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Claims assistant Jobs in Miami, FL

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Claims assistant • miami fl

Last updated: 1 day ago
  • Promoted
Claims Examiner-Claims Processor

Claims Examiner-Claims Processor

PayerFusionMiami, FL, US
Full-time
PayerFusion is a healthcare administrative solutions provider that offers health insurers and self-funded employers throughout the US and worldwide with innovative, cost-effective ways to process m...Show moreLast updated: 11 days ago
  • Promoted
Claims Support Specialist

Claims Support Specialist

BMI CompaniesMiami, FL, United States
Full-time
BMI Companies, part of BMI Financial Group, has nearly five decades of experience providing insurance and solutions for families worldwide. Specializing in high-quality Life Insurance, Health Insura...Show moreLast updated: 12 days ago
Legal Assistant - Claims Coordinator CORAL GABLES

Legal Assistant - Claims Coordinator CORAL GABLES

Legal Search SolutionsCoral Gables, FL
Legal Assistant Claims Coordinator - CORAL GABLES.Prestigious Law Firm in Coral Gables is looking to hire an experienced Legal Assistant to ensure the smooth running of the attorney’s practice and ...Show moreLast updated: 30+ days ago
Claims Auditor

Claims Auditor

SentaraSentara Health Plan AvMed Miami
Full-time
First (Days) (United States of America).AvMed, a division of Sentara Health Plans in the Florida market, is hiring a.Miami and / or Gainesville, Florida. This is a hybrid position, 2 days in office an...Show moreLast updated: 30+ days ago
  • Promoted
Claims Representative - Workers Compensation

Claims Representative - Workers Compensation

SedgwickMiami, FL, United States
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 3 days ago
Insurance Claims Associate

Insurance Claims Associate

EPIC Insurance Brokers & ConsultantsNorth Meridan St, th Fl, Carmel, IN
There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common...Show moreLast updated: 30+ days ago
  • Promoted
CLAIMS MEDICAL MANAGER

CLAIMS MEDICAL MANAGER

Travelers InsuranceFL, United States
Note : This employer is open to candidates who want to work remote.Taking care of our customers, our communities and each other. By honoring this commitment, we have maintained our reputation as one ...Show moreLast updated: 3 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: 17 days ago
Claims Manager

Claims Manager

Lennar HomesMiami, FL, United States
$30,000.00 yearly
Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality home...Show moreLast updated: 18 days ago
Claims Advocate

Claims Advocate

Alliant Insurance ServicesFlorida, USA
Responsible for providing customer service and supporting Producers by servicing existing accounts and soliciting new business. Independent responsibility for managing medium and complex claims of a...Show moreLast updated: 30+ days ago
  • Promoted
ASSOCIATE DIRECTOR, CLAIMS ADVOCATE

ASSOCIATE DIRECTOR, CLAIMS ADVOCATE

Aon CorporationMiami, FL, United States
$90,000.00–$120,000.00 yearly
Aon is looking for an Associate Director, Client Advocacy!.This position is Hybrid in our Miami, FL location.In this role, you will work closely with the sales team to provide world class customer ...Show moreLast updated: 1 day ago
  • Promoted
Field Claims Investigator 1099

Field Claims Investigator 1099

Konkordia Phoenix PLC, Inc.Miami, FL, US
$25.00 hourly
Part-time
Phoenix Loss Control (Phoenix orPLC) is abusiness servicesproviderin the cable, telecom, and utilities sector.PLCs core service is outside plant damage investigation, recovery, and prevention.We he...Show moreLast updated: 30+ days ago
Claims Adjudicator

Claims Adjudicator

Miami Jewish HealthMiami, FL, US
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
Liability Claims Supervisor

Liability Claims Supervisor

Davies GroupFlorida, US
Preferred candidate will reside within the state of Florida, preferably Central Florida area.We believe in our people and realize that our success is a direct result of creating a learning atmosphe...Show moreLast updated: 12 days ago
Claims Specialist

Claims Specialist

Fresh Del Monte Produce IncCoral Gables-HQ, Coral Gables, FL, US
Full-time
This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner.In this role, will als...Show moreLast updated: 30+ days ago
Insurance & Claims Assistant

Insurance & Claims Assistant

KellyMedley, Florida, US
$17.00–$18.00 hourly
Insurance & Claims Assistant (Ocean Transportation) • •LOCATION : • Medley, FL 33166 •PAY RATE : •$17-$18 / hour depending on experience •HOURS • : Monday-Friday 8 : 00 a. SUMMARY : • This position performs ge...Show moreLast updated: 30+ days ago
Claims Adjudicator

Claims Adjudicator

Best Doctors InsuranceMiami, FL, 33178
Effectively and accurately applies policy conditions of coverage, processing guidelines and cost containment knowledge into the adjudication of global health claims and comprehensive cases.ESSENTIA...Show moreLast updated: 22 days ago
  • Promoted
MEDICAL BILLING CLAIMS CLERK

MEDICAL BILLING CLAIMS CLERK

Global Channel Management Inc.FL, United States
Full-time
About the job Medical Billing Claims Clerk.Ability to handle multiple tasks.Strong communication and customer service skills. Intermediate knowledge of MS Outlook, Excel and Data Entry.Proficient in...Show moreLast updated: 15 days ago
  • Promoted
Claims Specialist

Claims Specialist

Del Monte Fresh Produce Company NA IncMiami, FL, US
Full-time
This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner.In this role, will als...Show moreLast updated: 30+ days ago
Manager, P&C Claims

Manager, P&C Claims

AssurantMiami, FL
$84,100.00–$140,500.00 yearly
Full-time
As the Manager, you will be responsible for managing the day to day activities of a team of claim adjusters within the P&C Claims department. Your team will be responsible for the investigation of i...Show moreLast updated: 30+ days ago
Claims Examiner-Claims Processor

Claims Examiner-Claims Processor

PayerFusionMiami, FL, US
11 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

About us :

PayerFusion is a healthcare administrative solutions provider that offers health insurers and self-funded employers throughout the US and worldwide with innovative, cost-effective ways to process medical claims, maintain high customer satisfaction levels, and manage healthcare expenses.

The Opportunity :

PayerFusion is looking for an experienced Claims Examiner-Claims Processor to join our dynamic team. The successful candidate will help streamline our claims process and improve customer satisfaction. This is a great opportunity for an individual who enjoys working in a fast-paced, team-oriented environment.

Job Responsibilities :

  • Analyze and process claims in accordance with our clients’ policies and procedures.
  • Identify and investigate inconsistent or fraudulent claims.
  • Liaise with healthcare providers and policyholders regarding claims processing issues.
  • Perform regular quality audits on completed claims.
  • Document claim process and keep track of claim data for reporting and analysis.

Desired Qualifications :

  • At least three years of experience in claims processing, preferably in the health insurance sector.
  • Knowledge of medical terminology and International Classification of Diseases (ICD) codes.
  • Strong analytical skills and attention to detail.
  • Excellent verbal and written communication skills.
  • Proficiency in Microsoft Office Suite, especially Excel, and in claims processing software.
  • Nice-to-Haves :

  • Experience with online claim submission platforms.
  • Certified Professional Coder (CPC) certification.
  • Knowledge of Foreign Language, preferably Spanish.
  • Experience with project management.
  • Understanding of healthcare compliance and regulations.
  • Benefits :

  • Health, vision, dental, life and hospitalization insurance
  • 401K with 4% match
  • 12 Holidays Paid