustor to work with a well-established firm (45+ years) that values their employees and life-work balance. Claims Adjuster Responsibilities: Correspond and interview with agents, witnesses, or claimants to compile information Take accurate and detailed statements from all involved parties Calculate and approve payment of claims within a certain monetary limit Negotiate and settle property losses with little oversight Coordinate with legal counsel in handling cases correctly Negotiation and Settlement: Negotiate settlements with claimants, attorneys, and other involved parties in a fair and cost-effective manner. Collaborate with internal teams, such as underwriters and claims specialists, to facilitate efficient claims resolution. Documentation and Reporting: Prepare detailed and accurate documentation of claim investigations, legal actions, and settlement agreements. Provide regular reports to management on claim status, legal developments, and financial implications. Compliance and Best Practices: Ensure compliance with state and federal regulations, as well as company policies and procedures. Stay informed about changes in legislation and industry trends affecting commercial auto insurance. Claims AdjustEr Qualifications: 3+ years of previous bodily injury insurance experience, investigations or other related fields with liability, and property damage, and commercial auto (preferred) MUST HAVE recent / current work with Bodily Injury/BI claims along with property damage. Experience in conflict resolution Strong negotiation skills Excellent written and verbal communication skills Deadline and detail-oriented Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to Jon Meredith at ******************* or call him at ************. You can also apply directly and view all our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. We are proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. We are a no-fee agency for candidates.

The Senior Claims Specialist will be responsible for all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned. Reporting: Role reports to Insured Claims Manager and Insured Claims Leader Specific Duties Include: Claims & Incident Management (General): * Initial triage and processing of incidents received from project teams for DPR (and DPR-related entities). * Input and/or review all incidents reported in DPR's RMIS system. * Working with the incident triage group to ensure timely and appropriate review of all incidents * Ensure all necessary information is compiled to properly manage claims. This includes working with the DPR teams to collect relevant documents such as the Prime contract, Subcontracts, Certificates of Insurance, Owner Policy Documents, Project Documents and Project Specific Coverage information, etc. * Assess all potential risks, as well as identify all contractual risk transfer mechanisms. * Analyzing potential insurance coverage for all applicable lines of coverage and report, with all appropriate documents and information, potential claims for DPR (and DPR-related entities) to the broker for any applicable program (Traditional, CCIP, OCIP). * Assist with the development and training of other DPR Workgroups (and DPR-related entities) around CD/PD Best Practices. Construction Defect & Property Damage (CD/PD) Specific Claims Managment: * Manage all assigned claims in DPR's RMIS system relating to Construction Defect and Property Damage matters for DPR (and DPR-related entities). This would include using all appropriate lines of coverage such as Commercial General Liability, Builder's Risk, Property, Contractor's Pollution Liability and Professional Liability, whether the policies are placed by DPR or our Clients. * Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements. * Management of and coordination with DPR's consultants and outside attorneys throughout the claim process. * Continuously analyze claim-specific details as the claim progresses to devise key strategies in conjunction with all internal stakeholders and outside consultants. * Proactive management and coordination of all phases of the DPR CD/PD Claims Workflow. Key Skills: * Basic working knowledge and familiarity of: * Commercial General Liability * Property Insurance (Including Inland Marine and Builder's Risk * Pollution Liability * Professional Liability * Controlled Insurance Programs (CCIP/OCIP) * RMIS Systems * Construction Industry Expertise * Strategic thinking * Strong written and oral communication skills * High level of EQ (Soft skills) * Self-Starter * Highly organized and responsive; ability to meet deadlines * Detail Oriented * Contractual risk assessment * Dispute management * Integrity * Ability to mentor and inspire others * Team player * Willingness to understand and advance the DPR Culture * Proactive Learner Qualifications: * A minimum of 5-7 years relevant construction industry and/or insurance industry experience. * Previous experience in construction company Risk Management highly desired. * Position location - TBD based on location of most qualified candidate. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at ********************

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.

At Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights. Our over 6,000 employees are all united by one mission: For the People. Summary We are seeking a Case Manager to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload. The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic. Responsibilities Daily interaction with existing and potential clients, via telephone and in person. Order medical records from providers and communicate with clients and providers during the course of treatment. Obtain documents necessary to support injury and/or liability positions Interact with insurance carriers and healthcare providers to secure records and account balances Negotiate case settlements with insurance carriers and negotiate a deduction of outstanding medical balances with providers Work directly with multiple coworkers involved in the management and support of case files Maintain organized case files. Prepare comprehensive demands and assemble support for submission to carriers Interact with attorneys and present case synopsis when required Manage case files from intake to closing under the direction of an attorney Performs other related duties as assigned to meet the needs of the business. Qualification Bachelor's degree (preferred) Prior experience as a Personal Injury Case Manager preferred. At least 2 years of working in a legal position or insurance adjuster experience preferred. Negotiating skills. Ability to be a team player and follow procedures. Proactive interaction with clients, insurance companies and medical providers. Must possess the ability to multi-task, prioritize, and manage workload with a positive attitude and minimal supervision. Highly organized with the ability to juggle multiple deadlines in a fast-paced environment Strong writing and communication skills along with attention to detail Extensive computer and database expertise, Microsoft Word, Excel, Outlook, and type no less than 35 wpm. Not remote eligible. #LI-MP1 Benefits Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful. This success starts with our staff. For full-time employees, we offer an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays. Equal Opportunity Statement Morgan & Morgan provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form. Privacy Policy Here is a link to Morgan & Morgan's privacy policy.

Department Insurance & Financial Services Employment Type Full Time Location Florida Workplace type Hybrid Compensation $90,000 - $170,000 / year Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.

will include, but are not limited to: Responsible for directing the planning, design, development, implementation and evaluation of policies and procedures that assure accurate, timely claims and encounter processing and provider inquiries (written or verbal). Assure timely and accurate processing of Medicare claims and encounters, and respond to provider telephone calls, written inquiries, and appeals. The compilation of all information and documents required for claims and encounter processing and related inquiries to assure compliance with all applicable rules, regulations, and external and internal policies and procedures The review of provider contracts and configuration of these contracts within the claims processing system to assure accurate payments to our providers Collaboration and communication with other SHP departments on claims and encounter issues, related projects and inter-departmental operations issues Development and maintenance of well-defined processes to enter, adjust, manage and report claims and encounters data Preparation and timely submission of management and regulatory reports Generation of configuration requests to assure accurate, timely administration of providers claims and processing and reporting of encounters Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts Production and submission of reports as required Analyze, track and trend claims and encounters data; identify any potential service or systems issues;implement interventions and determine success of interventions Qualifications Requirements: BA/BS degree preferred with at least 5 years of relevant professional experience, and the following OR any combination of education and experience which would provide an equivalent background: Minimum of 2 years of managerial experience at the department manager level preferred. Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth within claims operations. Extensive knowledge of claims policies and procedures, including industry standards from Medicaid, CMS, and CCI Edits. Excellent oral and writing skills. Highly developed quantitative and qualitative analytical skills. Highly developed project management skills. Additional Information All your information will be kept confidential according to EEO guidelines.

Job Description CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience. Requirements: Minimum 5 years auto and/or premise liability adjusting experience Working computer/laptop - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills State adjusters license (where applicable) Must have a valid drivers license Responsibilities: Conduct in-depth investigations into liability claims to gather facts regarding the loss Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages Inspect damage to property and obtain personal injury information to assist in determining liability Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communication skills Prompt, reliable, and friendly Detail-oriented individual to accurately gather and analyze information to avoid errors Preferred but Not Required: College degree Professional designations and certifications All candidates must pass a full background check (void in states where prohibited) Powered by JazzHR 5N24n1uB9U

