Client Concierge/Client Specialist
Specialist job in Saint Augustine, FL
Brightway Insurance is hiring a Full-Time Client Concierge in Saint Augustine
As a Client Concierge you will be the first point of contact for our clients, providing them with exceptional service and support. You will play a crucial role in maintaining our agency's reputation for excellence and ensuring client satisfaction.
Key Responsibilities
Greet and assist clients in person, via phone, email, and live chat, addressing inquiries and providing information on insurance products and services.
Assist clients with policy changes, renewals, and claims, ensuring timely and accurate processing.
Collaborate with the sales team to identify client needs and recommend appropriate insurance solutions.
Maintain organized client records, process paperwork, and manage scheduling to support agency operations.
Follow up with clients to ensure satisfaction and encourage policy renewals and referrals.
Qualifications
High school diploma or equivalent; college degree preferred.
Previous experience in customer service, insurance, or administrative roles is advantageous.
Strong communication, organizational, and multitasking abilities; proficiency in Microsoft Office Suite and CRM software.
Possession of a 4-40 Customer Representative license is preferred or the willingness to obtain one.
Established in 2008, Brightway Insurance has grown to become one of the largest privately-owned property and casualty insurance distribution companies in the U.S., with more than 350 agencies across 38 states and over $1.4 billion in annual premiums. Our unique franchise model offers agents the opportunity to focus on sales while we handle back-office operations, including carrier relations, licensing, and marketing support. This approach allows our agents to maximize their sales efforts and build lasting client relationships.
If you're an ambitious and driven individual eager to advance in the thriving insurance industry, Brightway Insurance offers the perfect opportunity. Take the next step in your career as a Client Concierge-apply today!
Technical Support Analyst
Specialist job in Orange City, FL
Technical Support Analyst - 3-Month Contract (Orlando Area)
Looking for an opportunity to make an impact on a high-visibility technology rollout? Join Visionaire Partners as a Technical Support Analyst and help drive a mission-critical implementation.
What You'll Do:
Spend about 70% of your time setting up and breaking down equipment, 30% troubleshooting and repairs
Shadow and support the lead technician
Replace outdated hardware (8GB PCs and 4:3 monitors)
Handle hardware swaps for new systems, label printers, scanners, iPads, and more
Keep workstations tidy and professionally organized (because cable chaos is never a good look)
Manage inventory, follow device naming conventions, and escalate printer issues as needed
Support SIM/TCP training sessions and related equipment
Follow IT security processes and contribute to continual improvement initiatives
What You Bring:
1+ year of tech support experience (hardware, software, Windows, MS Office, AD, networking)
Strong deskside troubleshooting skills
Ability to image, configure, and re-image PCs with approved apps and systems access
Excellent documentation, communication, and customer service chops
Flexibility to work some weekends or on-call shifts
Valid driver's license, reliable vehicle, and ability to transport IT gear between offices
Must pass background and drug screening (marijuana excluded)
Details:
Contract Duration: Jan 9, 2026 - Apr 9, 2026
Location: On-site across Orlando area offices
Perks: Visionaire Partners offers a competitive W-2 contractor benefits package, including 401(k) with match, health coverage, FSAs, life and disability insurance, and more.
Healthcare Specialist
Specialist job in Maitland, FL
SHIFTS
M-F 10am-7pm
M-F 10:30am-7:30pm
M-F 11am-8pm
Responsibilities
Communicate with customers via phone, email and chat
Provide knowledgeable answers to questions about product, pricing and availability
Work with internal departments to meet customer's needs
Data entry in various platforms
Qualifications
At least 1 - 3 years' of relevant work experience
Excellent phone etiquette and excellent verbal, written, and interpersonal skills
Ability to multi-task, organize, and prioritize work
Workers' Compensation Claim Specialist
Specialist job in Maitland, FL
Workers' Compensation Claim Specialist
Hours: Monday - Friday, 8:00 AM to 5:00 PM ET
Salary Range: $76,500-$90,000
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Review and maintain personal diary on claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Performs other duties as assigned.
Qualifications
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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skills.
Ability to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Must be detail oriented and a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, accuracy, initiative and the ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
Ten years claims experience is required.
Bachelor degree is preferred.
