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Claims representative jobs in Oldsmar, FL - 95 jobs

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  • Disability Claims Specialist (Part Time 20 hours+)

    Hays 4.8company rating

    Claims representative 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. 4d ago
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  • Claims Representative - Tampa, FL

    Federated Mutual Insurance Company 4.2company rating

    Claims representative 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 8d ago
  • Sr. Injury Adjuster

    USAA 4.7company rating

    Claims representative job in Tampa, FL

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion. This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX; Chesapeake, VA; or Tampa, FL. Relocation assistance is not available for this position. What you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims. Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines. Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates. Collaborates and supports team members to resolve issues and identify appropriate matters for escalation. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Supports workload surges and/or Catastrophe Operations as needed. May act as an informal resource for team members with less experience. What you have: High School or General Equivalency Diploma. 1 year of injury adjusting experience. 2 years of auto liability claims adjusting experience. Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations. Proficient negotiation, investigation, communication, and conflict resolution skills. Demonstrated time-management and decision-making skills. Proven investigatory, prioritizing, multi-tasking, and problem-solving skills. Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims. Ability to exercise sound financial judgment and discretion in handling insurance claims. Proficient knowledge of coverage evaluation, loss assessment, and loss reserving. Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts. What sets you apart: 4 or more years auto liability/casualty adjusting experience. 1yr Medical experience to include coding and billing or EMT. Ongoing Professional Development with a focus on Insurance. Bachelors degree or higher. US military experience through military service or a military spouse/domestic partner. Compensation Range: The salary range for this position is: $63,590 - $121,530. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $63.6k-121.5k yearly 1d ago
  • Medical Billing Claims Rep

    Globalchannelmanagement

    Claims representative job in Palm Harbor, FL

    Medical Billing Claims Rep needs 1-2 years experience in medical billing claims/posting payments Medical Billing Claims Rep requires: Intermediate knowledge of MS Outlook, Excel and Data Entry. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus. Medical Billing Claims Rep duties: Follow up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes. Assisting in Medical Billing Claims , follow up with denials. Work closely with a team, collaborating, being adaptable, follow policies and procedures Provide support in other departments if needed when requested by management and provide superior customer service to internal and external customers.
    $28k-40k yearly est. 34d ago
  • Patient Claims Specialist - Bilingual Only

    Modmed 4.5company rating

    Claims representative 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 34d ago
  • Insurance Claims Specialist

    Mid Florida Finance 4.1company rating

    Claims representative 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
  • Customer Claims Representative - Lakeland

    Service Pros Auto Glass

    Claims representative job in Lakeland, FL

    Job Description Customer Claims Representative - Lakeland Join the Service Pros Auto Glass team inside our partnered dealerships! You'll engage customers, spot glass-replacement opportunities, and coordinate quick, professional service - all while building strong relationships and developing a personal team. This role is perfect for a teachable person who loves being part of a supportive, winning team. What You'll Do: Engage customers in the service drive and identify windshield replacement needs. Educate and guide customers through their options and next steps. Build strong relationships with service advisors, managers, and technicians. Encourage dealership referrals and hit daily/weekly sales goals. Schedule and coordinate on-site glass services. Keep accurate records of leads, interactions, and completed jobs. Represent the company with a professional, positive attitude. What Makes You a Great Fit: Experience in customer service or sales is a plus, but not required. Strong communication and people skills. A self-motivated, proactive approach - you enjoy taking the lead. Team-oriented mindset with a friendly, professional appearance. Valid driver's license and reliable transportation. What We Offer: A fun, energetic, team-first culture Ability to earn $1000 - $2500 per week You are paid on a weekly basis Promotion from within and clear growth paths Ongoing training and development Team events, company outings, and a culture that celebrates wins
    $28k-40k yearly est. 25d ago
  • Ancillary Claims Adjuster