Summary/Objective Assists the Claims Manager with clerical and administrative duties in the Claims Department. Essential Functions • Handle cargo claims from intake to final resolution • Investigate claims using bills of lading, survey reports, photos, and other evidence • Determine liability and negotiate fair settlements with customers, carriers, and insurers • Coordinate directly with our cargo insurance providers for filing and recovery • Communicate clearly and professionally in English and Spanish with customers, agents, and internal teams across the Americas • Maintain an accurate claims log and prepare management reports • Identify ways to reduce claim frequency and improve recovery rates Qualifications: • Fully bilingual in English and Spanish (written & spoken) - required • 2+ years of experience in cargo claims, insurance adjusting, or logistics coordination • Strong analytical and negotiation skills with a sharp eye for detail • Ability to remain calm, focused, and solution-oriented in a high-expectation, direct-feedback environment • Comfortable managing multiple claims at once in a fast-paced environment • Proficient in Microsoft Office (Excel, Word, Outlook) • Knowledge of maritime law, cargo liability, or container shipping is a big plus • Associate's or Bachelor's degree preferred What We Offer • Salary: $48,000 - $70,000 per year (depending on experience and bilingual fluency) • Medical, dental, and vision insurance • 401(k) • Generous paid time off • On-site role in Sweetwater, FL with remote work option at management discretion • Opportunity to grow within a stable, expanding company Location On-site at our Sweetwater, Florida headquarters (remote work option available at management discretion) How to Apply Please email your resume and a brief note explaining why you're a great fit to: ****************************** Subject line: Claims Coordinator - [Your Name] We are reviewing applications immediately and will contact qualified candidates for interviews. Equal Opportunity Employer | No agencies please Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. 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. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Great analytical skills are required to perform the job successfully. Employee needs to be able to work independently or with minimal supervision. Position Type/Expected Hours of Work This is a full-time position. Days and core hours of work are Monday through Friday, 8:30 a.m. to 5:30 p.m. Overtime may be required at times. Flexibility to work from home or the office is also required. Required Education and Experience One to three years of industry experience required Work Authorization/Security Clearance Employee must be authorized to work in the United States. AAP/EEO Statement King Ocean Agency provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.

The Credit and Collection Manager - Claims has the responsibility of leading and coordinating activities related to credit management, collections and claims administration. His main objective is to ensure efficiency in the recovery of outstanding accounts and the effective resolution of claims, thus contributing to cash flow and customer satisfaction. - Main responsibilities: Evaluate the creditworthiness of new clients and establish appropriate credit limits. Continuously monitor existing accounts, identifying possible risks and taking preventive measures. Develop effective collection strategies to minimize overdue balances. Collaborate with the sales team to address problematic accounts and facilitate payment recovery. Supervise and lead the claims handling process, ensuring timely responses and satisfactory resolutions. Collaborate closely with relevant departments to address and correct issues that led to complaints. Generate periodic reports on the performance of credits, collections and claims. Identify opportunities to improve efficiency in credit, collections and claims management. Implement best practices and procedures to optimize existing processes. Ensure compliance with regulations and policies related to credit management, collections and claims. - Position Requirements: Minimum of 2 years previous experience in credit, collection or claims management roles. Solid knowledge of accounting and financial practices. Analytical skills and ability to make data-driven decisions. Excellent communication and negotiation skills. Customer orientation and ability to build strong relationships. Experience in leadership and team management. Native bilingual (Spanish / English) $1,000 per week (negotiable depending on experience) Schedule Monday to Friday 100% in person - Doral FL location Package Details

Position is responsible for prompt and thorough investigation of routine to moderately complex residential property claims. This is a field-based position involving on-site inspection of insured properties. Regular travel within assigned territory is required. The territory for this position is Martin County, FL Essential Functions: Prompt and courteous servicing of property claims, including insured and agency contact and follow through. Communicate and interact with a variety of individuals to foster the timely resolution of claims, including, but not limited to, policyholders, public adjusters, attorneys, vendors, and experts. Timely identification, analysis and resolution of coverage issues arising in claims investigation. Factual investigation of cause of loss. Coverage determination based on a variety of policy and endorsements. Maintain proper file documentation reflecting progressive claim handling. Coverage and Payment Letters necessary to settle and conclude the claim. Qualifications Required Education and Experience: Must maintain a Florida All-Lines adjuster (620) license. 5+ years of property claims adjustment experience required including at least 2 years of field experience. 2+ years adjusting interior perils. Preferred Qualifications: Excellent verbal and written communication skills. Exceptional customer service skills. Strong organizational and time management skills. Knowledge of property insurance policy and coverage analysis. Must be able to work under deadlines. Proficient in MS Office, including Word, Excel, PowerPoint, and Outlook. Strong skills and experience with Xactimate estimating program.