Bilingual (English/Spanish) preferred.
FL, GA, SC, NC, WV licensure/jurisdictional focus
Computer Skills
Proficient using Microsof Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
Adjuster's license may be required based upon jurisdiction.
AIC, ARM OR CPCU Designation preferred.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity.
Work requires the ability to sit or stand up to 7.5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
Visa Sponsorship:
CCMSI does not provide visa sponsorship for this position.
ADA Accommodations:
CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer:
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
#CCMSICareers #CCMSIMaitland #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #FloridaClaims #RemoteJobs #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FloridaInsurance #FlexibleWork #ExperiencedAdjuster #FLWorkComp #IND123
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Auto-ApplyWorkers Compensation Claims Specialist, East
Specialist job in Lake Mary, FL
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
Demonstrated ability to develop collaborative business relationships with internal and external work partners.
Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
Demonstrated investigative experience with an analytical mindset and critical thinking skills.
Strong work ethic, with demonstrated time management and organizational skills.
Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Developing ability to negotiate low to moderately complex settlements.
Adaptable to a changing environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas
Education & Experience:
Bachelor's Degree or equivalent experience.
Typically a minimum four years of relevant experience, preferably in claim handling.
Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Professional designations are a plus (e.g. CPCU)
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyDynamic PC Support Techician
Specialist job in Longwood, FL
Worldwide TechServices is a global leader in delivering technology services and solutions to the world's most demanding clients. Headquartered in Billerica, MA; we provide infrastructure services and professional services to the world's leading technology providers, outsourcers, large and small businesses and consumers.
The Dynamic PC Support is a position that performs tasks related to the repair of a variety of client products. Performs basic and moderately complex troubleshooting activities for desktops and laptops. May support Desk Side applications and infrastructure. Interacts directly with clients to address technical issues and respond to them timely and accurately.
Responsibilities
Provide customer support for designated equipment
Answer client questions in a professional manner
Accept and deliver all service calls assigned within the established service level agreement for each client
Meet established customer service satisfaction criteria as outlined in established guidelines and policies
Complete all administrative tasks associated with each call as documented in established policies and guidelines
Complete real-time reporting of all calls as documented in established policies and guidelines
Follow various established policies, guidelines, and documents relating to the successful delivery of service for each client
Ensure control of assets and inventory through prompt turnaround of parts and equipment as required by client service agreements
Report all activity in an accurate and timely manner
Understand all Safety policies and guidelines and work within the guidelines of policies daily
Additional requirements may exist if offer of employment is extended
Other duties may be assigned to meet business needs
Qualifications
Education and Experience:
Typically requires technical school certification or equivalent and 0-2 years of relevant experience
Previous customer service experience is a plus
Certifications and/or Qualifications:
Maintain all required OEM Certifications as directed by Management
Knowledge of relevant software and hardware
Valid Driver's License and reliable transportation with valid registration and adequate insurance
Skills:
Ability to communicate regarding technical issues with clients
Ability to drive to client locations
Ability to drive long distances, and occasional overnight assignments within other geographies
Ability to lift and or move various computer equipment up to 50 lbs
Must own a basic repair tool kit
Claims Specialist
Specialist job in Lake Mary, FL
My name is Pondsy Anthony , and I am Recruiting Specialist with Mindlance Inc . I have reviewed your resume and at a first glance find it to be a good fit for a Position that we are exclusively recruiting for. We are working very closely with our Client based in
FL
to fill this requirement urgently. This is a 4+ months of contract position with a possible extension depending on performance. You can get back to me at
************
to discuss in detail.
Job Description
Job Title: Claim Specialist
Client Location : 255 Technology Park, Lake Mary, FL 32746
Contract Duration : 4+ months (High possibility of Extension)
***Info about Schedules:
- Candidates being selected need to be open for the contractor shift of either
9a-6p or 10a-7p or 11-8.
- If contractors are hired on, they have to be available for shifts like 11a-8p
and 12p-9p. Please let candidates know this!
Looking for :-
Candidates must have reimbursement experience that is within the past 6 months
Prior authorization - submission, review, support, completion, verification
Appeal - submission, review, support, completion, verification, coordination
Reimbursement - investigation, verification
JOB SUMMARY:
The primary function/purpose of this job:-
Verify member submitted claims forms, member's eligibility and pharmacy
information is complete and accurate, updating system information as needed.
