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Claims assistant Jobs in Miami, FL

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Claims assistant • miami fl

Last updated: 4 days ago
  • Promoted
Claims Examiner II

Claims Examiner II

DOCTORS HEALTHCARE PLANS, INC.Miami, FL, US
Full-time
Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately.Ensure that the proper benefits are applied to the claim using the appro...Show moreLast updated: 30+ days ago
  • Promoted
Bilingual Claims Adjuster

Bilingual Claims Adjuster

Seaboard MarineMiami, FL, US
Full-time
Long-term employment with opportunities for growth.Discover more about our organization, culture, and employee benefits by visiting this page. Explore life at Seaboard Marine : .We offer excellent ben...Show moreLast updated: 30+ days ago
  • Promoted
Senior Liability Claims Specialist

Senior Liability Claims Specialist

CorVel Enterprise Claims, Inc.Miami, FL, US
Full-time
CorVel is seeking a Senior Liability Claims Specialist.The Senior Liability Claims Specialist manages within company best practices with heavy complex auto and litigation experience and at least 5 ...Show moreLast updated: 25 days ago
  • Promoted
Florida PIP Claims Adjuster

Florida PIP Claims Adjuster

United Auto InsuranceMiami, FL, US
Full-time
Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a Coverage and Qualification Adjuster to join our team. Family-owned, UAIC, is one of t...Show moreLast updated: 10 days ago
  • Promoted
Director, Guest Claims Management

Director, Guest Claims Management

Carnival CorpMiami, FL, US
Full-time
Director, Guest Claims Management.One of the best-known names in cruising, Princess is the world's leading international premium cruise line and tour company, carrying millions of guests each year ...Show moreLast updated: 30+ days ago
  • Promoted
Litigation Bodily Injury Claims Adjuster

Litigation Bodily Injury Claims Adjuster

Ascendant Commercial InsuranceMiami, FL, US
Full-time
Ascendant is looking for experienced Litigation Bodily Injury Claims Adjusters! We offer stability, excellent benefits, competitive compensation packages, and a flexible schedule.We have a strong e...Show moreLast updated: 13 days ago
Aviation Claims Surveyor

Aviation Claims Surveyor

SedgwickBlue Lagoon, Miami, Florida, 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 moreLast updated: 30+ days ago
  • Promoted
Claims Examiner II

Claims Examiner II

Doctors Healthcare Plans, Inc.Miami, FL, US
Full-time
The Claims Examiner is responsible for providing expertise and / or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary.Review, rese...Show moreLast updated: 30+ days ago
  • Promoted
Claims Specialist - Miami, FL

Claims Specialist - Miami, FL

Morgan White GroupMiami, FL, US
Full-time
The Claims Specialist works with and reports to the Department Manager.The position is located at 75 Valencia Ave, Coral Gables, FL 33134. Job Essential Duties and Responsibilities : .To perform the j...Show moreLast updated: 14 days ago
  • Promoted
Senior Business Analyst (Claims)

Senior Business Analyst (Claims)

Molina HealthcareMiami, FL, United States
Full-time
Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to...Show moreLast updated: 4 days ago
Claims Adjudicator

Claims Adjudicator

Miami Jewish HealthMiami, FL, US
Part-time
Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast.Our main campus is located on 20+ acres just north of mid-town Miami, and is h...Show moreLast updated: 30+ days ago
Senior Liability Claims Specialist

Senior Liability Claims Specialist

CorVel CorporationMiami, FL, USA
Full-time
CorVel is seeking a Senior Liability Claims Specialist.The Senior Liability Claims Specialist manages within company best practices with heavy complex auto and litigation experience and at least 5 ...Show moreLast updated: 26 days ago
  • Promoted
Claims Representative

Claims Representative

VirtualVocationsMiami, Florida, United States
Full-time
A company is looking for an Associate Claims Representative.Key Responsibilities : Make outbound calls to care providers and handle minimal inbound calls Document required information while activ...Show moreLast updated: 30+ days ago
  • Promoted
Claims Analyst

Claims Analyst

LennarMiami, FL, US
Full-time
Lennar Corporate Risk Management Position.Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communitie...Show moreLast updated: 30+ days ago
  • Promoted
Seeking Bodily Injury Claims Adjusters!

Seeking Bodily Injury Claims Adjusters!

Morgan & Morgan, P.A.Miami, FL, US
Full-time
Bodily Injury Claims Adjusters.At Morgan & Morgan, the work we do matters.For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective go...Show moreLast updated: 30+ days ago
  • Promoted
Insurance and Claims Coordinator

Insurance and Claims Coordinator

Restaurant Brands InternationalMiami, FL, US
Full-time
Insurance Procurement Specialist.Ready to make your next big professional move? Join us on our journey to achieve our big dream of building the most loved restaurant brands in the world.Restaurant ...Show moreLast updated: 24 days ago
  • Promoted
Claims Management & Coverage Counsel

Claims Management & Coverage Counsel

Wilson, Elser, Moskowitz, Edelman & DickerMiami, FL, United States
Full-time
Our firm is committed to attracting and retaining professionals who value each other and the service we provide by embracing Teamwork, Collaboration, Client Service, and Innovation.If you are a mot...Show moreLast updated: 4 days ago
  • Promoted
SENIOR CLAIMS REPRESENTATIVE

SENIOR CLAIMS REPRESENTATIVE

Universal Insurance Managers IncMiami, FL, US
Full-time
The primary responsibilities will include the investigation, evaluation, negotiation, and resolution of assigned property claims having moderate to high complexity and value, working within delegat...Show moreLast updated: 14 days ago
  • Promoted
Senior Liability Claims Specialist

Senior Liability Claims Specialist

CorVelMiami, FL, US
Full-time
Senior Liability Claims Specialist.CorVel is seeking a Senior Liability Claims Specialist.The Senior Liability Claims Specialist manages within company best practices with heavy complex auto and li...Show moreLast updated: 24 days ago
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCMiami, Florida, United States
Full-time
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...Show moreLast updated: 30+ days ago
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Claims Examiner II

Claims Examiner II

DOCTORS HEALTHCARE PLANS, INC.Miami, FL, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Position Purpose :   The Claims Examiner is responsible for providing expertise and / or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary.

Key Responsibilities :

  • Review, research, analyze and process  professional claims by navigating multiple applications and platforms accurately.
  • Ensure that the proper benefits are applied to the claim using the appropriate tools (e.g. CMS guidelines)
  • Communicate with internal departments using clear, simple language to ensure understanding.
  • Keep up via training with system updates and new applications.
  • Meet and maintain the performance goals as established for the position in the area of quality and production

Qualifications :

  • High School Diploma or GED
  • Excellent oral and written communication skills
  • 1 – 3 years of Health claims processing experience
  • Working knowledge of COB and MSP preferably
  • Medical terminology
  • Computer literacy
  • Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS, AHCA and other federal and state regulatory guidelines.
  • Excellent organizational skills
  • Ability to work well under pressure and difficult situations
  • Note :   This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.

    No Third Party Agencies or Submissions Will Be Accepted.

    Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

    Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

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