Claims Specialist Jobs in Miami, FL

Lead the charge in managing low to mid-value claims efficiently from inception to closure. Collaborate with stakeholders to ensure client satisfaction and develop claims strategies while adhering to i...

Engage as a hands-on Team Lead, driving efficiency and performance in claims while mentoring a dynamic team. Your leadership will balance strategic oversight with direct involvement in claims manageme...

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Lead the charge in managing catastrophe claims teams to ensure timely and effective responses, adherence to coverage guidelines, and compliance with procedures, all while fostering strong interdepartm...

Unlock the potential of your leadership by guiding a team of specialists in managing non-complex construction defect claims. Drive quality service, ensure compliance, and enhance processes while foste...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...

Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...

Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...

Pioneer the investigation and resolution of auto claims, ensuring comprehensive analysis of coverage and liability. Leverage your expertise in policy interpretation to navigate customer needs and deli...

Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...

Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...

Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...

Support client needs by managing bond requests and communications with underwriters. Collaborate with a small team to ensure timely responses and resolve issues, enhancing client event participation a...

Optimize claims handling for complex workers compensation cases across multiple jurisdictions. Collaborate with internal and external parties to ensure effective negotiation strategies and resolution...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Unlock potential by leading the adjudication of complex environmental claims, leveraging your expertise to deliver exceptional results and guiding clients through critical decision-making processes in...

Lead the charge in effectively managing complex claims related to environmental damages and liabilities. Collaborate with legal and underwriting teams to ensure compliance, assess risks, and optimize...

Join a team that's dedicated to maximizing reimbursements through oversight of clinical denials and appeal processes. Lead a team in enhancing operational efficiency and navigating payer regulations w...

Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...

Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...