    Integro Professional Services, LLC 4.2company rating

    Claims representative job in Tampa, FL

    Job Description We are a fast-growing company looking to expand our team with individuals who have exceptional character, a passion for delivering results, and a commitment to career growth. If this sounds like you, we want to hear from you! As an Ancillary Claims Adjuster, you'll play a critical role in the claims administration process for automotive extended warranties, specifically with Ancillary products such as, Tires and Wheels, Key Replacement, and Paintless Dent removal claims. We're looking for someone with at least 5+ years of automotive claims administration experience (or a related role) who is detail-oriented, customer-focused, and knowledgeable about automotive repair processes. You'll evaluate warranty claims, investigate their validity, and ensure all claims are processed efficiently and fairly while delivering excellent service. What We Offer: Competitive compensation with bonus/incentive potential Weekly payroll with direct deposit Comprehensive healthcare options, including medical, vision, and dental insurance 401(k) savings and retirement plans Life insurance coverage Paid time off (PTO) Career growth and advancement opportunities within our dynamic and supportive team What We're Looking For: 5+ years of recent experience in automotive claims administration or a similar role. Strong understanding of automotive systems, components, and repair processes. Familiarity with warranty regulations, guidelines, and best practices in the automotive industry. Exceptional attention to detail, analytical skills, and problem-solving abilities. Proficiency with claims management systems/software. Excellent communication, interpersonal, and decision-making skills. Ability to manage multiple claims while maintaining accuracy and efficiency. High level of professionalism and confidentiality. Self-starter with the ability to work independently and collaboratively. Must pass a background check and drug screening. Position Responsibilities: Review and evaluate automotive extended warranty claims submitted by customers, dealerships, and repair facilities. Verify claim information, including coverage, eligibility, and required documentation. Conduct detailed investigations and assessments to validate claims and ensure coverage compliance. Collaborate with internal departments and external repair facilities to resolve claim-related issues. Ensure compliance with company policies, warranty guidelines, and legal regulations. Process claims accurately and efficiently within established timelines. Communicate claim decisions, approvals, and denials to all stakeholders promptly and professionally. Provide exceptional customer service by addressing inquiries, concerns, and escalations regarding warranty claims. Maintain organized, accurate records and documentation for all claims. Identify trends and recommend improvements to enhance claims handling processes. Why Join Us? This is your opportunity to take the next step in your career with a company that values your expertise, offers competitive compensation, and provides opportunities for advancement. Join us today and become part of a team that is dedicated to excellence and innovation in the automotive extended warranty space! Apply Today! Are you ready to bring your claims administration expertise to a growing company that invests in its team? Apply now and take the first step in joining our dynamic team! INTEGRO is proud to be an equal opportunity employer and a drug-free, alcohol-free, and substance-free workplace. All employment is contingent upon completing a background investigation and drug testing. Powered by JazzHR Dn8G5whfdq
    $38k-46k yearly est. 23d ago
  • Independent Insurance Claims Adjuster in Tampa, Florida

    Milehigh Adjusters Houston

    Claims representative job in Tampa, FL

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $42k-52k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Saint Petersburg, FL

    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.
    $43k-52k yearly est. Auto-Apply 34d ago
  • GL Litigation and Complex Claims Specialist

    Frank Winston Crum Insurance

    Claims representative 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
  • Travel Orders and Claims Specialist

    Lukos

    Claims representative 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
  • Liability Adjuster II

    TWAY Trustway Services

    Claims representative job in Tampa, FL

    JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. 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 three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. 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. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
    $39k-54k yearly est. Auto-Apply 54d ago
  • Licensed Public Adjuster Tampa

    Rockwall National Public Adjusters

    Claims representative 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. 33d ago
  • Public Adjuster

    The Misch Group

    Claims representative 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. 26d ago
  • Claims Specialist

    Healthcare Support Staffing

    Claims representative 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 22h ago
  • Claims Service Rep - Contact Center

