Current jobs related to Claims Representative II - Gainesville - Tower Hill Insurance Group
-
Claims Representative
2 weeks ago
Gainesville, Florida, United States Tower Hill Insurance Group Full timeJob SummaryTower Hill Insurance Group is seeking a skilled and experienced Claims Representative to join our team. As a Claims Representative, you will play a critical role in reviewing and analyzing routine first-party homeowner's claims to determine the extent of insurance carrier's liability.Key ResponsibilitiesReview and analyze claims to determine...
-
Insurance Claims Examiner
1 week ago
Gainesville, Florida, United States Tower Hill Insurance Group Full timeClaims Representative Job SummaryWe are seeking a skilled Claims Representative to join our team at Tower Hill Insurance Group. As a Claims Representative, you will be responsible for reviewing and analyzing first-party homeowners' claims to determine the extent of insurance carrier's liability.Key Responsibilities:Conduct thorough claim investigations,...
-
Client Services Representative II
2 months ago
Gainesville, United States University of Florida Full timeClassification Title: Client Services Representative II Job Description: Works with clients, both internal and external, to ensure that they receive high quality service. Thisincludes preparing AP supplies & patient reports for delivery to clients. A Client Service, Representative, Medical Director, Salesforce, Operations, Client, Retail, Education
-
OPS - Clin Service Representative II
3 weeks ago
Gainesville, United States University of Florida Full timeClassification Title: OPS - Clin Service Representative II Job Description: Registration: Process registration on all incoming specimens: Initiate patient records for new outreach patients; check demographic information, verify insurance and process Representative, Service, Laboratory, Specimen, Retail, Education, Materials, Reports
-
Claims Assessment Specialist
4 weeks ago
Gainesville, Florida, United States Tower Hill Insurance Group Full timePosition Overview:This opportunity is available for skilled Claims Representatives who thrive on intellectual challenges and are eager to advance their careers with a growing organization. Tower Hill Insurance Group is recognized as one of Florida's leading providers in homeowners insurance, offering substantial prospects for professional development and...
-
Insurance Claims Specialist
4 weeks ago
Gainesville, Florida, United States MedPro Group Full timeAbout MedPro GroupMedPro Group stands as a leading insurance provider under the Berkshire Hathaway umbrella, dedicated to serving our clients and supporting our team. Our workforce comprises a diverse group of professionals, all united by a common mission: to safeguard those committed to serving and caring for others.Position OverviewThis role focuses on...
-
Patient Access Coordinator II
4 weeks ago
Gainesville, Florida, United States Orthopaedic Solutions Management Full timeJob OverviewPosition Summary: The Patient Access Representative II plays a crucial role in ensuring efficient patient scheduling and authorization processes within Orthopaedic Solutions Management.Key Responsibilities:Scheduling and Benefits Coordination:Accurately register new patients in the electronic system by collecting essential demographic and...
-
Gainesville, United States University of Florida Full timeJob Description: The University of Florida's Student Health Care Center (SHCC) within the Department of Community Health and Family Medicine (CHFM) is hiring a Clinical Services Representative II. This role focuses on managing denied insurance claims, reconciling patient accounts in EPIC with the UF Bursar, and providing exceptional service to a...
-
Patient Access Coordinator II
3 weeks ago
Gainesville, Florida, United States Orthopaedic Solutions Management Full timeJob OverviewPosition Summary: The Patient Access Representative II plays a crucial role in facilitating patient interactions and ensuring seamless access to healthcare services.Key Responsibilities:Scheduling and Benefits Coordination:Accurately register new patients in the electronic health record system by collecting essential demographic and insurance...
-
Patient Access Coordinator II
4 weeks ago
Gainesville, Florida, United States Orthopaedic Solutions Management Full timeJob OverviewPosition Summary: The Patient Access Representative II plays a crucial role in ensuring a seamless experience for patients seeking orthopedic care. This position involves managing patient registrations, scheduling appointments, and verifying insurance benefits to facilitate efficient healthcare delivery.Key Responsibilities:Scheduling and...
-
Clinical Service Representative II
23 hours ago
Gainesville, Florida, United States InsideHigherEd Full timeJob SummaryWe are seeking a highly organized and detail-oriented Clinical Service Representative II to join our team. In this role, you will be responsible for providing exceptional customer service to patients, dentists, and other dental care providers. You will also be responsible for scheduling patient appointments, verifying demographic information, and...
-
Healthcare Service Representative II
4 weeks ago
Gainesville, Florida, United States University of Florida Health Full timePatient Care Coordination Specialist II | Pediatric Specialties - Medical PlazaUniversity of Florida HealthThe Patient Care Coordination Specialist II plays a crucial role in managing the scheduling, financial processes, and communication for patients and referring healthcare providers. Utilizing expertise in scheduling protocols, this position aims to...
-
CareerSource Customer Service Representative II
22 hours ago
Gainesville, Florida, United States Alachua County Board of County Commissioners Full timeJob SummaryWe are seeking a highly skilled and customer-focused CareerSource Customer Service Representative II to join our team at Alachua County Board of County Commissioners. As a key member of our team, you will provide exceptional customer service to candidates, assisting them in accessing and utilizing Employ Florida to complete job search functions,...
-
Pharmacy Call Center Representative
2 weeks ago
Gainesville, Georgia, United States ProCare Rx Full timeJob SummaryProCare Rx is seeking a highly skilled and customer-focused Pharmacy Call Center Representative to join our team. As a Pharmacy Call Center Representative, you will play a critical role in providing exceptional customer service to our clients, pharmacies, and plan members.Key ResponsibilitiesCustomer Support: Respond to incoming calls related to...
