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Claim examiner Jobs in Tampa, FL

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Claim examiner • tampa fl

Last updated: 14 hours ago

Claims Examiner - Remote

ImageNetTampa, FL, United States
Full-time

Work Setup: This is a fully remote position Work Hours: Pacific Time Zone.We are looking for an Experienced Claims Examiner to join our rapidly growing team.Experience is required for this position... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsTampa, FL, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Claims Adjuster

Slide InsuranceTampa, FL, United States
Full-time

Fueled by Passion, Purpose and Technology.At Slide, you will not only be part of a successful team, but you will also be a part of our Slide Vibe/award winning culture where collaboration and innov... Show more

Claims Examiner

Heritage InsuranceTampa, FL, United States
Full-time

Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices.Provides quality claim handling and superior customer service on assigned claims, while e... Show more

Injury Claims Examiner

GEICOTampa, FL, United States
$72,000.00–$96,000.00 yearly
Full-time

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.Every day we honor our iconic brand by offering quality coverage to millions of customers and being the... Show more

Construction Defect Major Case Specialist

TravelersTampa, FL, United States
Full-time

Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more

Sr. Claim Counsel - Surety, Construction Services

020 Travelers Indemnity CoTampa,FL
Full-time

Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more

Workers Compensation Claims Manager

Coca-Cola Beverages FloridaTampa, FL, United States
Full-time

Workers' Compensation Claims Manager.Coca-Cola Beverages Florida is searching for a Workers' Compensation Claims Manager to work out of our Tampa HQ office.Coca-Cola Beverages Florida is seeking an... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorTampa, Florida, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Commercial Letters of Credit Documents Examiner

ChaseTampa, FL, United States
Full-time

Commercial Letters Of Credit Documents Examiner.Are you detail-oriented with strong analytical skills, capable of assessing and identifying key issues related to trade business products? If so, thi... Show more

Estate Claim Sales Representative

Lauth Investigations International IncTampa, FL, US
Remote
Full-time
Quick Apply

We are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located.Ou... Show more

Total Loss Supervisor

AssuranceAmericaTampa, FL, United States
Full-time

Review and monitor total loss claim inventory to ensure timely handling and resolution.Assign and distribute new total loss claims based on workload and staffing needs.Provide guidance and technica... Show more

ESIS Senior Claims Representative, AGL

ChubbTampa, FL, US
Full-time

JOB DESCRIPTION ESIS Senior Claims Representative, AGL Duties include, but are not limited to: * Under limited supervision, review claim and policy information to support t... Show more

Claims Examiner

MarkelTampa, FL, United States
Full-time

The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers.We're always pus... Show more

 • New!

Lead Technical Program Manager - Revenue Charge Claim Services

JPMorgan ChaseTampa, FL, United States
Full-time

Lead Technical Program Manager.Leverage your deep technical expertise and leadership to guide cutting-edge projects, fostering growth and innovation in a dynamic environment.As a Lead Technical Pro... Show more

Claims Resolution Specialist 1 - USFTGP TGMG RCO Back End

Tampa General HospitalTampa, FL, United States
Part-time

Claims Resolution Specialist 1.The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution of third-party insurance claims to ensure correct ... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorTampa, Florida, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Plans Examiner

TEW & TAYLORTampa, FL, US
$90,000.00 yearly
Full-time

Tew & Taylor has been a trusted name in building code inspections and plan review services since 2008.Our mission is to provide expert services with a strong emphasis on accuracy, timeliness, a... Show more

Building Plan Examiner

Expert Modular Consultants LLCTAMPA, FL, US
Full-time

Expert Modular Consultants, LLC seeks a building plan reviewer to join our growing staff.Responsibilities include coordinating the review and submittal of building plans and supporting documents to... Show more

Senior Recovery Resolution Representative

Minnesota JobsTampa, FL, United States
$20.00–$36.00 hourly
Full-time

Claims Adjudication Specialist.This position is National Remote.You'll enjoy the flexibility to telecommute from anywhere within the U.Optum Insight is improving the flow of health data and informa... Show more

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Claims Examiner - Remote

Claims Examiner - Remote

ImageNetTampa, FL, United States
9 days ago
Job type
  • Full-time
Job description

Claims Examiner - Remote

Job Type: Full-time

Work Setup: This is a fully remote position Work Hours: Pacific Time Zone

We are looking for an Experienced Claims Examiner to join our rapidly growing team.

Experience is required for this position.

Job Overview

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.

Responsibilities

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers

Experience

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills

What We Offer

  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

Ready to Grow Your Career?

We'd love to meet you! Tell us why you'd be a great addition to the Imagenet team.

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.

Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.

Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.

Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.