Current jobs related to Insurance Claims Specialist - Jacksonville, Florida - Jobot


  • Jacksonville, Florida, United States Southeast Orthopedic Specialists Full time

    Job Title: Insurance Follow-Up RepresentativeJoin Southeast Orthopedic Specialists, a regional leader in musculoskeletal medicine, as we continue to grow and expand our services. We are seeking a highly skilled Insurance Follow-Up Representative to join our Central Business Office in Jacksonville, FL.Job Summary:We are looking for a detail-oriented and...

  • Claims Adjuster

    3 days ago


    Jacksonville, Florida, United States Citizens Property Insurance Full time

    Job Title: Claims AdjusterAt Citizens Property Insurance, we are seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling personal and/or commercial claims of moderate to high complexity.Key Responsibilities:Negotiate and settle claims in accordance with...

  • Claims Specialist

    4 weeks ago


    Jacksonville, Florida, United States Paul Davis Restoration, Inc. Full time

    Job Title: Claims SpecialistAt Paul Davis Restoration, Inc., we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in ensuring that our customers receive the highest level of service and support in the event of a property damage emergency.Key Responsibilities:Conduct thorough and accurate...

  • Claims Specialist

    1 month ago


    Jacksonville, Florida, United States Onslow Memorial Hospital Full time

    Job SummaryOnslow Memorial Hospital seeks a skilled Claims Analyst Specialist to join our team. The successful candidate will be responsible for tracking, reviewing, and following up on outstanding patient accounts, ensuring timely and accurate payment from third-party payers.Key ResponsibilitiesReview and analyze patient accounting data, clearinghouse...

  • Claims Specialist

    2 weeks ago


    Jacksonville, Florida, United States Onslow Memorial Hospital Full time

    Job SummaryThe Claims Analyst Specialist is a key member of our team at Onslow Memorial Hospital, responsible for ensuring timely and accurate payment from third-party payers. This role requires a strong understanding of payer systems, billing codes, and claim formats.Key ResponsibilitiesTrack, review, and follow up on outstanding patient accounts, including...

  • Claims Specialist

    3 weeks ago


    Jacksonville, Florida, United States Onslow Memorial Hospital Full time

    Job SummaryThe Claims Analyst Specialist plays a critical role in ensuring timely and accurate payment from third-party payers. This position is responsible for tracking, reviewing, and following up on outstanding patient accounts, including reviewing patient accounting desktop, clearinghouse billing lists, and intermediary online error lists. The ideal...


  • Jacksonville, Florida, United States Citizens Property Insurance Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Paralegal to join our team at Citizens Property Insurance. As a Medical Claims Paralegal, you will assist and work under the supervision of litigation counsel in the handling of first-party property claim litigation.Key ResponsibilitiesPerform specifically delegated substantive legal work for which...


  • Jacksonville, Florida, United States The Center for Orthopedic and Research E Full time

    Job SummaryWe are seeking a highly skilled Insurance Follow-Up Representative to join our Central Business Office in Jacksonville, FL. As a key member of our team, you will be responsible for ensuring proper reimbursement to our practice by following patient accounts through insurance payors.Key ResponsibilitiesReview insurance denials to determine and take...

  • Claims Specialist

    3 days ago


    Jacksonville, Florida, United States Paul Davis Restoration, Inc. Full time

    Job SummaryPaul Davis Restoration, Inc. is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for reviewing and analyzing property damage claims to ensure accuracy and compliance with industry standards.Key ResponsibilitiesConduct thorough reviews of property damage claims, including mitigation,...


  • Jacksonville, Florida, United States CVS Health Full time

    Job SummaryCVS Health is seeking a skilled Claim Benefits Specialist to join our team. As a key member of our operations team, you will be responsible for reviewing and adjudicating complex claims in accordance with claim processing guidelines.Key ResponsibilitiesReview and adjudicate complex claims in accordance with claim processing guidelinesAnalyze and...


  • Jacksonville, Florida, United States CVS Health Full time

    Job SummaryCVS Health is seeking a skilled Claim Benefit Specialist Ops to join our team. As a key member of our operations team, you will play a critical role in ensuring the efficient and accurate processing of healthcare claims.Key Responsibilities Review and adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing...


  • Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full time

    Job Title: Property Claims AdjusterStillwater Insurance Group is seeking a highly skilled Property Claims Adjuster to join our team in Jacksonville, Florida. As a Property Claims Adjuster, you will be responsible for investigating, measuring, and adjusting homeowner property insurance claims in a fast-paced and dynamic environment.Key...


  • Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full time

    Job Title: Property Claims AdjusterStillwater Insurance Services, Inc. is seeking a highly skilled Property Claims Adjuster to join our team in Jacksonville, Florida. As a Property Claims Adjuster, you will be responsible for investigating, measuring, and adjusting homeowner property insurance claims in-office.Key Responsibilities:Determine coverage by...

  • Claims Assistant I

    3 days ago


    Jacksonville, Florida, United States Citizens Property Insurance Full time

    Job DescriptionThe Claims Assistant I is responsible for providing customer service and support to the Claims Organization. This role is a full-time, onsite position located in Jacksonville, FL.Key Responsibilities:Provide claims and litigation related support to the Claims Organization and its special handling units.Provide customer service to various...