Superior data entry proficiency is expected in order to provide accurate and
timely processing of claims submitted by member, pharmacy or appropriate
agency. Moderate knowledge of drugs and drug terminology used daily. Process
claims according to client specific guidelines while identifying claims
requiring exception handling. Navigate daily through several platforms to
research and accurately finalize claim submissions. Oral or written
communication with internal departments, members, pharmacies or agencies to resolve
claim issues. Adhere to strict HIPAA regulations especially when communicating
to others outside of Express Scripts. Prioritize and coordinate influx of daily
workload for claims processing, returned mail and out-going correspondence and
e-mails to assure required turnaround time is met. Assess accuracy of system
adjudication and alert management of potential problems affecting the integrity
of claim processing. Analyze claims for potential fraud by member or pharmacy.
May be required to work on special projects for claims team.
SCOPE OF JOB
Reimbursement
verification of enrollments
MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Formal Education and/or Training: High school diploma or equivalent required, some
college or technical training preferred
YEARS OF EXPERIENCE:
Two years' experience in P.B.M. environment is helpful but not required.
KNOWLEDGE AND ABILITIES:
• Strong data entry and 10-key skills
• Retail pharmacy, customer service experience helpful but not required
• PC and MS Office literate
• Strong attention to detail
• Excellent retention and judgment ability
• Proficient written and oral communication skills
• Ability to work in fast-paced, production environment
• Reliable, self-motivated with excellent attendance
• Team player who has the ability to stay on task with little supervision
Qualifications
•
Prior authorization - submission, review, support, completion, verification
• Appeal - submission, review, support, completion, verification, coordination
• Reimbursement - investigation, verification
Additional Information
All your information will be kept confidential according to EEO guidelines.
Area Sales & Design Specialist
Specialist job in Orange City, FL
If you are Competitive, Influential, Organized with Outstanding Interpersonal Skills, we want you to join our team as an Area Sales & Design Specialist! We offer an unlimited commission program. WHAT YOU WILL DO AS AN AREA SALES & DESIGN SPECIALIST In this role, you will be responsible for driving sales growth and providing exceptional design consultation services to our clients. You will work on-site at assigned Home Depot stores, within a specific territory, managing relationships with Home Depot store leaders and associates, leveraging Home Depot employees and customer traffic to generate leads and sales. Weekend work required.
WHAT'S IN IT FOR YOU?
Eligible for a Sales Performance Incentive Bonus
Eligible to receive Earned Commissions.
A weekly minimum guaranteed subsidy payment (if earned commissions are less than the minimum guarantee.)
Total annual compensation average is $74,000 (based on 2024 Tuff Shed data) and could reach in excess of $100,000.
Hands-on training program by Local and Regional leaders.
Great benefits package and mileage reimbursement.
WE ARE COUNTING ON OUR AREA SALES & DESIGN SPECIALISTS FOR:
Working on-site, at assigned Home Depot stores including weekends, holidays, and some evenings.
Manage a sales pipeline.
Regularly plan, coordinate, execute lead generating events and leverage event sales.
Self-direction and the ability to work independently and build relationships.
Enjoy training others and communicating product knowledge.
Proven computer skills and the aptitude to learn new software.
Partner with Home Depot leaders providing updates on sales performance, merchandising and displays.
Ensure our Tuff Shed displays are presentable, clean, and maintained; signage is updated.
JOB REQUIREMENTS
Availability to work standard retail hours, including weekends, holidays and some evenings.
Proven relationship building skills
Current valid driver's license and a satisfactory Motor Vehicle Report
Tuff Shed offers a great Benefits package for our full-time employees! - It pays to be a Tuff Shed team member:
OUR COMPETITIVE BENEFITS AND REWARDS
Competitive compensation and bonus programs (based on position)
Medical Benefits including Virtual Visits- The care you need-when, where and how you need it!
Dental & Vision Benefits
Flexible Savings Account (FSA)
Employee Stock Ownership Plan (ESOP) - You're more than an employee - Get rewarded for long and loyal service with ownership interest in the Company
Paid Time Off and Paid Holidays.
