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Insurance Administrative Solutions jobs - 31 jobs

  • Health Insurance Claims Adjuster II

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. (“IAS”), an Integrity partner headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities: Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decision. Interpret contract benefits in accordance with specific claim processing guidelines. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees. Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing. In addition to being able to handle the initial claims that they were trained on, they will be able to handle the majority of claim types within the department. Maintain external contact with providers/agents/policyholders. Primary Skills & Requirements: A high school diploma or GED equivalent . Two to four years of proven health insurance claims adjudication experience. Insurance background preferred; previous Medical/prescription claims preferred. Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required. Familiarity with medical terminology, procedures and diagnosis codes preferred. Ability to read and interpret EOB's claim history, and excellent research skills. Familiarity with Microsoft Office products; familiarity with Qiclink software a plus. Ability to calculate deductible and co-insurance amounts. Ability to adapt and respond to different types of people and tasks. Excellent communication and documentation skills. Ability to multi-task, prioritize, and manage time effectively and efficiently. Reliable transportation and the ability to be punctual and dependable. Benefits Available Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $43k-53k yearly est. Auto-Apply 7d ago
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  • Medicare Supplement Processing Specialist

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. (“IAS”), headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Work directly with an Underwriter to learn how to review an application for insurance coverage against a carrier's guidelines to determine eligibility. Primary Responsibilities other duties may be assigned as necessary: Assist agents with comments or questions about applications and the likelihood of acceptance by the company. Log applications using automated log/proposal program, Calculate modal premium due, noting any shortage or overage, and prepare and balance CWA Input Form. Input CWA into the CWA database, when applicable. Make out going calls to agents or applicants to verify information that is left blank or unclear on the application. Take inbound calls from agents or applicants and effectively relay information to the caller about any outstanding requirements needed on the application. Complete non-medical telephone interviews with applicants when necessary. Order and follow up on requirements pre and post issue. Learn and understand the differences between Federal and State Open Enrollment, Guarantee Issue and Standard applications. Primary Skills & Requirements: 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. High school diploma or GED equivalent with 1 year of proven experience in insurance, medical field, or customer service Medical insurance background preferred Strong phone contact handling skills and active listening Familiarity with Microsoft Office products Ability to adapt and respond to different types of people and tasks Excellent communication and documentation skills Problem solving ability with high level of attention to detail Ability to exercise good judgment, maintain confidentiality, and uphold ethical standards Confident, self-motivated individual who thrives both independently and within a team environment Ability to multi-task, prioritize, and manage time effectively and efficiently Reliable transportation and the ability to be punctual and dependable Ability to work scheduled shifts, rotate schedules with other employees for proper department staffing needs and work overtime as needed Benefits Available Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $53k-78k yearly est. Auto-Apply 7d ago
  • Subrogation Intake Specialist

    Universal Insurance Holdings 4.1company rating

    Fort Lauderdale, FL job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Payment Processing & Documentation: Accurately process through Mavro, Atlas, and other software to record incoming subrogation payments. Reconcile payment records with case files and update internal systems. Ensure proper allocation of funds to appropriate claims. Tortfeasor Communication & Follow-Up: Initiate and maintain contact with tortfeasors regarding outstanding balances and releases. Monitor and follow up on payment plans to ensure compliance. Escalate delinquent accounts to appropriate channels for further action. Promissory List Management: Serve as the primary custodian of the promissory list. Track all active promissory notes and payment agreements. Update and maintain accurate records of payment statuses and due dates. Administrative Support: Assist subrogation personnel and adjusters with intake and documentation of new cases. Generate reports related to payment activity and promissory compliance. Maintain confidentiality and data integrity across all subrogation files. #ZR Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses
    $31k-43k yearly est. Auto-Apply 6d ago
  • Customer Service Specialist (Bilingual)

