Talent.com
State Certified Claims Specialist
State Certified Claims SpecialistVirtualVocations • Hialeah, Florida, United States
State Certified Claims Specialist

State Certified Claims Specialist

VirtualVocations • Hialeah, Florida, United States
6 days ago
Job type
  • Full-time
Job description

A company is looking for a Claims Specialist to manage lower-level, non-complex workers' compensation claims under supervision.

Key Responsibilities

Receive claims, confirm policy coverage, and acknowledge claims

Determine the validity and compensability of claims, establishing reserves and authorizing payments

Manage non-complex medical only claims and communicate claim status with relevant parties

Required Qualifications, Training, and Education

Bachelor's degree or a combination of education and related experience

Minimum of 1 year of industry experience and claims management preferred

State Certification as an Experienced Examiner

Create a job alert for this search

Certified Specialist • Hialeah, Florida, United States

Related jobs
Insurance Coverage & Appellate Associate

Insurance Coverage & Appellate Associate

Kubicki Draper • Miami, FL, US
Full-time
Kubicki Draper, is currently seeking a.Litigation Support and Research and Writing Associate.Strong legal research and excellent writing skills, as well as possess strong / persuasive oral advocacy.P...Show more
Last updated: 30+ days ago • Promoted
Litigation Associate - On Site (211)

Litigation Associate - On Site (211)

Denovo Review • Fort Lauderdale, FL, US
Full-time
A national full-service business law firm with 200 attorneys and locations across the United States is seeking a Litigation associates for their Ft. The ideal candidates must have excellent academic...Show more
Last updated: 30+ days ago • Promoted
Claims Adjustor (BI)

Claims Adjustor (BI)

American Recruiting and Consulting Group • Oakland Park, FL, United States
Full-time
ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL. This is a 90 day contract to start and could possibly extend.T...Show more
Last updated: 30+ days ago • Promoted
Insurance Defense Litigation Associate (1I)

Insurance Defense Litigation Associate (1I)

Denovo Review • Fort Lauderdale, FL, US
Full-time
Insurance Defense Firm with offices located throughout the State of Florida is currently seeking an insurance defense litigation associate for its Fort Lauderdale office. This AV Rated firm offers c...Show more
Last updated: 30+ days ago • Promoted
Washington Licensed General Adjuster

Washington Licensed General Adjuster

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a General Adjuster / Associate General Adjuster.Key Responsibilities Plan, recommend, reserve, and execute the investigation and settlement of large commercial property cla...Show more
Last updated: 6 days ago • Promoted
Insurance Underwriter

Insurance Underwriter

HRX Head Hunters • Miami, FL, US
Full-time
The Head Underwriter – Life leads the underwriting strategy, governance, and execution for the company’s life insurance portfolio. Reporting to the CRO, this role drives disciplined risk...Show more
Last updated: 23 hours ago • Promoted
California Licensed Claims Adjuster

California Licensed Claims Adjuster

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a Complex Claims Adjuster, Workers Compensation (California).Key Responsibilities Manage catastrophic and large loss workers' compensation claims from initiation to closu...Show more
Last updated: 30+ days ago • Promoted
Surety Underwriter

Surety Underwriter

Diedre Moire Corp. • Sunrise, FL, US
Full-time
Bond Underwriter - Contract Surety - Sunrise, FL Implement marketing activities and underwrite contract bonds to strategically build a profitable book in a designated territory.Facilitate and maint...Show more
Last updated: 18 days ago • Promoted
State Certified Claims Specialist

State Certified Claims Specialist

VirtualVocations • Boca Raton, Florida, United States
Full-time
A company is looking for a Claims Specialist to manage lower-level, non-complex workers' compensation claims under supervision. Key Responsibilities Receive claims, confirm policy coverage, and ac...Show more
Last updated: 6 days ago • Promoted
Licensed General Liability Claims Adjuster

Licensed General Liability Claims Adjuster

VirtualVocations • Boca Raton, Florida, United States
Full-time
A company is looking for a Senior General Liability Claims Adjuster - Retail and Restaurant.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively ...Show more
Last updated: 30+ days ago • Promoted
Commercial Insurance Inspector - (Miami / Miami Beach, FL.)

Commercial Insurance Inspector - (Miami / Miami Beach, FL.)

EXL • Miami, FL, US
Full-time
Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections an...Show more
Last updated: 20 days ago • Promoted
Claims Assistant I

Claims Assistant I

AmTrust Financial • Boca Raton, FL, United States
Full-time
US-GA-Alpharetta | US-TX-Dallas | US-FL-Boca Raton.When new in the role, over the first 6-12 months, the Claim Assistant I is learning all aspects of the LOB Claims support.The Claim Assistant I wi...Show more
Last updated: 4 days ago • Promoted
California Workers Compensation Examiner

California Workers Compensation Examiner

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a Claims Examiner - Workers Compensation for the CA Jurisdiction.Key Responsibilities Analyze and process California Workers Compensation claims to determine benefits due...Show more
Last updated: 5 days ago • Promoted
Grievance and Appeals Coordinator

Grievance and Appeals Coordinator

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a Grievance & Appeals Coordinator II.Key Responsibilities Analyze and resolve claims and authorization grievances / appeals from providers and members Review and process g...Show more
Last updated: 30+ days ago • Promoted
Insurance Authorization Specialist

Insurance Authorization Specialist

VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
A company is looking for an Insurance Authorization Specialist II.Key Responsibilities Obtain authorizations for elective procedures, services, and tests to financially clear patients Contact in...Show more
Last updated: 30+ days ago • Promoted
Insurance Underwriter

Insurance Underwriter

Diedre Moire Corp. • Miami, FL, US
Full-time
Insurance Underwriter - Food (Prepared Takeout) - Miami, FL Insurance Underwriter Specialty Program Excess Surplus Commercial Lines Program Underwriter Restaurant Prepared Food Caterers Takeout Del...Show more
Last updated: 4 days ago • Promoted
Claims Examiner - Auto / Bodily Injury

Claims Examiner - Auto / Bodily Injury

Sedgwick • Miami, FL, US
Full-time
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...Show more
Last updated: 18 days ago • Promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a Medicare Specialist to assist with resolving aged medical claims and managing Medicare accounts. Key Responsibilities Resolve cash-generating accounts to enhance revenue...Show more
Last updated: 30+ days ago • Promoted