401(k) plan
On-Demand Access to Your Pay! - Why wait until pay day?
Learn more about us at *****************
As part of the application process, please take a short survey, called Predictive Index. Click on the following link to complete this five-seven minute survey: ************************************************************************************************
SLS2021
COURT PROGRAM SPECIALIST III - 22010806
Specialist job in Sanford, FL
Working Title: COURT PROGRAM SPECIALIST III - 22010806 Pay Plan: State Courts System 22010806 Salary: $54,826.20 Annually Total Compensation Estimator Tool Title
Court Program Specialist III
Job Location
18th Judicial Circuit Courts; Sanford, FL
Starting Salary Range
$54,826.20 Annually
Job Description
This professional position operates within the Seminole County Mediation Program, facilitating mediations in the Family and County Court Divisions. Responsibilities include managing and monitoring the Online Dispute Resolution (ODR) system for County Court mediations, as well as overseeing program planning, training, and compliance with policies and procedures. The role involves performing related administrative and clerical tasks, including data reporting. It requires sound judgment, analytical skills, maturity, and initiative to make informed decisions and resolve issues. The position works closely with judges, court staff, the Clerk of Court, attorneys, and the public. Supervision is provided by the ADR Director through regular reports, meetings, and performance evaluations. Additional duties and special projects may be assigned as needed.
Education and Training Guidelines
Bachelor's degree legal studies, paralegal, business administration, business management, social work, or a closely related field. Additional relevant experience may substitute for the recommended educational level on a year-for-year basis. Four years of related work experience. Additional relevant education may substitute for the recommended experience on a year-for-year basis, excluding supervisory experience. Certification as a family mediator in accordance with section 10.100 and 10.110, Florida Rules for Certified and Court-Appointed Mediators.
Competencies
Desirable Qualifications: This position requires knowledge of the Florida State Courts System, including court rules, procedures, and legal terminology, as well as a solid understanding of mediation principles and conflict resolution. The ideal candidate will have experience interpreting and applying Florida Statutes and trial court policies. Proficiency in Microsoft Office programs-especially Outlook, Word, Excel, and Teams-is essential. Strong organizational skills, the ability to multitask, prioritize, and meet deadlines, and a keen attention to detail are necessary. The role also demands clear and effective communication, both written and verbal, with individuals from diverse backgrounds. Candidates must exercise sound judgment, initiative, discretion, and maintain confidentiality. Familiarity with the Clerk's Public Records System and proficiency in E-Filing are also required. Preference will be given to applicants who have previous knowledge and experience in family mediations, as well as a familiarity with standard concepts, practices, and procedures within the civil courts. Proficient working knowledge of ICMS and E-Filing. Membership in the bar is a preferred qualification.
Special Comments
Benefits:
* Paid Leave & Holidays
* State of Florida Health Benefits
* Supplemental Insurance (Dental, Vision, Disability, Optional Life, Cancer, etc.)
* No Cost Basic Life Insurance
* Deferred Compensation (457b Pre-Tax & 457b Roth)
* Florida Retirement System (FRS) Benefits
* Tax-Favored Spending Accounts
* Employee Assistance Support
* State Employee Tuition Waiver
How to Apply
Please submit a completed State of Application electronically to: ******************************
Fillable State of Florida Application: State of Florida Application
Applications must be completed in full. Applications containing the verbiage "please refer to resume" will NOT be considered. Resumes may be attached as supplemental documentation only and will not be accepted as stand-alone applications. Any submission for this position that does not meet the listed requirements will be deemed incomplete and ineligible for further consideration.
Application Deadline - 01/2/2026 5:00 p.m.
Equal Opportunity Employer
The Eighteenth Judicial Circuit is an equal opportunity employer that actively pursues and hires a diverse workforce. We do not discriminate on the basis of nor manifest by words or conduct, bias or prejudice based on race, color, religion, age (40 or older), sex (including gender identity, sexual orientation and pregnancy), national origin, language, marital status, socioeconomic status, or disability or genetic information, which does not preclude performance of essential job functions, and reasonable accommodation(s) is provided, as necessary and judicious.