    Morgan White Group 3.6company rating

    Miami, FL job

    Job Description The Customer Service Specialist works with and reports to the Claims and Customer Service Manager, Miami. The position is located at 75 Valencia Avenue Coral Gables, FL 33134. The person in this position is the first to interact with our customers by answering incoming calls from the customer service and claims call queues. The Customer Service Specialist takes on a wide variety of tasks, all of which involve supporting the company's operations and products. They will be interacting with customers and building and maintaining relationships while providing exceptional customer service. In this role you have the ability, and are strongly encouraged to, advance levels within the department. Each level achieved results in increased pay. Knowledge Checks and minimum qualifications are required for advancement. JOB DUTIES AND RESPONSIBILITIES:To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Answer incoming calls. Identify and document the needs of the customer utilizing all tools available. Always demonstrate excellent phone etiquette and use written skills to obtain clear and concise documentation of the customer's inquiry. Meet or exceed all performance metrics. Be knowledgeable and have a clear understanding of the business processes within MWG including departments, insurance carriers, brokers/agents, and group contacts. Route calls to appropriate resources. Utilize MWG Administrators Policy Administration Systems to verify eligibility and review members accounts based on the policy assigned. Recognize and resolved customer issues by following standard operating procedures and explaining the process to the customer. Identify and escalate issues to supervisors. Follow up customer calls where necessary and complete the daily assigned voicemails. Perform other duties as assigned by the Department Manager. WORKING ENVIRONMENT REQUIREMENTS: Must be able to perform in a very high paced environment and be flexible to multi-task or handle Ability to work independently with excellent time management Strong written and verbal communication, interpersonal, and relationship building Ability to handle stressful situations Ability to maintain confidentiality and privacy in every aspect of the Knowledge of customer service practices and principles. Excellent problem-solving skills along with keen attention to details. Strong written/verbal communication, interpersonal and relationship building skills. Excellent data entry and typing skills Ability to maintain confidentiality and privacy in every aspect of the job. Always exhibit excellent phone etiquette and professionalism. Knowledge of all products and services. Understand and adhere to each department's policies and procedures within the TPA. EXPERIENCE & EDUCATION REQUIREMENTS: High School Diploma required; Associates or bachelor's degree is preferred. Must have previous customer service experience; previous Call Center experience is a plus. Must have excellent computer skills with experience in Microsoft Tools. Must be able to work well under pressure with multiple priorities and meet deadlines while maintaining a strong attention to detail. JOB ESSENTIAL REQUIREMENTS: The following are job functions that an employee must be capable of performing with or without reasonable accommodation. Must be able to read, write, and speak English and Spanish. Must be able to work as scheduled. Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met. Must be able to bend, stretch, reach, and sit or stand at a desk during 85 % of the working day. Must be able to remain stationary at workstation for extended times and/or walk throughout the area. Will require significant viewing and usage of computers and computer screens.
    $31k-37k yearly est. 15d ago
  • Business Systems Analyst (Onsite)

    Universal Insurance Holdings 4.1company rating

    Fort Lauderdale, FL job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Overview The Business Systems Analyst plays a pivotal role in the management and administration of Universal's financial systems. This is an entry-level position and works within a team that is tasked with maintaining the integrity, security, and operational efficiency of financial software applications, while providing essential support to financial operations and driving system optimization. The successful candidate will demonstrate a strong combination of technical proficiency, financial insight, and effective communication skills to facilitate collaboration with diverse stakeholders. Individuals in this capacity will contribute and be part of a team that possesses advanced knowledge of system applications and has substantial experience with the software implementation life cycle, along with specialized expertise in enterprise resource planning (ERP) software and associated platforms. Superior analytical and problem-solving abilities are requisite, as are exemplary written, verbal, and interpersonal skills, given the frequent interaction with team members and leadership across the organization. Typically, businesses seek applicants with a bachelor's degree in finance, accounting, computer science, or a related discipline. Duties and Responsibilities: Act as a liaison between the business functions of the organization and service providers. Facilitate communication between internal and external parties to minimize costs and delays. Support the evaluation of Universal's ERP capabilities and assess the feasibility of new projects. Review ERP implementations and suggest methods to optimize the systems. Provide production support for systems and address system-related issues. Implement temporary solutions when necessary and recommend alternative system solutions. Oversee the configuration, maintenance, and daily operations of financial systems, including managing user access. Administer the company's ERP system, specifically the Workday platform, with emphasis on security administration. Manage the Workday ticketing system. Maintain the Change Management process and policy, ensuring proper documentation and quality assurance. Prepare reports on user access, security incidents, and compliance status for management and audit purposes. Assist with evaluating and documenting system upgrades, new releases, and implementation activities. Respond to requests from internal auditors. Serve as the main contact for users experiencing financial system issues, providing support and problem resolution. Analyze and research system issues to determine corrective actions and conduct appropriate follow-up. Collaborate with stakeholders, including finance, HR, and IT departments, to facilitate effective communication and coordination on system-related and ad hoc projects. Contribute to process improvements and escalation procedures. Skills and Qualifications: Bachelor's degree in finance, accounting, information systems, or related discipline; a master's degree is considered an advantage. This is an entry-level position, but experience in financial systems administration, with familiarity in ERP systems such as Workday, Clearwater, and Workiva, would be a plus. Demonstrated problem-solving abilities and attention to detail. Capable of working independently and collaborating with cross-functional teams. Organizational skills that are sufficient for managing multiple priorities and meeting deadlines. #ZR Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses
    $52k-74k yearly est. Auto-Apply 60d+ ago
  • Senior Treasury Manager

