We have other current jobs related to this field that you can find below

  • Claims Resolution Analyst

    1 month ago

    Tampa, United States Acosta Full time

    Job Description This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and making decisions about their validity. The position will be a communicator to internal and external business partners and a problem solver/agent for change to...

  • Field Claims Adjuster

    4 weeks ago

    Tampa, United States EAC Claims Solutions LLC 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 compliance. Explore more about our commitment to innovation and community impact at www.eacclaims.com. Overview: Join...

  • PIP Claims Analyst

    6 days ago

    Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    KING'S INSURANCE STAFFING LLC is actively seeking two meticulous and experienced PIP Claims Examiners to enhance our dynamic team in Florida. The successful candidates will be entrusted with managing a range of personal injury protection (PIP) claims, ensuring fair and prompt resolutions.Key Responsibilities:Conduct thorough investigations and evaluations of...

  • Claims Analysis Expert

    6 days ago

    Tampa, Florida, United States Acosta Sales & Marketing Full time

    Position OverviewThe Claims Resolution Analyst will play a pivotal role in managing and resolving claims that require further validation or are incomplete. This individual will be tasked with evaluating claims and determining their legitimacy.Key Responsibilities1. Manage escalated claims by identifying the reasons for escalation and providing timely...

  • Lead Financial Analyst

    15 hours ago

    Tampa, Florida, United States Sedgwick Claims Management Services Full time

    Position Overview The Senior Financial Analyst plays a crucial role in delivering both financial and technical assistance to the Operational and Financial leadership teams. This position is integral in ensuring the accuracy and consolidation of financial data throughout the budgeting and forecasting processes. Key Responsibilities Gather and...

  • Claims Validation Specialist

    6 days ago

    Tampa, Florida, United States Acosta Sales & Marketing Full time

    Position OverviewThe Claims Resolution Analyst will play a crucial role in managing and resolving claims that require further validation or are incomplete. This individual will analyze claims to determine their legitimacy and ensure effective communication with both internal and external stakeholders.Key ResponsibilitiesHandle escalated claims, identifying...

  • Director of Claims

    1 month ago

    Tampa, United States Slide Full time

    Job DescriptionJob DescriptionSlide is a cutting-edge Tampa based Technology Enabled Insurance company who is disrupting the industry!To revolutionize all facets of property insurance, we need to do things differently. Therefore, certain traits are required of Sliders in order to be successful in our fast-paced environment. Being able to contribute...

  • Commercial Claims Specialist

    17 hours ago

    Tampa, Florida, United States Heritage MGA LLC Full time

    Job Overview: The Commercial Claims Specialist is responsible for investigating, assessing, reserving, negotiating, and resolving assigned commercial claims in alignment with industry Best Practices. This role emphasizes quality claim management and exceptional customer service, while also focusing on indemnity and expense oversight. Timely management of...

  • Senior Claims Attorney

    4 months ago

    Tampa, United States Lemery Connects Recruiting & Consulting Full time

    Job Posting: Senior Claims AttorneyLocation: Tampa, FLReports to: Vice President - ClaimsBasic Function: Our client is seeking a Senior Claims Attorney to support its claims operations and oversee the administration of claim notices, establishment and management of claim reserves, investigation, administration, and resolution of complex claims. The Senior...

  • Claims Operations Leader

    5 days ago

    Tampa, Florida, United States Truist Full time

    Job OverviewKey Responsibilities:Oversee a skilled Claims Team to assess client requirements and formulate strategies for managing claims and service requests across the organization.Supervise the workflow of claims personnel, including Claims Representatives, Claims Consultants, and Claims Account Executives.Address complex or high-priority coverage and...

  • Claims Operations Manager

    15 hours ago

    Tampa, Florida, United States Truist Full time

    Job OverviewKey Responsibilities:Oversee a skilled Claims Team to assess client requirements and formulate strategies for comprehensive claim and service request management across the organization.Supervise the workflow of claims personnel, including Claims Representatives, Claims Consultants, and Claims Account Executives.Address complex or urgent coverage...

  • Claims Operations Leader

    5 days ago

    Tampa, Florida, United States Truist Full time

    Position OverviewKey Responsibilities:Oversee a skilled Claims Team to assess client requirements and formulate strategies for comprehensive claim and service request management across the organization.Supervise the workflow of claims personnel, including Claims Representatives, Claims Consultants, and Claims Account Executives.Address complex or urgent...

  • Revenue Cycle Epic Informatics Analyst

    1 month ago

    Tampa, Florida, United States Tampa General Hospital Full time

    Job Description - Revenue Cycle Epic Informatics Analyst - Hospital Billing N1)Job DescriptionRevenue Cycle Epic Informatics Analyst - Hospital Billing N1)DescriptionJob SummaryThe Revenue Cycle Epic Informatics role will implement best practices at customer billing office locations. This role will provide subject matter expertise in all areas of the...