If you are a person with a disability who needs an accommodation in order to participate in the application/selection process, you are entitled, at no cost to you, the provision of certain assistance. Please notify Court Administration at ************ prior to the application deadline. If you are hearing or voice impaired, please call through the Florida Relay Service (TDD) **************.
Background Check - Employment is provisional pending the results of a successful background investigation and fingerprinting.
E-Verify - Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. The Eighteenth Judicial Circuit participates in the U.S. Government's Electronic Employment Verification Program (E-Verify) to assist in this required verification process for all state-funded positions. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (I-9) upon hire within the first 3 days of employment.
Drug-Free Workplace - It is an objective of the Eighteenth Judicial Circuit to achieve a drug-free workplace. Any applicant for employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing court service for the Eighteenth Judicial Circuit, and the trust placed in our organization by the public.
At-Will Employment - Pursuant to 110.205(2)(c) of the Florida Statutes, employment with the State Courts System is not covered under the Career Service System and all employees of the State Systems serve at the pleasure of the appointing authority and do not attain tenure rights, i.e., employees can be terminated with or without cause by the Court.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Location:
Easy ApplyUS Retail Markets Claims Specialist Development Program-(January, June 2026)
Specialist job in Lake Mary, FL
Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves claims assigned and assists in providing service to policyholders. Responsibilities:
Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports.
Ensures adequacy of reserves.
Accountable for security of financial processing of claims, as well as security information contained in claims files.
Makes effective use of loss management techniques. Negotiates settlements with attorneys, claimants, and/or co-defendants. Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required
Qualifications Qualifications:
Strong written and oral communications skills required.
Good interpersonal, analytical, investigative, and negotiation skills required.
Customer service experience preferred.
Basic knowledge of legal liability, general insurance policy coverage and State Tort Law.
Bachelor's degree is required.
Ability to obtain proper licensing as required.
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Auto-ApplyExperienced Vehicle Wrap Specialist
Specialist job in Apopka, FL
Benefits: * 401(k) matching * Competitive salary * Paid time off * Training & development Job Title: Experienced Vehicle Wrap Specialist We are seeking an experienced Vehicle Wrap Specialist to join our team. The ideal candidate will have a strong background in vehicle wrap installation and possess exceptional attention to detail. As a Vehicle Wrap Specialist, you will be responsible for executing high-quality vehicle wrap installations, ensuring customer satisfaction, and contributing to the overall success of our business.
Responsibilities:
* Perform vehicle wrap installations on a variety of vehicles, including cars, trucks, vans, and commercial vehicles.
* Prepare vehicles for installation by cleaning, prepping, and priming surfaces to ensure proper adhesion.
* Collaborate with clients and design teams to ensure accurate interpretation and execution of wrap designs.
* Utilize industry-standard tools and techniques to ensure precise and flawless wrap installations.
* Maintain a clean and organized work environment, including the proper handling and storage of materials and equipment.
* Conduct quality control inspections to ensure the highest standards of workmanship and customer satisfaction.
* Keep up-to-date with industry trends, techniques, and materials to continuously improve skills and stay ahead of the competition.
* Assist in the removal and reinstallation of wraps as needed.
* Communicate effectively with team members, clients, and management to ensure smooth project coordination and timely completion.
Requirements:
* Proven experience as a Vehicle Wrap Specialist, with a portfolio showcasing successful wrap installations.
* Strong knowledge of vehicle wrap materials, tools, and techniques.
* Proficient in using industry-standard tools, such as heat guns, squeegees, and cutting tools.
* Excellent attention to detail and ability to work with precision.
* Ability to interpret and execute wrap designs accurately.
* Strong problem-solving skills and ability to troubleshoot installation challenges.
* Ability to work independently and as part of a team, managing multiple projects simultaneously.
* Excellent communication and interpersonal skills.
* Physical stamina and ability to work in various weather conditions and positions (standing, bending, reaching, etc.).
* Valid driver's license and clean driving record.
Preferred Qualifications:
* Certification or training in vehicle wrap installation.
* Experience working with large-format printers and design software.
* Knowledge of vinyl graphics and signage production.
We offer competitive compensation and benefits packages, a supportive work environment, and opportunities for professional growth and development. If you are a skilled Vehicle Wrap Specialist looking to join a dynamic team, we would love to hear from you. Please submit your resume, portfolio, and any relevant certifications for consideration.