    Universal Insurance Holdings 4.1company rating

    Fort Lauderdale, FL job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Treasury Manager The Finance Department of Universal Insurance Holdings, Inc. is seeking a Finance Operations Manager that will perform key activities associated with day to day AP, AR and treasury operations, monthly closing and reporting cycle. It is a key position within the Treasury Group providing leadership and technical guidance to the Treasury group members. The Treasury team is comprised of thirteen individuals responsible for accounts receivable, accounts payable, disbursements, budget expense analysis, accruals, banking, investments, risk management and issue/error remediation. Accounting knowledge is required. This position will also participate in projects and ad hoc requests as they emerge. In addition, this position will focus on the development of the Treasury team. The Finance Operations Manager will report to the Director of Treasury Operations and will also collaborate with other members of the Finance Department (GAAP and Statutory Accounting Team, FP&A Team, Tax and Investor Relations. etc.) as well as the Internal Audit group. This position offers a wide range of responsibilities that will allow the candidate to grow with the Company and become an integral part of the Finance Department and the organization. Duties and Responsibilities: Daily management of the Accounts Payable, Accounts Receivable and Banking functions and supervision of staff. Various Accounting & Compliance functions including 1099 reporting, escheatment, accrual management, general ledger coding of invoices, allocations and vendor maintenance. Monitoring and oversight of timely processing of invoices, premium refunds and commission payments. Development and support of Treasury policies, procedures, and controls, as well as ensuring that all internal control procedures are enforced and followed. Support and participation in special projects and strategic planning activities. Keep up-to date on information and technology affecting functional area(s) to increase innovation and ensure compliance. Train, develop and appraise staff effectively. Take corrective action as necessary on a timely basis and in accordance with company policy. Assist in treasury projects including bank/custodian/investment account maintenance, liquidity management, cash flow projections, operational projects and other duties as assigned. Maintain monthly book closing schedule and workflow to assure timely and accurate book closing Monthly expense budget analysis and feedback to FP&A team Quarterly activities: Assist when requested with 10-Q/10-K and disclosure items Requirements: Bachelor's degree in Accounting or Finance. Graduate degree a plus. Workday G/L experience or certification/training a plus. Preferably 6 to10 years of related work experience Demonstrable understanding of treasury, banking and accounting concepts and principles. Transactional and analytic experience. Familiar with banking systems, platforms and products. Proficient in Microsoft Office, Word, Excel and PowerPoint. Strong attention to detail and solid organizational skills mandatory. Excellent time management and communication skills. Possess commitment to a team environment as well as the ability to work independently. Understanding and experience with U.S. Payment system (i.e. wires, ACH, checks, RTP, Zelle). #ZR Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses
    $69k-117k yearly est. Auto-Apply 60d+ ago
  • INSURANCE AGENT

    Universal Insurance Managers Inc. 4.1company rating

    Orlando, FL job

    General Description: Responsible for helping clients understand, select, and manage insurance policies that cover damage to property (homes, cars, businesses) and liability exposures. This role involves sales, client consultation, policy management, and ensuring compliance with industry regulations. Essential Duties and Responsibilities: Develop and maintain strong relationships with clients to understand their insurance needs. Educate clients on available P&C insurance products, policy features, benefits, and coverage options. Provide personalized recommendations and quotes based on individual risk assessments. Prospect for new clients through networking, referrals, cold calling, and marketing campaigns. Follow up on leads and close new policy sales in a timely and professional manner. Assist clients with policy renewals, coverage changes, endorsements, and cancellations. Process applications, issue certificates of insurance, and maintain accurate client records. Handle claims-related inquiries and support clients through the claims process. Perform other duties as required. Supplemental 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 and cannot 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: High school diploma or equivalent required; bachelor's degree preferred. 2+ years of experience in insurance sales Familiarity with agency management systems and quoting platforms is a plus. Spanish and Portuguese preferred. Strong communication and interpersonal skills. Sales-driven with excellent negotiation and closing abilities. Organized, detail-oriented, and able to manage multiple tasks simultaneously. Proficient in Microsoft Office and CRM systems. Ability to work independently and in a team environment. Licenses and / or Certifications: Insurance Agent Licenses required: 4-40 license is required. 2-20 General Lines (Property & Casualty) & Additional insurance licenses (e.g. Life & Health) are a plus.
    $32k-62k yearly est. 14d ago
  • AGENCY RELATIONS SPECIALIST