    Slide Insurance

    Claims representative job in Tampa, FL

    Slide Insurance - Fun. Innovation Driven. Fueled by Passion, Purpose and Technology. At Slide, you will not only be part of a successful team, but you will also be a part of our Slide Vibe/award winning culture where collaboration and innovation are expected, recognized and awarded! To revolutionize all facets of property insurance, we need to do things differently. Therefore, certain traits are required of Sliders in order to be successful in our fast-paced environment. Being able to contribute innovative solutions (Best Idea Wins!), being able to easily pivot and comfortable with ambiguity, as well as the desire to grow in a Best Places to Work award winning culture are some of the things that make a Slider successful. Does this sound like you?! This position is Full Time Monday - Friday No evenings, No Weekends What you will be doing: Provide customer support via incoming calls, acting as the first point of contact after property damage. Gather customer details and validate insurance coverage. Create claim reports for the transition to a Claims Examiner. Respond in a timely manner to all customer inquiries. Accurately enter customer details into the database. Ensure that QA metrics are met regarding customer satisfaction and call management. Identify and escalate complex issues to leadership for resolution, as needed. Maintain records according to company standards, ensuring that procedures are properly followed, and that information is accurately documented. Perform other duties, as assigned. What you have: Education, Experience, and Licensing: High School diploma required. 2+ years' experience in a Contact or Call Center environment required. Qualifications/Skills and Competencies: Effective communication skills. Strong problem-solving skills. Ability to remain calm under pressure. Strong organizational and time-management skills. Proven ability to be adaptable and flexible. Strong attention to detail. Friendly, patient, and empathetic demeanor. Proficient in MSO/365 applications such as Microsoft Teams, SharePoint, Word, Excel, PowerPoint and Outlook. Desire to live Slide's Core Values. What Slide offers to you: The Slide Vibe - An opportunity to be a part of a fun and innovation-driven culture fueled by Passion, Purpose and Technology! Slide offers many opportunities to collaborate and innovate across the company and departments, as well as get to know other Sliders. From coffee chats, to clubs, to social events - we plan it, so all Sliders feel included and Enjoy their Journey. Benefits - Created using Slider feedback, Slide offers a comprehensive and affordable benefits package to cover all aspects of health...Physical, Emotional, Financial, Social and Professional. A Lifestyle Spending Account is set up for each Slider and Slide contributes to it monthly for use on any benefit that individually suits you - Health Your Way! 2023, 2024 & 2025 BEST PLACE TO WORK - Tampa Bay Business Journal 2024 & 2025 TOP WORKPLACE - Tampa Bay Times (Local) & 2024 TOP WORKPLACE - USA Today (National)
    $30k-36k yearly est. Auto-Apply 60d+ ago
  • Bilingual Claim Specialist

    Contingentcrew

    Claims representative 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
  • Construction Defect Technical Claims Specialist

    Frank Winston Crum Insurance

    Claims representative 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 Construction Defect Technical Claims Specialist position filled with many exciting opportunities! This job contributes to the mission of FrankCrum by adjusting the most complex construction defect 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 an inventory of the most complex construction defect claims in the company's inventory of which most are litigated and may involve large projects in accordance with established claim handling standards and applicable state regulations and laws. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters Understands and interprets construction contracts and applies risk transfer when appropriate. Negotiates time on risk and the duty to defend and indemnify with liable insurers when appropriate. Manages litigation proactively and works well with defense counsel and insureds to reach optimal outcomes. Demonstrates a strong knowledge and utilization 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, consumer complaints and Department of Insurance Complaints including Civil Remedy Notices often filed in construction defect claims. Demonstrates a strong knowledge of residential and commercial building construction, repair processes, and knows how to review and analyze the accuracy of damage reports prepared by contractors, engineers, and appraisers in order to assess property damage and construction defects damages. 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. Prepares reports detailing claim status, payments and reserves. Engages in timely and effective communication with the appropriate parties and documents the claim file throughout the claim adjustment process which includes maintaining timely diaries on each claim. Effectively assists, trains and mentor's lessor skilled team members in conjunction with management. Assists managers with identifying trends and opportunities for improvement in processes and procedures and claim resolution to improve overall outcomes. Collaborates with other departments such underwriting on projects or as needed or performs other duties as assigned. The Attributes We Seek Keys to success in this position include knowledge of construction defect claims handling and of applicable insurance policies claims systems and claims handling regulations, procedures, and laws in 48 states. Bachelor's degree in a related field or equivalent experience needed, Juris Doctorate a plus. Ten (10) years of construction defect claims adjusting experience with exposure to a minimum of $100,000. Must hold Proper adjuster licenses in Florida 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-forty-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
  • Liability Adjuster II

    TWAY Trustway Services

    Claims representative 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 54d ago

Learn more about claims representative jobs

How much does a claims representative earn in Oldsmar, FL?

The average claims representative in Oldsmar, FL earns between $24,000 and $47,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Oldsmar, FL

$34,000

What are the biggest employers of Claims Representatives in Oldsmar, FL?

The biggest employers of Claims Representatives in Oldsmar, FL are:
  1. Globalchannelmanagement
  2. Auto-Owners Insurance
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