Additional Details:
* Great pay and benefits!
* Full time (40 hours per week).
* Pay based on experience.
* Health Insurance with company contribution.
* 401K participation with company contribution.
* Paid Time off.
* Holiday Pay.
* Hours are Monday through Friday from 8 a.m. - 4:30 p.m.
* Overtime is available.
* Any potential employee will be required to pass a drug test and background check prior to onboarding.
Job Type: Full-time
Underwriting Support Specialist
Specialist job in Lake Mary, FL
At Frontline Insurance, we are on a mission to Make Things Better, and our Underwriting Support Specialist plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.
What makes us different? At Frontline Insurance, our core values - Integrity, Patriotism, Family, and Creativity - are at the heart of everything we do. We're committed to making a difference and achieving remarkable things together. If you're looking for a role, as a Underwriting Support Specialist, where you can make a meaningful impact and grow your career, your next adventure starts here!
Our Underwriting Support Specialist enjoys robust benefits:
Hybrid work schedule!
Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
Financial Security: 401k Retirement Plan with a generous 9% match
Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.
What you can expect as a Underwriting Support Specialist:
Handles and processes returned mail per guidelines which includes sorting, scanning, sending agency
notifications and documenting policies as needed.
Scans documents into imaging system, links items to policies, and identifies document types for workflow
management purposes.
Processes simple to moderate endorsements not limited mortgage changes, mailing and property address changes.
Answers telephone inquiries from policyholders and mortgage companies regarding the verification of coverage and
billing information.
Answer policyholder calls about setting up the customer portal and resetting passwords.
Handles linking of the queues in Image Now to ensure endorsement work is routed accordingly.
Assists with projects that will allow the personal lines underwriting department to be more efficient and
accurate
Performs light data entry according to defined guidelines.
Performs other job-related duties as assigned.
What we are looking for as a Underwriting Support Specialist:
High school diploma or general education degree (GED); additionally, any undergraduate education desirable, or one to three years insurance related experience and/or training; or equivalent combination of education and experience.
Must have an active 20-44 insurance license.
Why work for Frontline Insurance?
At Frontline Insurance, we're more than just a workplace - we're a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity.
We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.
Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Medical Billing Specialist - A/R
Specialist job in Daytona Beach, FL
Full-time Description
The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team of ten Surgeons, ten Mid-Level Providers and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties are dedicated to providing compassionate and cutting-edge orthopedic care. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community.
POSITION EXPECTATIONS:
As an A/R Billing Specialist you will monitor, manage and fully work outstanding assigned insurance claims, to include researching and correcting claims, writing appeals, and facilitating submission to our EHR (Athena) for appealing adverse decisions, contacting payers as needed and all other activities that lead to the successful adjudication of eligible claims. Other responsibilities of this position include:
• Responsible for taking action on each non-payment or zero pay claim, including contacting insurance companies as needed to diagnose, correct, and rebill claims
• Responsible for providing any information (medical records, itemized statements, etc.) required by insurance companies to overturn denied claims. Must maintain a system to ensure timely follow-up is completed for each outstanding account.
• Responsible for identifying and documenting insurance payer issues as they arise, communicating issues to impacted team members, providers and/or Manager
• Responsible for identifying and issuing patient and insurance refunds
• Respond to patients requesting assistance with questions relating to account or balance
• Assist Patient Services staff with patient's requesting advanced assistance with their account
• Covers for other billing office employees, as needed
• Adheres to organizational policies and procedures and maintains compliance with governmental regulations
• Maintaining the privacy and security of protected health information and adhering to all HIPAA guidelines/regulations.
• Provides superior customer service in a professional, compassionate and friendly manner
Requirements
REQUIRED QUALIFICATIONS:
• Minimum of High School Diploma
• Previous medical accounts receivable experience
• Previous customer service experience, preferably in medical/healthcare setting
• Proficiency in the use of Microsoft Office Products, EHR software applications, preferably Athena
Full compensation package to include: competitive salary, medical, dental, vision, STD, LTD. Life insurance, 401k, profit sharing, paid time off, continuing education reimbursement
The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.
