Current jobs related to Business Claims Associate - Tampa, Florida - Avalon Administrative Services, LLC dba Avalon Healthcare Solutions
-
Business Claims Associate
3 weeks ago
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeJob SummaryAvalon Administrative Services, LLC dba Avalon Healthcare Solutions is seeking a highly organized and detail-oriented Business Claims Associate to join our Claims Operations Department. As a Business Claims Associate, you will play a critical role in ensuring the timely and accurate processing of provider reconsideration requests.Key...
-
Business Claims Associate
4 weeks ago
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout Avalon Healthcare SolutionsAvalon Healthcare Solutions is a leading provider of lab insights and benefit management solutions. Our company is headquartered in Tampa, Florida, and we are committed to delivering high-quality services to our clients.Job SummaryWe are seeking a highly skilled Business Claims Associate to join our Claims Operations...
-
Business Claims Associate
2 weeks ago
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAvalon Healthcare Solutions is a leading provider of lab insights and benefit management solutions. As a Business Claims Associate, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Submit Provider Reconsideration tickets to multiple health plansEvaluate disputed claims in the...
-
Business Claims Associate
3 weeks ago
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout Avalon Healthcare SolutionsAvalon Healthcare Solutions is a leading provider of lab insights and benefit management solutions. Our mission is to improve clinical outcomes and healthcare affordability for the people we serve.Job SummaryWe are seeking a highly organized and detail-oriented Business Claims Associate to join our Claims Operations...
-
Claims Business Analyst
3 weeks ago
Tampa, Florida, United States Gravity IT Resources Full timeJob Title: Claims Business AnalystLocation: Tampa, FLJob Type: ContractReferral Fee:Employment Eligibility: Gravity cannot transfer nor sponsor a work visa for this position. Applicants must be eligible to work in the U.S. for any employer directlyOverviewThe Claims Business Analyst role is a dynamic position that combines a strong business understanding of...
-
Claims Manager
1 month ago
Tampa, Florida, United States Truist Full timeJob Title: Claims ManagerAs a Claims Manager at Truist, you will play a critical role in leading our team of experienced claim professionals to identify client needs and develop strategies for dealing with claims and service requests enterprise-wide.Key Responsibilities:Coach and manage the workflow of the claim teams, including Claim Representatives, Claims...
-
Claims Manager
3 weeks ago
Tampa, Florida, United States Truist Full timeJob SummaryWe are seeking a highly skilled Claims Manager to join our team at Truist Financial Corporation. The successful candidate will be responsible for managing the workflow of the claim teams, resolving complex coverage and claim issues, and identifying new business opportunities.Key ResponsibilitiesCoach experienced claim team members to identify...
-
Claims Trainee Position
1 week ago
Tampa, Florida, United States AssuranceAmerica Full timeAbout the JobAt AssuranceAmerica, we are seeking a Claims Adjuster Trainee to join our team. This role is ideal for individuals who are eager to learn and grow in their career.ResponsibilitiesThe Claims Adjuster Trainee will complete a series of training courses, including self-study, classroom training, and on-the-job training. This will prepare them for...
-
Claims Resolution Supervisor
3 weeks ago
Tampa, Florida, United States Acosta Group Full timeJob Title: Claims Resolution SupervisorAcosta is seeking a highly skilled Claims Resolution Supervisor to join our team. As a Claims Resolution Supervisor, you will be responsible for supervising Claims Resolution Analysts and Claims Resolution Specialists, ensuring timely and financially compliant validation of incomplete and escalated claims.Key...
-
Claims Resolution Supervisor
3 weeks ago
Tampa, Florida, United States Acosta Full timeJob DescriptionThe Claims Resolution Supervisor is responsible for supervising Claims Resolution Analysts and Claims Resolution Specialists, ensuring timely and financially compliant validation of incomplete and escalated claims. This role involves analyzing incomplete and escalated claims to increase the Ready to Clear rate by determining the root cause and...
-
Claims Resolution Supervisor
3 weeks ago
Tampa, Florida, United States Acosta Full timeJob DescriptionThe Claims Resolution Supervisor is responsible for supervising Claims Resolution Analysts and Claims Resolution Specialists. This role involves timely and financially compliant validation of incomplete and escalated claims. The incumbent will analyze incomplete and escalated claims to increase Ready to Clear rate by determining the root cause...
-
Business Development Associate
3 weeks ago
Tampa, Florida, United States HMG Business Group Full timeJob OverviewHMG Business Group is seeking a highly motivated and organized Business Development Associate to join our team. As a key member of our business development team, you will be responsible for executing marketing strategies, generating leads, and promoting our clients' products and services.Key Responsibilities:Develop and implement marketing...