    Universal Insurance Managers Inc. 4.1company rating

    Sarasota, FL job

    The Agency Relations Specialist is responsible for maintaining compliance of Agency and Producer appointments and contracts for Universal North America. Provides inside sales support for Territory Sales Managers. Essential Duties and Responsibilities: Coordinate receipt of and execution of contracts between agencies, producers and company. Transact and manage producer appointments and producer terminations with state DOI directly or using SIRCON website. Request and maintain evidence of current agency E&O per state DOI requirements. Track, collect, and account for receipt of state licensing/appointment fees per state DOI requirements. Coordinate receipt of id's and passwords between CGI and company. Manage book of business transfers, agency changes, and terminations in accordance with state statutes and company contracts. Interact with numerous vendors and marketing channels (Ivantage/Allstate, Arrowhead, Torrent, Lexis Nexis, InFocus). Support multi-state appointments and increased activity associated with National Accounts. Assist in market conduct exams and state audits by providing requested information and responding to examiners questions. Work closely and communicate effectively with other departments including Legal, Accounting, Systems, and Customer Service. Respond promptly to producer's calls and emails. Include answering producer's questions and concerns and addressing with appropriate personnel at Universal, CGI, Lexis Nexis and Torrent. Discipline maintenance of producer databases and spreadsheets. Adherence to strict timelines for appointment renewals. Manage email lists for all marketing communications. Respond to agent inquiries regarding commission payments and statements. Perform other duties as required. Supplementary Information This job description has been prepared to indicate the general nature and level of the work that employees perform within their classification. This description is not and cannot 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: High School Diploma or GED. Excellent communications (written and oral) and organizational skills. Must be proficient in Microsoft Office (Excel, Word, and Outlook), Mapping, and Internet based platforms. Operational savvy- consistently looks to streamline processes and procedures. Ability to comprehend state regulations and statutory requirements pertaining to licensing and appointing. Meticulous attention to detail and disciplined organizational skills. Familiarity with Universal North America quoting system and products helpful. Ability to handle multiple priorities. Must be self-motivated, detail oriented and a team player. Licenses and / or Certifications: Property and Casualty 2-20 or 4-40 license preferred but not required
    $32k-51k yearly est. 4d ago
  • Marketing Administrator

    Universal Insurance Holdings 4.1company rating

    Fort Lauderdale, FL job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Overview: This position provides consistent and valuable support to the marketing department management as well as department operations. The following are the usual, basic and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties and skills required. Essential Job Functions: Process a variety of day to day functions including but not limited to appointments, terminations, acquisitions, etc. Primary phone coverage for Marketing and Technical Support queues providing assistance and support for agents, policy holders and external field representatives Ability to work in both a team environment and self guided Maintain regular and reliable attendance Adhere to policies and procedures of employee handbook Able to work in a fast-paced environment Demonstrates initiative and resourcefulness Required Knowledge, Skills & Ability • 220 or 20-44 license with a minimum of one year homeowner's insurance experience • Excellent verbal and written communication • Prior customer service experience, preferred but not required • Strong organizational and multi-tasking skills • Data entry and working knowledge of computer functionality • Proficient in Microsoft Office • Proficient in proprietary software (within first 90 days) • Working knowledge of Sales Force preferred but not required • Bilingual preferred but not required Benefits: Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses #ZR Universal Insurance Holdings, Inc. is an Equal Opportunity Employer. We consider the best qualified individuals available, without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law. By submitting your resume for this position, you understand and agree that Universal Insurance Holdings, Inc., may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions. Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses
    $42k-62k yearly est. Auto-Apply 6d ago
  • Health Insurance Phone Interviewer - Pharmacy Tech experience a PLUS

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. Job Summary This role involves conducting interviews for Medicare Supplement insurance applicants in a manner that is professional, patient, honest, confidential, and efficient. The ideal candidate should have knowledge of prescription drugs and treated conditions, with a preference for those with a background as Pharmacy Technicians. Experience in customer service, insurance, and medical terminology is needed, along with a detail-oriented mindset and the ability to thrive in a fast-paced environment. Please note that this is not a remote position and candidates must be local at this time. Primary Responsibilities: Must be able to work your scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs and /or Work Overtime if needed. Responsible for conducting phone interviews on both outbound and inbound telephone calls. Must be detailed oriented and possess good verbal/written/typed communication skills. Must be able to work in a work environment where procedures change frequently. Must have a medical background with an emphasis on prescription drug information. Must be able to work independently and efficiently to meet contractual time service agreements. Verify all necessary information from the application over the phone with an applicant Follow a telephone script, which matches the questions on the application. Information obtained during the phone interview process is collected on the phone script form or application and is used in the UW process. When appropriate, use supplemental questionnaires for medical conditions and certain medications to obtain detailed information about the condition/medication in question. Carefully listen to the applicant's responses to ensure the accuracy of the information gathered. Concentration is essential. The Underwriter's decision to approve or decline an application is based on information gathered in the PHI. Must be able to identify and request any outstanding underwriting requirements in order to complete the processing of an application. Entering completed interviews and underwriting requirements in the admin system. Must be able to determine if an applicant meets the underwriting guidelines set forth by our clients. Comfortable working in a face paced environment while demonstrating critical and analytical thinking capabilities. Primary Skills & Requirements: High School Diploma/GED with one (1) year experience Language skills: ability to read and interpret documents such as procedure manuals and written handouts. Reasoning ability: need to apply common sense to carry out written and/or verbal instructions. Must be able to deal with problems containing multiple variables. Pharmacy background is preferred. Honesty, as well as respect, for the company and its policies & procedures is crucial. Schedule: Monday to Friday 37 hour work week About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $30k-38k yearly est. Auto-Apply 7d ago
  • Data Engineer