-
Patient Service Representative II
2 weeks ago
Gainesville, Florida, United States University of Florida Health Full timeJob SummaryThe Patient Service Representative II plays a vital role in ensuring the smooth operation of our pediatric specialties department. This position is responsible for coordinating patient scheduling, financial processes, and communication between patients, referring physicians, and attending providers.Key ResponsibilitiesOptimize patient flow and...
-
Veterinary Client Services Associate I/II
4 weeks ago
Gainesville, Florida, United States University of Florida Full timeClassification Title:Veterinary Client Services Associate I/II (CARE) Job Overview:This role is essential for ensuring a seamless experience for clients visiting our facility. The individual will manage client interactions, guide communications during visits, and serve as a crucial link between clients and staff to facilitate a positive experience. The ideal...
-
Gainesville, United States University of Florida Health Full time**Patient Service Representative II | Pediatric Specialties - Medical Plaza** **UF Health Physicians - Gainesville** The Patient Service Representative II is responsible for ensuring the scheduling, financial and communication process is complete for patients and referring physicians. Employs knowledge of scheduling parameters to optimize patient flow and...
-
Clinical Service Representative II
3 weeks ago
Gainesville, Florida, United States University of Florida Full timeJob Summary:The University of Florida is seeking a highly skilled Clinical Service Representative II to join our team at UF Health Pathology Laboratories. As a key member of our laboratory team, you will be responsible for providing exceptional patient care and ensuring the smooth operation of our clinical services.Key Responsibilities:Registration: Process...
-
Gainesville, Florida, United States Alachua County Board of County Commissioners Full timeJob SummaryWe are seeking a highly skilled and customer-focused individual to join our team as a CareerSource Customer Service Representative II. In this role, you will provide exceptional support to job seekers, assisting them in accessing and utilizing our services to achieve their employment goals.Key ResponsibilitiesProvide personalized support to job...
-
Administrative Specialist II
1 week ago
Gainesville, Florida, United States University of Florida Full timeAdministrative Spec IIJob SummaryThe University of Florida seeks a highly skilled Administrative Spec II to join its team. As a key member of the PCard Team, this individual will be responsible for supporting the PCard Program Administrator and ensuring the smooth operation of the PCard process.Key ResponsibilitiesReview and approve PCard applications in...
Claims Representative II
3 months ago
Tower Hill Insurance Group has an exciting opportunity for two talented Intermediate Property Claims Adjuster who enjoy intellectual challenges and are seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.
Review and analyze routine first party homeowner's claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws. These claims are more moderate to severe in nature. Investigations are more involved, often relying on consultant, expert opinion and/or use of specialized tradesman to assist with coverage and damage determinations. Claims could involve multiple parties (attorneys, public adjusters, contractors) and generally have longer life cycles. This is a hybrid position.
Requirements:
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
(INVESTIGATION)
•Conducts the appropriate claim investigation and directs the investigation of any assigned resources.
•Obtains any physical evidence, develops third party information and theory of liability, conducts recorded interviews, and secures official records.
•Recognizes and submits subrogation, underwriting and SIU referrals as necessary.
•Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with company guidelines.
(DECISION MAKING)
•Reviews policy, adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
•Able to write/create/edit estimates based on customer's information or independent adjuster's information utilizing computerized estimating system.
•Able to write/create/edit letter to confirm status or decision.
•Makes recommendations and decisions based on claim documentation and investigation.
(COMMUNICATION)
•Provides prompt service to policyholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
•Complies with customer service objectives (as determined by the company)
•Communicates with Claims Supervisors consistent with company guidelines.
(LICENSURE)
•Successfully completes training and maintains FL License by meeting Continuing Education requirements.
•Operates in accordance with Florida Statues
SUPERVISORY RESPONSIBILITIES
This job has limited supervisory responsibilities. Claims Representatives may be used to mentor lesser experienced employees and assist with training. Claims Representatives will communicate expectations to customers and have oversight of all vendors involved in the claim investigation.
Education and/or Experience College degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 2 years related property adjusting experience and successful completion of more advanced level claims training courses and/or insurance industry courses as identified in Claims Training Manual (i.e. Insurance principles, loss adjustment, estimating software, and residential construction). Completion of advanced job training.
Certificates , Licenses, Registrations Insurance adjusters license State of Florida (520 license).
Tower Hill Compensation Package Includes:
•Competitive starting salary
•Annual merit reviews and bonus potential
•Medical, Dental, Life and Disability Insurance, and Health Savings Accounts
•Matching 401(k) Plan
•Paid PTO and holidays
For more information about our company, careers and Total Compensation, visit www.thig.com/careers
*Tower Hill Insurance currently operates in these states AL, CT, FL, GA, IA, IN, KY, MI, MS, NC, OH, PA, SC, TN, TX, UT, VA, WV. The work location is flexible if approved by Tower Hill Insurance.
Tower Hill Insurance is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Tower Hill Insurance is committed to working with and providing reasonable accommodation for individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to hrdepartment@thig.com or call (561) 812-6247 and let us know the nature of your request and your contact information.
All applicants will receive an acknowledgement that their application has been received. Candidates will not receive status updates regarding their application; however, those candidates selected for further consideration will be contacted by Human Resources.
PI452c49421518-31181-33635256