The Orthopedic Clinic is a drug free workplace and all offers of employment at The Orthopedic Clinic are contingent upon clear results of a thorough background check.
Claims Specialist
Specialist job in Lake Mary, FL
At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
Job Description
Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location.
In addition to working with the world's most recognized and trusted name in staffing, Kelly employees can expect:
Competitive pay
Paid holidays
Year-end bonus program
Recognition and incentive programs
Access to continuing education via the Kelly Learning Center
Pay $15 - $16 per hour
Schedule: Monday through Friday - 9:00am - 6:00pm
Duration: 4 months possible extension (Possible temp - perm)
Anticipated start date: 10/31/2016 to 03/31/2017
SUMMARY
Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.
MAJOR JOB DUTIES AND RESPONSIBILITIES
Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed.
Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency.
Moderate knowledge of drugs and drug terminology used daily.
Process claims according to client specific guidelines while identifying claims requiring exception handling.
Navigate daily through several platforms to research and accurately finalize claim submissions.
Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues.
Adhere to strict HIPAA regulations especially when communicating to others outside
Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met.
Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing.
Analyze claims for potential fraud by member or pharmacy.
May be required to work on special projects for claims team.
EDUCATION/EXPERIENCE
High School Diploma or GED Required
1-3 years of Call Center and Reimbursement experience required
Knowledge of completed benefits verifications, submitted test claims, completed or reviewed prior authorizations required
Strong data entry and 10-key skills
Proficient in MS Word and Excel
Additional Information
Why Kelly?
As a Kelly Services candidate you will have access to numerous perks, including:
Exposure to a variety of career opportunities as a result of our expansive network of client companies
Career guides, information and tools to help you successfully position yourself throughout every stage of your career
Access to more than 3,000 online training courses through our Kelly Learning Center
Group-rate insurance options available immediately upon hire*
Weekly pay and service bonus plans
LG Home Theater Specialist
Specialist job in Altamonte Springs, FL
As an LG Home Theater Expert, you'll work in one of our retail stores to promote, demonstrate and sell home theater products with an emphasis on the LG brand. First, we'll give you all the training you need to be an expert. Once you're trained, you'll explain complex technology in simple terms to help customers understand each product's unique value. You'll also work closely with sales associates as you share your knowledge about LG products and ensure the team is ready to assist customers with the brand.
What you'll do
Maintain a high level of product knowledge about new home theater technology
Ensure the department remains organized and ready to serve customers
Educate other team members about LG home theater products
Provide feedback on products and customer engagement through calls and in person meetings with vendor partners and market teams
Basic qualifications
Must be at least 18 years old
1 year of experience in sales, customer service or related field
Ability to work successfully as part of a team
Ability to work a flexible schedule, including holidays, nights and weekends
Preferred qualifications
Prior experience serving as a specialist in premium, luxury or complex technology solutions
1 year of experience working with consumer electronics
What's in it for you
We're committed to helping our people thrive at work and at home. We offer generous benefits that address your total well-being and provide support as you need it, especially key moments in your life.
Our benefits include:
Competitive pay
Generous employee discount
Financial savings and retirement resources
Support for your physical and mental well-being
About us
As part of the Best Buy team, you'll help us fulfill our purpose to enrich lives through technology. We bring that to life every day by humanizing and personalizing tech solutions for every stage of life - in our stores, online and in customers' homes.
Our culture is built on deeply supporting and valuing our amazing employees who make it all possible. We're committed to being a great place to work, where you can unlock unique career possibilities. Above all, we aim to provide a place where you can bring your full, authentic self to work now and into the future. Tomorrow works here.™
Best Buy is an equal opportunity employer.
Application deadline: Minimum of 5 days from the posting date. You can find that date above the job title at the top of the page.
Reimbursement Collection Specialist I
Specialist job in Lake Mary, FL
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
Multi-Line Claim Specialist- Commercial Auto
Specialist job in Maitland, FL
Commercial Auto - Multi Line Claim Specialist
Hours: Monday - Friday, 8:00 AM to 4:30 PM ET
Salary Range: $60,000-$85,000
NY License required
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities
Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi-line claims. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of multi-line claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Review and maintain personal diary on claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Qualifications
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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skills.