    Universal Insurance Managers Inc. 4.1company rating

    Orlando, FL job

    General Description: The Data Engineer will play a critical role within the Information Technology organization, partnering closely with data and analytics leadership to build and optimize scalable, reliable data pipelines and platforms that support enterprise analytics and decision-making. This role focuses on enabling data availability, quality, and accessibility across business domains, ensuring alignment with strategic data initiatives. The engineer will work with cross-functional teams to gather and translate business data requirements into technical solutions, support data integration efforts, and uphold data governance standards. Responsibilities may include contributing to the development of data products, enhancing data infrastructure, and supporting data platform modernization efforts to ensure trusted, timely data is accessible for business use. Essential Duties and Responsibilities: Guidewire Data Warehouse Management: Continue to support and enhance the Guidewire Enterprise Data Warehouse, ensuring data availability, accuracy, and efficiency in ETL operations. Data Platform Implementation: Architect, design, and implement a scalable, on-prem or cloud-based enterprise data platform, integrating diverse data sources beyond Guidewire Insurance Suite Data Integration & Engineering: Develop and oversee ETL/ELT pipelines to ingest, transform, and store data efficiently, leveraging modern tools. Data Modeling & Architecture: Design and implement optimized data models for structured and unstructured data, supporting reporting, analytics, and AI/ML initiatives. Data Governance & Security: Establish best practices for data governance, data quality, metadata management, and security compliance across all data assets. Advanced Analytics Support: Enable self-service analytics, real-time data processing, and AI/ML-driven insights by integrating modern data technologies such as data lakes, streaming data, Graph and NoSQL databases. Collaboration & Leadership: Act as a strategic partner to IT, business units, and analytics teams, aligning data initiatives with organizational goals. Mentor junior team members and foster a culture of data-driven decision-making. Monitor the task queue, take, and update tickets as directed by your supervisor. Successfully engage in multiple initiatives simultaneously. Contributes to the development of project plans and may assign and monitor tasks. Assist in the development and generation of new reports to be provided to senior management across functional departments. Performs other duties as required. Supplemental 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 and cannot 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 or Master's degree in Computer Science, Information Systems, Data Science, or a related field. 5+ years of experience in data architecture, engineering, or related roles, preferably within the insurance industry. Strong expertise in the Guidewire InsuranceSuite database schemas (PolicyCenter, BillingCenter, ClaimCenter) is a plus. Ability to analyze and learn new complex data sources models and integrate them into the data platform's pipelines. Experience implementing cloud-based data platforms in Azure and familiarity with data lakehouse architectures. Proficiency in modern ETL/ELT tools (e.g., MS SSIS and Azure Data Factory) and database technologies (SQL, Databricks, etc.). Hands-on experience with big data processing, streaming technologies (Kafka, Spark, Flink), and API-driven data integration. Strong understanding of data security, compliance, and governance best practices (GDPR, CCPA, SOC2, etc.). Familiarity with BI/reporting tools such as Power BI, Tableau, Looker. Strong knowledge and experience implementing Data Mesh architecture is a plus. Knowledge of machine learning frameworks and MLOps is a plus. Familiarity with ticketing systems like Atlassian Jira used to assign and track work amongst multiple team members. Must be resourceful, industrious, and willing to take on new tasks and proactively learn new technologies to keep up with business needs. Must be able to work under tight deadlines efficiently and with high quality. Must possess strong organizational skills with demonstrated attention to detail. Must be flexible and able to adapt in a changing business environment. Must possess a positive attitude and strong work ethic. Excellent verbal and written communication skills and the ability to interact professionally with a diverse group (executives, managers, and subject matter experts). Must be proficient in Microsoft Office (Excel, Word, Power Point). Licenses and / or Certifications: Azure Data Engineer Associate or higher preferred.
    $80k-104k yearly est. 30d ago
  • Commercial Lines Product Manager

