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Liability Claims Specialist
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Liability Claims Specialist
6 days ago
Miami, Florida, United States CAREERXCHANGE, Inc. Full timeLiability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance organization focusing on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring outstanding service to our...
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Claims Management Specialist
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Claims Examination Specialist
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Claims Management Specialist
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Insurance Claims Specialist
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Healthcare Claims Specialist
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Claims Processing Specialist
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Miami, Florida, United States Promises Behavioral Health, LLC Full timePosition OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing of institutional and professional claims to various insurance providers. The specialist will be responsible for auditing and conducting thorough research to ensure compliance...
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Claims Processing Specialist
6 days ago
Miami, Florida, United States Promises Behavioral Health, LLC Full timePosition OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing processes for institutional and professional claims directed to various insurance providers. The specialist will be responsible for auditing and ensuring compliance with...
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Claims Processing Specialist
20 hours ago
Miami, Florida, United States Promises Behavioral Health, LLC Full timePosition OverviewNOTE: Experience within the Behavioral Health Sector is essential. This role is fully remote, with a preference for candidates from the South Florida area.Role SummaryThe primary focus of this position is to manage the billing of institutional and professional claims to various insurance entities. The specialist will perform audits and...
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Liability Claims Specialist
6 days ago
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Liability Claims Specialist
6 days ago
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Claims Processing Specialist
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Claims Processing Specialist
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Liability Claims Specialist
17 hours ago
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Insurance and Claims Management Specialist
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Medical Insurance Billing
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Automobile Liability Claims Specialist
6 days ago
Miami, United States Kemper Full timeLocation: Multiple locations available including Birmingham, Dallas, Doral, Lake Mary, McAllen, and Miami. Company Overview: Kemper stands as a prominent figure among specialized insurers in the nation. Our achievements are a testament to the skilled and diverse individuals who contribute positively to our customers' lives each day. We prioritize a...
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Experienced Claims Review Specialist
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Miami, Florida, United States PayerFusion Holdings LLC Full timeJob OverviewCompany Overview:PayerFusion Holdings LLC is a premier service organization dedicated to providing exceptional solutions as a licensed Third-Party Administrator. We are looking for talented and knowledgeable professionals who can exceed our clients' expectations. Our firm is committed to innovation, offering a unique experience for healthcare...
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Automobile Liability Claims Specialist
6 days ago
Miami, United States Kemper Full timeLocation(s) Birmingham, Alabama, Dallas, Texas, Doral, Florida, Lake Mary, Florida, McAllen, Texas, Miami, Florida Company Overview Kemper stands as a prominent player among specialized insurers in the nation. Our achievements are a direct result of the skilled and diverse individuals who positively impact the lives of our clients daily. We foster a...
Claims Specialist
3 months ago
The Clams Specialist works with and reports to the Department Manager. The position is located at 75 Valencia Ave #801, Coral Gables, FL 33134.
Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Medical, dental and vision claims adjudication.
- Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned.
- Input data into MWG Administrators Claims Management Software.
- Handle incoming mail, provider appeals, inquire, and racers. Review member correspondence and process or direct to the appropriate department.
- Maintain quality customer services by following customer service practices, responding to customer inquiries.
- Perform periodic audits on individual and group policies to verify claims have been paid correctly.
- Protect operations by keeping claims information confidential.
- Ensures legal compliance by following company policies, procedures, and guidelines.
- Identify and escalate issues to supervisors.
- Meet or exceed all performance metrics.
- Be knowledgeable and have a clear understanding of the business processes within Morgan White Group including all internal departments, insurance carriers, brokers/agents, and group contacts.
- Perform other duties as assigned by the Department Manager.