Ability to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Must be detail oriented and a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, accuracy, initiative and the ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
10+ years multi-line claim experience is required.
Bachelor's Degree is preferred.
NY license required
Computer Skills
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
Adjusters license may be required based upon jursidiction.
AIC, ARM or CPCU Designation preferred.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work requires the ability to sit or stand up to 7.5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
Visa Sponsorship:
CCMSI does not provide visa sponsorship for this position.
ADA Accommodations:
CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer:
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
#CCMSICareers #CCMSIMaitland #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #ClaimsSpecialist #LiabilityClaims #HybridWork #FloridaJobs #InsuranceCareers #GeneralLiability #AutoClaims #MultiJurisdiction #FLAdjusters #CommercialAuto #NowHiring #InsuranceJobs #FLLiability #IND123 #LI-Hybrid
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Auto-ApplyClaim Specialist
Specialist job in Lake Mary, FL
Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Pay $16.00/hr. Contract 5 Month Timings Mon - Fri between 9.00AM - 6.00PM The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team.
ESSENTIAL FUNCTIONS:
The 6-10 major responsibility areas of the job. Weight: (%)
(Total = 100%)
1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 %
2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 %
3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 %
4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 %
5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 %
6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 %
7. Variety of other miscellaneous duties as assigned 5 %
SCOPE OF JOB
Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc.
Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph).
Qualifications
Formal Education and/or Training:
High school diploma or equivalent required, some college or technical training preferred
Years of Experience:
Two years' experience in P.B.M. environment is helpful but not required.
Computer or Other Skills:
Strong data entry, 10-key skills, general PC skills and MS Office experience
Knowledge and Abilities:
• Strong data entry and 10-key skills
• Retail pharmacy, customer service experience helpful but not required
• PC and MS Office literate
• Strong attention to detail
• Excellent retention and judgment ability
• Proficient written and oral communication skills
• Ability to work in fast-paced, production environment
• Reliable, self-motivated with excellent attendance
• Team player who has the ability to stay on task with little supervision
Additional Information
Thanks & Regards,
Ranadheer Murari
|
Recruitment Executive
|
Mindlance, Inc.
|
W
:
************
***************************
Easy ApplyClaims Specialist
Specialist job in Lake Mary, FL
At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
Job Description
Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location.
In addition to working with the world's most recognized and trusted name in staffing, Kelly employees can expect:
Competitive pay
Paid holidays
Year-end bonus program
Recognition and incentive programs
Access to continuing education via the Kelly Learning Center
Pay $15 - $16 per hour
Schedule: Monday through Friday - 9:00am - 6:00pm
Duration: 4 months possible extension (Possible temp - perm)
Anticipated start date: 10/31/2016 to 03/31/2017
SUMMARY
Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.
MAJOR JOB DUTIES AND RESPONSIBILITIES
Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed.
Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency.
Moderate knowledge of drugs and drug terminology used daily.
Process claims according to client specific guidelines while identifying claims requiring exception handling.
Navigate daily through several platforms to research and accurately finalize claim submissions.
Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues.
Adhere to strict HIPAA regulations especially when communicating to others outside
Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met.
Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing.
Analyze claims for potential fraud by member or pharmacy.
May be required to work on special projects for claims team.
EDUCATION/EXPERIENCE
High School Diploma or GED Required
1-3 years of Call Center and Reimbursement experience required
Knowledge of completed benefits verifications, submitted test claims, completed or reviewed prior authorizations required
Strong data entry and 10-key skills
Proficient in MS Word and Excel
Additional Information
Why Kelly?
As a Kelly Services candidate you will have access to numerous perks, including:
Exposure to a variety of career opportunities as a result of our expansive network of client companies
Career guides, information and tools to help you successfully position yourself throughout every stage of your career
Access to more than 3,000 online training courses through our Kelly Learning Center
Group-rate insurance options available immediately upon hire*
Weekly pay and service bonus plans
Reimbursement Collection Specialist I
Specialist job in Lake Mary, FL
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following. Other duties may be assigned.
Ensures timely follow-up on all assigned claims to secure timely payment
Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE:
High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS:
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY:
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS:
Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY:
Diplomacy
Professionalism
Filing
Organizing
Planning
Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.