    Universal Insurance Managers Inc. 4.1company rating

    Sarasota, FL job

    General Description: The Commercial Lines Product Manager will lead the development of new commercial lines programs. This is a highly technical, hands-on role, where the Commercial Lines Product Manager will be responsible for the creation, enhancement, and implementation of comprehensive insurance products that meet market needs and drive business growth. The Commercial Lines Product Manager (CLPM) will identify target market segments and perform industry and competitor analysis, translating business objectives into product strategies and roadmaps from concept through delivery of programs for production. The CLPM is responsible for all aspects of multistate product development; pricing, coverage, rules and guidelines in compliance with state laws and regulations in each of the states in which the programs will be offered. Essential Duties and Responsibilities: Lead the product development process to produce initial rate, rule and form filings for new products as assigned by department leadership. Gather and incorporate input from Sales, Risk Management, Actuarial, Underwriting, Claims, Systems. Legal and Regulatory Compliance into the product development process to ensure the needs/concerns are appropriately addressed and result in comprehensive products that return a consistent profit while meeting market need. Manage the filing processes on all new programs, coordinating, compiling and submitting responses to regulator inquiries and requests for information on filings within established timeframes. Communicate details of new product filings to appropriate internal departments, as warranted, including providing programming requirements for the implementation of new programs into the front and back-end policy administration systems. Develop requirements for data reports needed to monitor program trends and key performance indicators and will work with the Reporting team to gather data from any and all systems and to validate that data is, and remains, accurate for the life of the reports. In addition, the Commercial Lines Product Manager will use advanced data collection and analysis skills to assess the effectiveness of program initiatives in meeting stated goals. Responsible for pre and post promote validation of system programming related to new product launch to validate that system processes are consistent with the programming requirements provided for all assigned programs in all Policy Administration Systems currently in use to produce applications and policies in the assigned states. Responsible for the development of programming requirements with enough detail to efficiently produce the data elements needed for proper evaluation of pricing, segmentation, overall program results, financial reporting, statistical reporting and to support regulatory data call requirements for assigned states. Participate in onboarding and technical development of department staff. Maintain an understanding of emerging trends in P&C insurance, sharing knowledge with the broader product and business teams. Some travel may be required. 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 Experience: Bachelor's degree in business or related discipline. Five (5) years in commercial lines product management within the insurance industry required. Strong familiarity with ISO rules, forms, and regulatory filing processes and experience analyzing competitor filings and market data strongly preferred. Deep understanding of the P&C insurance industry and specifically, commercial lines, a recent and comprehensive product development background, and a track record of delivering successful programs that meet or exceed ROI expectations. Strong ability to analyze data and identify trends. Experience with advanced data creation and analysis are highly preferred. Ability to develop and execute product strategies. Excellent written and verbal communication skills, including the ability to communicate complex information clearly. Ability to lead cross-functional teams and influence stakeholders. Understanding of business principles and market dynamics. Experience with development and submission of filing via SERFF and IRFS. Experience and proficiency working in a fast-paced environment, managing multiple projects simultaneously to deliver new programs with accuracy, on time and within budget. Proficiency with Microsoft Suite, including but not limited to Excel, Word, Access, Outlook, and PowerPoint. Licenses and / or Certifications: CPCU or similar insurance certification preferred
    $56k-81k yearly est. 19d ago
  • Health Insurance Claims Processor / Adjudication

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries. * Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. * Interpret contract benefits in accordance with specific claim processing guidelines. * Coordinate daily workflow to coincide with check cycle days to meet all service guarantees. * Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly. * Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. * Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing. * Maintain external contact with providers/agents/policyholders. Primary Skills & Requirements: 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. * A high school diploma or GED equivalent * Minimum of 1 year proven health insurance claims adjudication experience. * Insurance background preferred; previous Medical/prescription claims preferred. * Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required. * Familiarity with medical terminology, procedures and diagnosis codes preferred. * Ability to read and interpret EOB's claim history, and excellent research skills. * Familiarity with Microsoft Office products; familiarity with Qiclink software a plus. * Ability to calculate deductible and co-insurance amounts. * Ability to adapt and respond to different types of people and tasks. * Excellent communication and documentation skills. * Ability to multi-task, prioritize, and manage time effectively and efficiently. * Reliable transportation and the ability to be punctual and dependable. Benefits Available * Medical/Dental/Vision Insurance * 401(k) Retirement Plan * Paid Holidays * PTO * Community Service PTO * FSA/HSA * Life Insurance * Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $32k-38k yearly est. Auto-Apply 32d ago
  • Web Developer

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Forward thinking, team player with a focus on continuous improvement to help modernize, maintain and troubleshoot IAS business critical web applications. Works with IT staff to design and develop client/regulatory enhancements, as well as analyzing and address day to day issues. Learns and applies new methodologies and technologies to advance IAS web application landscape. Primary Responsibilities other duties may be assigned as necessary : * Analysis, design, development and troubleshooting of VB.NET applications and web services * Analysis, design, development, and troubleshooting of MS SQL Server SQL & Stored Procedures * Managing code via Azure DevOps and TFS * Documenting and working issues, requests, enhancements, etc. via JIRA workflows * Actively listening and participating in IT meetings, taking notes, and offering insights/suggestions * Collaboratively working with IAS Web team members on projects and tasks * Self-driven learning of technologies is being adopted by the IAS Web team. * Performs under minimal supervision * Provides leadership, coaching and/or mentoring Primary Skills & Requirements: 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. * Bachelor's Degree in IT or related area; * 4-6 years of experience with VB.NET, C#, and SQL Server * Experience with Team Foundation Server and JIRA Issue Tracking preferred * Ability to work through issues and solve problems pragmatically * Ability to analyze and troubleshoot issues spanning several processes and technologies * Adept in developing and debugging VB.NET (C#, Entity Framework, & MVC are a plus) * Adept in writing & debugging SQL & Stored Procs (SSIS/ETL) is a plus) * Working knowledge of TFS or Azure DevOps version control * Comprehensive knowledge of subject matter * Leadership experience preferred * Firm understanding of.NET frameworks, .NET Core and supporting technologies * Skilled in documenting and communicating via email & JIRA, and other written correspondence * Ability to independently learn, understand, and apply new technologies * Organized and logical thought process, with the abilities to communicate well and follow instructions; ability to work independently and with others in an efficient manner collaborative manner. * Development experience in JavaScript and ReactJS is a plus * Experience with DevOps tools and processes is a plus * Experience with Agile methodologies is a plus Benefits Available * Medical/Dental/Vision Insurance * 401(k) Retirement Plan * Paid Holidays * PTO * Community Service PTO * FSA/HSA * Life Insurance * Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $69k-95k yearly est. Auto-Apply 17d ago
  • INSIDE CLAIMS REPRESENTATIVE