  • Personal Injury Protection Claims Specialist

    6 days ago

    Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    KING'S INSURANCE STAFFING LLC is currently seeking to expand its dynamic team with the addition of two dedicated and experienced PIP Claims Examiners. This role is essential for managing personal injury protection (PIP) claims within Florida, ensuring thorough and equitable resolution of claims.Key Responsibilities:Conduct in-depth investigations and...

  • Commercial Claims Examiner

    4 weeks ago

    Tampa, United States Heritage MGA LLC Full time

    Job Summary: Investigates, evaluates, reserves, negotiates and settles assigned commercial claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts,...

  • Vice President

    6 days ago

    Tampa, Florida, United States Citigroup Inc Full time

    The Vice President / Lead Analyst for Resolution Planning and Reporting is a pivotal role within the operations team, focusing on the administrative and analytical tasks linked to the data aggregation and reporting framework for Citigroup's resolution planning. This position is an individual contributor role that entails executing operational tasks,...

  • Claims Field Specialist

    6 days ago

    Tampa, Florida, United States Universal Insurance Holdings Full time

    Claims Field SpecialistBecome a part of our dedicated team as a Claims Field Specialist, where you will play a crucial role in overseeing, investigating, and resolving property claims for our esteemed clients. Our commitment lies in delivering outstanding customer service and ensuring prompt resolutions of claims.Key Responsibilities:Engage in discussions...

  • Workers Compensation Claims Examiner

    2 weeks ago

    Tampa, United States JobRialto Full time

    Job Description: Accelerated Claim Closure: Claim Consultant Work will be remote in working EST time in an EST or CST time zone. Claim Consultants are responsible for providing and/or assisting Aon's Claim Closure Services (ACCS) Practice in the delivery of quality consulting services to clients. To work independently as well as in a team atmosphere and...

  • Claims Supervisor

    2 months ago

    Tampa, United States Safepoint MGA, LLC Full time

    Job DescriptionJob DescriptionAre you an experienced Claims Adjuster and a natural leader with a passion for guiding teams? Join us as a Claims Supervisor and lead our team to success with your exceptional leadership skills!Safepoint Insurance is a Property and Casualty insurance carrier headquartered in Tampa, FL.Job SummaryManages a team of Claims...

  • Revenue Cycle Epic Informatics Analyst

    2 months ago

    Tampa, United States Tampa General Hospital Full time

    Job Description - Revenue Cycle Epic Informatics Analyst - Hospital Billing (240000N1) Job Description Revenue Cycle Epic Informatics Analyst - Hospital Billing - ( 240000N1 ) Description Job Summary The Revenue Cycle Epic Informatics role will implement best practices at customer billing office locations. This role will provide subject matter expertise in...

Claims Resolution Analyst

2 months ago

Tampa, United States Acosta Sales & Marketing Full time

DESCRIPTION This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and making decisions about their validity. The position will be a communicator to internal and external business partners and a problem solver/agent for change to provide continuous improvements. RESPONSIBILITIES Process escalated claims, assess the reason for the escalation, and provide resolution in priority order as directed by the Supervisor. Searches for and links invoices, contracts, and Proof of Performance to claims as needed. Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information. Processes invalid claims in accordance with set policies and guidelines. Corrects and resolves claims “clean passed” in error. Researches validation issues and recommends appropriate solutions. Reviews claims dashboard for actionable items on a frequent basis. Meets or exceeds client and customer goals and requirements Makes the final decision on claims validity for escalated claims Sends compliant promotion package for clearing Contacts Sales, clients, customers, and management team for information as needed. Proactively managers client and customer target dates to ensure claims are processed in a timely manner. Communicates with clients and customers on a regular basis and provides value-added solutions. Escalates appropriately to the supervisor when needed to get information or handle complex client and customer situations. Understands types of escalations and uses problem-solving and analytical skills to resolve them so they do not repeat. Works to decrease defects and achieve automation (aka Ready to Clear) targets by keeping Standard Operating Procedures updated. Monitors specific escalations data to determine the root cause of an escalation, where it originated and why it occurred. Discusses defect issues with Sales, clients, customers, and management team and works with them to address the root cause. Recognizes and provides solutions for operational obstacles that delay work completion on claims issues. Meeting the physical requirements – listed below Other duties as assigned QUALIFICATIONS Four years claims experience preferred Food brokerage experience and/or clients’ experience in sales administration is strongly preferred Relationship management experience preferred Accepts accountability for job performance; proactively informs others when he/she encounters problems that may limit his/her ability to meet expectations Accepts change as a normal part of doing business, maintains a positive attitude and exhibiting constructive work behaviors during periods of transition Meets work and attendance expectation; informs others in advance when commitments cannot be fulfilled Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisions Takes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusions Identifies and gathers relevant information, consults the right people and asks the right questions in a given situation Demonstrates disciplined thinking that is clear, unbiased, analytical and informed by evidence Effectively communicate with others.

#J-18808-Ljbffr