  • Jacksonville, Florida, United States Citizens Property Insurance Full time

    Job Title: Claims Litigation CounselJob Summary:We are seeking a highly skilled Claims Litigation Counsel to join our team at Citizens Property Insurance. As a Claims Litigation Counsel, you will be responsible for representing Citizens in claims-related cases and managing all phases of the litigation or other dispute resolution process.Key...


  • Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full time

    Job DescriptionStillwater Insurance Services, Inc. is seeking a highly skilled Property Claims Adjuster to join our team in Jacksonville, Florida. As a Property Claims Adjuster, you will be responsible for investigating, measuring, and adjusting homeowner property insurance claims in-office.Key Responsibilities:Investigate and Resolve Claims: Determine...


  • Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full time

    Job SummaryWe are seeking a highly skilled Property Claims Adjuster to join our team at Stillwater Insurance Group. As a Property Claims Adjuster, you will be responsible for investigating, measuring, and adjusting homeowner property insurance claims in our Jacksonville, Florida headquarters.Key ResponsibilitiesDetermine coverage by verifying and analyzing...


  • Jacksonville, Florida, United States CVS Health Full time

    Job SummaryWe are seeking a skilled Claim Benefit Specialist Operations to join our team at CVS Health. As a key member of our operations team, you will play a critical role in ensuring the smooth processing of healthcare claims.Key ResponsibilitiesReview and adjudicate routine claims in accordance with claim processing guidelines.Analyze and approve routine...


  • Jacksonville, Florida, United States Stillwater Insurance Services, Inc. Full time

    Job Title: Claims Administrative AssistantStillwater Insurance Group is seeking a highly organized and detail-oriented Claims Administrative Assistant to join our team in Jacksonville, FL.Job Summary:The Claims Administrative Assistant will provide administrative support to the Claims Department, assisting with claim file document requests, vendor payments,...


  • Jacksonville, Florida, United States Citizens Property Insurance Full time

    Job Description: Insurance Product ManagerThe Insurance Product Manager is responsible for organizing and analyzing data to develop product recommendations in accordance with the organization's vision, mission, and strategic goals. This role involves mentoring product analysts and product specialists to ensure the development of innovative insurance products...

Insurance Claims Specialist

2 months ago


Jacksonville, Florida, United States Jobot Full time

Insurance Claims Specialist / Join Our Team
This Jobot Job is hosted by: Jerome Ouvier

Salary:
$80,000 - $100,000 per year

About Us:
We are a leading national insurance provider dedicated to delivering exceptional service and support to our clients.

Why Work With Us?
We offer a competitive salary along with performance-based incentives.
Our comprehensive benefits package includes health, dental, and vision insurance.
We provide a 401(k) retirement plan with company matching.
Enjoy generous paid time off and a holiday schedule.
We prioritize employee wellness through various programs and resources.

Position Overview


Are you an experienced professional skilled in managing intricate claims? Do you possess a meticulous attention to detail and a commitment to assisting individuals during challenging times? If so, our Insurance Claims Specialist role may be the ideal opportunity for you.

We are seeking a knowledgeable individual to become part of our vibrant team, where you will be instrumental in evaluating and resolving a diverse range of insurance claims.


Key Responsibilities:

  • Conducting thorough evaluations and investigations of insurance claims in a timely and precise manner. You will be responsible for reviewing and validating the authenticity of claims, ensuring all required documentation is in order, and determining the company's liability.
  • Engaging in negotiations with claimants, legal representatives, and other insurance providers. Your strong communication and negotiation skills will be essential in achieving fair and effective resolutions.
  • Maintaining comprehensive documentation of the claims handling process. You will be expected to keep detailed records of each case, including notes on your investigations, negotiations, and settlement outcomes.
  • Delivering outstanding customer service. As an Insurance Claims Specialist, you will frequently interact with individuals facing difficult situations. It is vital that you provide empathetic, patient, and efficient assistance.
  • Keeping abreast of evolving regulations, laws, and policies within the insurance sector. You will need to proactively pursue ongoing education and adapt to these changes.

Qualifications:

  • A minimum of five years of experience in Casualty Claims, Claims Handling, or as a Claims Analyst, providing you with a solid understanding of the claims process and the ability to manage complex cases.
  • Strong analytical capabilities. You should be adept at reviewing cases, identifying key details, and making accurate and equitable decisions based on this information.
  • Excellent negotiation abilities. You will often be required to negotiate settlements, making effective and persuasive communication crucial.
  • High organizational skills. You will manage multiple cases simultaneously, necessitating a structured approach to maintain accuracy.
  • In-depth knowledge of insurance regulations, laws, and policies. Familiarity with the current insurance landscape and the ability to adapt quickly to changes is essential.
  • Proficiency in computer applications, including Microsoft Office and claims management systems.
  • A bachelor's degree in a relevant field (such as Business or Finance) is preferred. Relevant professional certifications (such as the Claims Law Specialist or Senior Claims Law Associate designations) are also advantageous.