    Universal Insurance Managers Inc. 4.1company rating

    Miami, FL job

    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.
    $29k-35k yearly est. 3d ago
  • Subrogation Intake Specialist

    Universal Insurance Holdings Inc. 4.1company rating

    Fort Lauderdale, FL job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. * Employment Eligibility (e-Verify): English & Spanish * Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Payment Processing & Documentation: * Accurately process through Mavro, Atlas, and other software to record incoming subrogation payments. * Reconcile payment records with case files and update internal systems. * Ensure proper allocation of funds to appropriate claims. Tortfeasor Communication & Follow-Up: * Initiate and maintain contact with tortfeasors regarding outstanding balances and releases. * Monitor and follow up on payment plans to ensure compliance. * Escalate delinquent accounts to appropriate channels for further action. Promissory List Management: * Serve as the primary custodian of the promissory list. * Track all active promissory notes and payment agreements. * Update and maintain accurate records of payment statuses and due dates. Administrative Support: * Assist subrogation personnel and adjusters with intake and documentation of new cases. * Generate reports related to payment activity and promissory compliance. * Maintain confidentiality and data integrity across all subrogation files. #ZR Benefit Highlights * Industry leading medical, dental and vision insurance plan * 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) * Generous PTO policy * Eligible for performance based bonuses
    $31k-43k yearly est. Auto-Apply 6d ago
  • CUSTOMER SERVICE REPRESENTATIVE

    Universal Insurance Managers Inc. 4.1company rating

    Sarasota, FL job

    General Description: Provide overall phone customer service for insureds, agents and internal company personnel. Responsible for performing different policy level transactions (example: cancellations, policy changes) as instructed and within level of authority. Participate in team projects as instructed and necessary to maintain First Class customer service. Essential Duties and Responsibilities: Completes customer's transactional requests within applicable policies and identifies opportunities requiring a transfer to another area. Responds to customer questions accurately demonstrating expertise and knowledge of products and processes. Actively listens to customer issues or questions showing interest and displaying empathy for the caller's situation. Reads, analyzes and interprets procedures and documents. Remains current on new marketing campaigns in order to respond appropriately to marketing related inquires using all available resources/tools. Solves practical problems and deal with a variety of concrete variables. Reports discrepancies in procedures and policy details to management, as necessary. Interprets a variety of instructions furnished in written, oral, or diagram form. Performs other duties as required. Supplemental 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 and cannot be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education/Skills /Experience: High school diploma or equivalent. 1-3 years of related experience and/or training, agency experience preferred. Some college or post-secondary training in business operations or insurance is strongly preferred. Experience using Microsoft office products. Must be detail-oriented and possess good interpersonal and problem-solving skills. Must be flexible and able to adapt in a changing business environment with minimum supervision. Must be willing to work flexible schedules to support multiple time zones. Must possess strong communication, organizational and teamwork skills. Licenses and / or Certifications: Not necessary but preferred Agency background &/or Agent license 10am - 7pm EST 12pm - 9pm EST
    $30k-36k yearly est. 15d ago
  • Field Adjuster - Ocala/Daytona/Jacksonville, FL (Local Only)

    Universal Insurance Holdings 4.1company rating

    Florida job

    Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify): English & Spanish Right to work: English / Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Field Adjusters primary responsibility is to manage, investigate and resolve assigned property claims. This position is dedicated to providing customer service to policyholders by providing fair and timely resolutions of claims. The Field Adjuster understands insureds needs and provides advice in order to deliver appropriate solutions. The candidate for this position will need to live near Ocala, Daytona, and/or Lake City, Jacksonville, Florida. The following are the usual, basic and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties and skills required. Essential Job Functions Communicate with independent adjusters and other experts to gather information on claims Negotiate and explain settlements with the insured and/or their representatives Answer incoming telephone calls from agents, public adjusters, insureds, and other vendors Review and analyze written information Knowledge of multiple policy forms Prepare reports based on the policy language Prepare detailed estimates of the damage Understanding of estimating software Rely on training and guidance from management to plan and accomplish goals Experience writing Property estimates using Xactimate or related software Ability to climb on ladders to inspect roofs Ability to carry a 40-pound ladder Supports catastrophe operations as needed to include working extended hours during designated CATs Required Knowledge, Skills & Ability High School Diploma or GED 2+ years property field adjusting experience Working knowledge of Microsoft Office including Word, Excel and Outlook Must possess Insurance License Possession of other state license as required by management Ability to work independently as well as a team player Ability to multi-task Computer savvy Basic calculator skills Working knowledge of ISO policies Valid driver's license Wrapped Company vehicle provided Bilingual preferred #ZR Benefit Highlights Industry leading medical, dental and vision insurance plan 401(k) Retirement Plan with a company match of 100% on up to 5% of compensation (match is fully-vested immediately) Generous PTO policy Eligible for performance based bonuses
    $42k-57k yearly est. Auto-Apply 60d+ ago
  • Medicare Supplement Processing Specialist