-
Administrative Claims Assistant
1 week ago
Tampa, Florida, United States Quality Carriers, Inc. Full timeKey Responsibilities:Type and mail correspondence related to claims processing.Manage phone calls, filter and respond to inquiries as needed.Prepare and send subrogation letters with supporting documents, follow up as required.Obtain necessary documents from various departments and third-party sources.Audit claim files to ensure accuracy and...
-
Commercial Claims Manager
3 weeks ago
Tampa, Florida, United States Slide Full timeJob Title: Commercial Residential Claims ManagerSlide is a cutting-edge technology-enabled insurance company disrupting the industry. We are expanding our product offerings to insure condominium and homeowner association properties, and apartments in Florida. As a Commercial Residential Claims Manager, you will be responsible for the initial handling of...
-
Claim Director
2 weeks ago
Tampa, Florida, United States Chubb Full timeJob SummaryThis role is focused on technical claim handling for Chubb's Commercial Direct Handle Claims Team. As a key member of the team, you will manage auto and general liability claims, both litigated and non-litigated, under both primary and excess policies. Your responsibilities will include investigating loss facts, damages, and risk transfer...
-
Claims Supervisor
2 weeks ago
Tampa, Florida, United States Chubb Full timeJob SummaryThis role is focused on technical claim handling for Chubb's Commercial Direct Handle Claims Team. The successful candidate will manage auto and general liability claims, both litigated and non-litigated, under both primary and excess policies.The ideal candidate will be accountable for the handling and disposition of claims, including...
-
Claims Adjuster
2 hours ago
Tampa, Florida, United States Quality Carriers Full timeJob SummaryQuality Carriers, a leading tank trucking company, seeks a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for investigating and resolving claims in a timely and cost-effective manner.Key ResponsibilitiesConduct thorough investigations of claims to determine liability and damages.Negotiate settlements with...
-
Claims Administrator
3 weeks ago
Tampa, Florida, United States Apixio Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Claims Administrator to join our team at Apixio. As a Claims Administrator, you will be responsible for performing document retrieval, ensuring the hygiene of medical record files, billing documents, and claims workflow.Key Responsibilities:Perform incoming claim review and document hygiene...
-
Senior Claims Representative
3 weeks ago
Tampa, Florida, United States Chubb Full timeJob Title: ESIS Senior Claims Representative, DBAAt Chubb, we are seeking an experienced claims representative to join our team as an ESIS Senior Claims Representative, DBA. This role operates on a hybrid work schedule and is based in our Tampa office, with remote option available.About the RoleThe ESIS Senior Claims Representative, DBA position is...
-
Insurance Claims Specialist
2 weeks ago
Tampa, Florida, United States Elevance Health, Inc. Full timeJob SummaryAs a Claims Representative I at Elevance Health, Inc., you will be responsible for learning the activities and tasks associated with this role. You will work under direct supervision and rely on others for instruction, guidance, and direction. Your work will be reviewed for technical accuracy and soundness. You will code and process claims forms...
Business Claims Associate
2 months ago
Avalon Healthcare Solutions is a leading provider of lab insights and benefit management solutions. Our company is headquartered in Tampa, Florida, and we are committed to delivering high-quality services to our clients.
Job SummaryWe are seeking a highly skilled Business Claims Associate to join our Claims Operations Department. The successful candidate will be responsible for submitting weekly Provider Reconsideration faxes to multiple health plans, providing follow-ups when necessary, and uploading faxed confirmations and health plan determination letters to in-process tickets.
Key Responsibilities- Submit Provider Reconsideration tickets to multiple health plans
- Evaluate disputed claims in the Reconsideration process and share findings with Senior staff to determine scope
- Upload Health plan determination letters to appropriate Reconsideration tickets
- Track Provider issues and monitor trends to support their resolution
- Update and respond to provider ticket requests within established turnaround times
- Provide excellent customer service to providers
- Collaborate with other departments to support provider needs
- Perform outbound calls to Health Plans to investigate aging reconsideration submissions and claims payment details
- Maintenance of various logs
- Excellent written and verbal communication skills
- Research and resolve provider inquiries
- Perform other duties as assigned
- Associate Degree preferred but not required
- Experience working in the healthcare industry is preferred but not required
- Experience with Provider credentialing is preferred but not required
- Good customer service and communication skills
- Attentive to details and organized
- Intermediate knowledge of Microsoft Office Suite products
- Excellent interpersonal skills
- Willingness to learn new skills
- Experience with using eFax and performing outbound phone calls to clients
Avalon Healthcare Solutions is a high-growth company that offers a dynamic and challenging work environment. We are committed to delivering exceptional services to our clients and are seeking talented individuals to join our team.
