Claims Specialist Jobs in Miami, FL

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...

Engineer comprehensive claims strategies and lead a high-performing team in effectively managing General Liability claims. Drive excellence in claims handling while collaborating cross-functionally to...

Drive impactful business outcomes by enhancing analytics solutions in an Agile context. Collaborate with cross-functional teams to deliver user-centered results and optimize processes, ensuring the su...

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...

Analyze complex third-party Professional Liability claims from inception to resolution, managing litigation and developing strategies to optimize outcomes. Collaborate with business partners and contr...

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

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...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Support clients by analyzing risks, designing solutions, and providing expert insurance recommendations. Lead a team to enhance client service, negotiate terms, and develop strategies, ensuring alignm...

Shape the future of insurance claims by investigating complex auto accidents. Leverage your expertise to review policies, determine liability, and negotiate settlements, ensuring thorough resolutions...

Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...

Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...

Unlock potential by ensuring accurate clinical documentation through secondary chart reviews and effective collaboration across healthcare teams, fostering compliance and quality patient care in a dyn...

Lead compliance and ethics investigations across diverse business units, ensuring adherence to regulations and internal policies. Collaborate cross-functionally, prepare reports, and recommend actions...

Transform specialty claims management by leading high-severity cases and ensuring best practices. Collaborate with clients and stakeholders to optimize recovery and enhance relationships in the comple...

Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...

Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...

Optimize complex auto and homeowner injury claims by investigating, evaluating, and resolving cases. Ensure compliance with regulations while delivering exceptional member service and setting expectat...

Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...

Optimize casualty claims outcomes by collaborating with teams, driving strategy, and improving processes. Your expertise will shape high-impact decision-making, directly influencing results and enhanc...

Elevate your career by serving high net worth clients with tailored insurance solutions. Forge relationships, drive business growth, and achieve sales goals while providing exceptional consultative se...

Transform the management of high-severity claims by providing expert analysis and strategic resolution for EPL and Professional Liability cases while ensuring compliance with all regulations and guide...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...