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. ("IAS"), headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Work directly with an Underwriter to learn how to review an application for insurance coverage against a carrier's guidelines to determine eligibility. Primary Responsibilities other duties may be assigned as necessary: * Assist agents with comments or questions about applications and the likelihood of acceptance by the company. * Log applications using automated log/proposal program, * Calculate modal premium due, noting any shortage or overage, and prepare and balance CWA Input Form. * Input CWA into the CWA database, when applicable. * Make out going calls to agents or applicants to verify information that is left blank or unclear on the application. * Take inbound calls from agents or applicants and effectively relay information to the caller about any outstanding requirements needed on the application. * Complete non-medical telephone interviews with applicants when necessary. * Order and follow up on requirements pre and post issue. * Learn and understand the differences between Federal and State Open Enrollment, Guarantee Issue and Standard applications. Primary Skills & Requirements: 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. * High school diploma or GED equivalent with 1 year of proven experience in insurance, medical field, or customer service * Medical insurance background preferred * Strong phone contact handling skills and active listening * Familiarity with Microsoft Office products * Ability to adapt and respond to different types of people and tasks * Excellent communication and documentation skills * Problem solving ability with high level of attention to detail * Ability to exercise good judgment, maintain confidentiality, and uphold ethical standards * Confident, self-motivated individual who thrives both independently and within a team environment * Ability to multi-task, prioritize, and manage time effectively and efficiently * Reliable transportation and the ability to be punctual and dependable * Ability to work scheduled shifts, rotate schedules with other employees for proper department staffing needs and work overtime as needed Benefits Available * Medical/Dental/Vision Insurance * 401(k) Retirement Plan * Paid Holidays * PTO * Community Service PTO * FSA/HSA * Life Insurance * Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $53k-78k yearly est. Auto-Apply 32d ago
  • Web Developer

    Insurance Administrative Solutions 4.3company rating

    Insurance Administrative Solutions job in Clearwater, FL

    Insurance Administrative Solutions Clearwater, FL Insurance Administrative Solutions, L.L.C. (“IAS”), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States. Job Summary: Forward thinking, team player with a focus on continuous improvement to help modernize, maintain and troubleshoot IAS business critical web applications. Works with IT staff to design and develop client/regulatory enhancements, as well as analyzing and address day to day issues. Learns and applies new methodologies and technologies to advance IAS web application landscape. Primary Responsibilities other duties may be assigned as necessary : Analysis, design, development and troubleshooting of VB.NET applications and web services Analysis, design, development, and troubleshooting of MS SQL Server SQL & Stored Procedures Managing code via Azure DevOps and TFS Documenting and working issues, requests, enhancements, etc. via JIRA workflows Actively listening and participating in IT meetings, taking notes, and offering insights/suggestions Collaboratively working with IAS Web team members on projects and tasks Self-driven learning of technologies is being adopted by the IAS Web team. Performs under minimal supervision Provides leadership, coaching and/or mentoring Primary Skills & Requirements: 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. Bachelor's Degree in IT or related area; 4-6 years of experience with VB.NET, C#, and SQL Server Experience with Team Foundation Server and JIRA Issue Tracking preferred Ability to work through issues and solve problems pragmatically Ability to analyze and troubleshoot issues spanning several processes and technologies Adept in developing and debugging VB.NET (C#, Entity Framework, & MVC are a plus) Adept in writing & debugging SQL & Stored Procs (SSIS/ETL) is a plus) Working knowledge of TFS or Azure DevOps version control Comprehensive knowledge of subject matter Leadership experience preferred Firm understanding of.NET frameworks, .NET Core and supporting technologies Skilled in documenting and communicating via email & JIRA, and other written correspondence Ability to independently learn, understand, and apply new technologies Organized and logical thought process, with the abilities to communicate well and follow instructions; ability to work independently and with others in an efficient manner collaborative manner. Development experience in JavaScript and ReactJS is a plus Experience with DevOps tools and processes is a plus Experience with Agile methodologies is a plus Benefits Available Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $69k-95k yearly est. Auto-Apply 7d ago

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Insurance Administrative Solutions may also be known as or be related to Insurance Administrative Solutions and Insurance Administrative Solutions, L.l.c.