General Description: Investigates, evaluates, negotiates, and resolves assigned property claims having low to moderate complexity and value, working within delegated reserve and settlement authority. Works closely with the Unit Manager, occasionally handling claims with additional complexities related to unique coverage and/or exposure issues. Essential Duties and Responsibilities: Investigates, evaluates, negotiates, and resolves assigned property claims of low to moderate complexity. Determines the facts of the loss, coverage compensability, and the degree of exposure by unit of coverage. Reviews, analyzes, and applies policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses. Establishes timely and accurate property claim and expense reserves. Communicates clearly and professionally with the customer, or their representative, by telephone and/or written correspondence regarding all aspects of the claims process. Determines settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits, and deductibles. Negotiates and conveys property claim settlements within authority limits to insureds. Controls damage exposures through proper usage of cost containment tools. Maintains an effective diary system to ensure timely resolution and documents property claim file activities in accordance with established procedures and state regulations. Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Handles files in compliance with state regulations, where applicable. Writes denial letters, Reservation of Rights, and other complex correspondence to insureds. Identifies property claims that may have value added by an outside field inspection. Determines cases that may have fraud potential and refers claims to Special Investigations Unit. Identifies potential for subrogation and refers appropriate claims to the Subrogation Unit. Partners with counsel to develop litigation plan and adhere to applicable guidelines. Performs other duties as required. Supplementary Information: This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education and / or Experience: Bachelor's Degree preferred but not required. Minimum of three (3) years of progressive experience in the adjusting of residential and commercial claims or a combination of education and experience. Strong verbal and written communications skills. Must be able to work in a collaborative atmosphere. Must be proficient with Microsoft Office, including Word, Excel, PowerPoint. Customer service orientation; empathy. Demonstrates ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Spanish speaking is a plus. Licenses and / or Certifications: Adjuster's license(s) (where applicable) required or successfully acquired within 60 days of hiring. AIC a plus. Professional designation specific to claims a plus.

We're seeking an experienced & highly motivated Senior Manager, Corporate Insurance and Claims to join JM Family's growing Enterprise Risk team. This position will lead the Corporate Insurance and claim's function, being the insurance and claims subject matter expert and advising internal business partners on potential risks and coverage requirements for company initiatives. This role will drive key initiatives and strategies to build the program and to build a team, systems and policies that scale as the business grows. This role requires the ability to successfully navigate across key stakeholders that include, but is not limited to, business operations, legal, global procurement, product & technology, as well as traditional areas of executive management and finance. This position will report to the Director Corporate Insurance Services. Duties and Responsibilities * Strategic Insurance Leadership * Define and drive corporate insurance strategy aligned with enterprise risk management and business objectives. * Lead development of insurance policies, systems, and long-term goals. * Cultivate strong relationships with brokers and insurers to optimize program efficiency, terms, and claims handling. * Lead, mentor, and develop a high-performing team, fostering a culture of accountability, collaboration, and continuous improvement. * Exhibit strong executive presence and effectively communicate complex claim and insurance matters to senior leadership. * Promote proactive issue identification and strategic problem-solving across the team. * Insurance Program Oversight * Manage global commercial insurance programs, including placement, renewals, underwriting submissions, and broker/carrier relationships. * Oversee policy administration and financial reporting. * Claims Program Oversight * Direct the end-to-end claims process across all lines of business, including self-insured and commercially insured risks to ensure accuracy, timeliness, and compliance with internal policies, service level agreements, and regulatory requirements. * Supervise internal and external claims administrators, legal counsel, and third-party vendors. * Guide claim settlement negotiations, monitor reserves, and ensure proper documentation and reporting. * Attend mediations, trials, and conferences as needed. * Analyze claims data to identify trends and drive strategies for continued improvement. * Contractual Risk & Compliance * Oversee contract reviews and negotiations, establishing and ensuring appropriate insurance terms and risk transfer protocols. * Ensure compliance with legal, regulatory, and internal governance standards. * Maintain robust internal controls, audit trails, and quality assurance practices. * Monitor and report on claims KPIs and emerging issues, recommending mitigation as needed. * Strategic Insurance Leadership * Define and drive corporate insurance strategy aligned with enterprise risk management and business objectives. * Lead development of insurance policies, systems, and long-term goals. * Cultivate strong relationships with brokers and insurers to optimize program efficiency, terms, and claims handling. * Lead, mentor, and develop a high-performing team, fostering a culture of accountability, collaboration, and continuous improvement. * Exhibit strong executive presence and effectively communicate complex claim and insurance matters to senior leadership. * Promote proactive issue identification and strategic problem-solving across the team. * Insurance Program Oversight * Manage global commercial insurance programs, including placement, renewals, underwriting submissions, and broker/carrier relationships. * Oversee policy administration and financial reporting. * Claims Program Oversight * Direct the end-to-end claims process across all lines of business, including self-insured and commercially insured risks to ensure accuracy, timeliness, and compliance with internal policies, service level agreements, and regulatory requirements. * Supervise internal and external claims administrators, legal counsel, and third-party vendors. * Guide claim settlement negotiations, monitor reserves, and ensure proper documentation and reporting. * Attend mediations, trials, and conferences as needed. * Analyze claims data to identify trends and drive strategies for continued improvement. * Contractual Risk & Compliance * Oversee contract reviews and negotiations, establishing and ensuring appropriate insurance terms and risk transfer protocols. * Ensure compliance with legal, regulatory, and internal governance standards. * Maintain robust internal controls, audit trails, and quality assurance practices. * Monitor and report on claims KPIs and emerging issues, recommending mitigation as needed. * Cross-Functional & Executive Engagement * Collaborate with business units, legal, finance, and executive leadership to support strategic initiatives. * Communicate insurance program performance and expectations to leadership. * Serve as the primary escalation point for complex or sensitive claims. * Provide regular updates and performance reports to leadership and business units. * Team Leadership & Development * Build, mentor, and lead a high-performing insurance team. * Foster a culture of accountability, continuous improvement and operational excellence. * Risk Analysis & Financial Strategy * Conduct exposure analysis, optimize insurance costs, and manage uninsured risks. * Develop and manage insurance budgets and collaborate with Director Corporate Insurance Services on risk financing strategies. * M&A and Corporate Development Support * Evaluate for integration insurance programs during mergers and acquisitions. * Provide risk consulting for business units. * Innovation & Continuous Improvement * Identify opportunities to automate processes and enhance reporting and analytics. * Stay current with industry trends and market developments. * Continuously improve insurance and claims programs. Experience * Bachelor's Degree required (specialty in Risk Management, Business Administration, Economics, Accounting or Finance, preferred). MBA/JD highly preferred * Additional certifications such as AIC, CPCU, ARM, or equivalent are highly preferred. * 10+ years of progressive experience managing complex global insurance and claims programs, with deep knowledge of business insurance lines, policy forms, and market dynamics. Experience in Risk Management, Claims Adjusting, Brokerage and/or Underwriting with at least 7 years in a leadership role at a large multinational company. * Experience with alternative risk solutions (e.g., captives) * Accomplished claims professional with over 10 years of progressive experience in complex claims and litigation management across Property, Casualty, and Professional lines. * Demonstrated executive leadership within TPAs, insurers, and large corporate environments, with a proven track record of managing high-stakes and long-tail exposures. * Proven ability to lead initiatives, manage projects, and deliver value-added solutions in a fast-paced, evolving environment. * Strong analytical mindset with a focus on continuous improvement and identifying process efficiencies. * Exceptional project management capabilities, able to prioritize competing demands and consistently deliver high-quality results. * Excellent written and verbal communication skills; adept at engaging with internal teams and external partners across all levels. * Skilled in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) and insurance/claims systems such as RMIS and LineSlip. * Self-motivated with a proactive approach to problem-solving and driving impactful timely outcomes. * Certifications: ARM, CPCU, CRM, or equivalent designations are strongly preferred. * Experience with engineer-based property coverage is a plus. #Hybrid #LI-NK1 This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of JM Family. All work arrangements are subject to associate performance, business need and manager discretion, and may be revised as necessary. JM FAMILY IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER JM Family Enterprises, Inc. is an Equal Employment Opportunity employer. We are committed to recruiting, hiring, retaining, and promoting qualified associates without regard to age, race, religion, color, gender, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, gender expression, mental or physical disability, national origin, marital status, citizenship, military status, genetic information, veteran status, or any other characteristic protected by federal, state, provincial, or local law. DISABILITY ACCOMMODATIONS If you have a disability and require a reasonable accommodation to complete the job application process, please contact JM Family's Talent Acquisition department at ****************************** for assistance. If you have an accommodation request for one of our recruiting events, please notify us at least 72 hours prior so that we may provide assistance.