Claims Resolution Specialist
4 weeks ago
The Claims Coordinator is responsible for resolving invoice discrepancies from inception to resolution, interacting with Distribution Centers, suppliers, and carriers. This role requires strong analytical and problem-solving skills, as well as excellent communication and relationship management skills.
Key Responsibilities- Investigate claims through various avenues, both internal and external, for resolution to the claim.
- Document all claim requests in appropriate systems, including gathering pictures, BOLs, delivery receipts, etc.
- Record adjustments for claim completion, including inventory adjustments, credits/debits to customers and vendors.
- Identify and report non-compliant occurrences to the supervisor.
- Develop productive working relationships with internal and external customers.
- Support the development and administration of relevant KPI metrics and reports.
- Associate's degree or relevant work experience.
- 3-5 years of customer service experience and/or 1-2 years of accounting experience.
- Strong relationship management and communication skills.
- Proficient in Microsoft Word, Outlook, Excel, and Access.
- Process-oriented with the ability to document and articulate complex systems.
- Solid analytical and problem-solving skills.
The work is usually performed in an office environment with normal noise levels. Involves prolonged sitting and computer/phone usage.
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Construction Defect Claim Supervisor
4 weeks ago
Maitland, Florida, United States CCMSI Full timeJob DescriptionAt CCMSI, we are seeking an experienced Construction Defect Claim Supervisor to join our remote team. This position is responsible for supervising a team of up to six Construction Defect Claim Specialists, overseeing their performance in the investigation and adjustment of assigned construction defect claims for a single dedicated account.Key...
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Construction Defect Claim Supervisor
4 weeks ago
Maitland, Florida, United States CCMSI Full timeOverviewAt CCMSI, we are united by a common purpose of delivering exceptional service to our clients. As a leading Third Party Administrator in self-insurance services, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee...
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Experienced Liability Claims Specialist
3 weeks ago
Maitland, Florida, United States CCMSI Full timeJob SummaryWe are seeking a highly skilled Multi-Line Liability Claims Adjuster to join our team at CCMSI. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients.Key ResponsibilitiesInvestigate and adjust multi-line liability claims in accordance with established...
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Senior Workers' Compensation Claim Adjuster
3 weeks ago
Maitland, Florida, United States CCMSI Full timeOverviewAt CCMSI, we strive to deliver exceptional service to our clients as a leading Third Party Administrator in self-insurance services. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee...
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Medical Claims Specialist
4 weeks ago
Maitland, Florida, United States CarepathRx Full timeCarepathRx is seeking a skilled Medical Claims Specialist to join our Revenue Cycle Team. In this role, you will be responsible for the timely and accurate billing and collection of insurance claims.Key Responsibilities: Understand Third Party Billing and identify root causes of issues Ensure the timeliness and accuracy of billing and meet quality assurance,...
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Senior Commercial Claims Adjuster
3 weeks ago
Maitland, Florida, United States AmTrust Financial Full timeAmTrust Financial Services is seeking a skilled Senior Commercial Claims Adjuster to join our team. As a key member of our claims department, you will be responsible for evaluating coverage issues and risk transfer opportunities, ensuring appropriate investigation of the underlying facts and circumstances, and selecting and utilizing counsel as...
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General Liability Claims Specialist I
3 weeks ago
Maitland, Florida, United States Zurich NA Full timeAbout the Role:Zurich North America is seeking a skilled General Liability Claims Specialist to join our team. As a General Liability Claims Specialist, you will work with a diverse team of claims professionals to enhance your technical skills in GL policy interpretation and coverage analysis to effectively resolve claims.Key Responsibilities:Handle...
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Claims Compliance and Audit Specialist
4 weeks ago
Maitland, Florida, United States AmTrust Financial Full timeJob SummaryAmTrust Financial Services is seeking a highly skilled Claims Compliance and Audit Specialist to join our team. As a key member of our compliance team, you will be responsible for executing quality and compliance assessments and/or engaging in regulatory management activities.You will partner with key stakeholders to improve compliance with state...
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Claims Supplier Management Specialist
3 weeks ago
Maitland, Florida, United States AmTrust Financial Full timeThe Claims Supplier Management Specialist will play a pivotal role in supporting the Director of Claims Supplier Management in the implementation, process improvement, and optimization of all line of business programs.This role will focus on analytic measurement and improvement of line of business outcomes of their assigned programs, supporting all lines of...
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Experienced Liability Claims Adjuster II
4 weeks ago
Maitland, Florida, United States CCMSI Full timeJob SummaryWe are seeking an experienced Claims Adjuster II to join our team at CCMSI. As a leading Third Party Administrator in self-insurance services, we deliver exceptional service to our clients. This role is responsible for investigating and adjusting multi-line liability claims, requiring a strong understanding of claims handling procedures and...
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Insurance Claims Adjuster II
3 weeks ago
Maitland, Florida, United States AmTrust Financial Full timeJob SummaryThe Workers' Compensation Adjuster II is a key role at AmTrust Financial Services, responsible for investigating, evaluating, and settling or declining insurance claims in a prompt and efficient manner. This position requires strong research, negotiation, and communication skills to effectively interact with insureds, claimants, and medical...
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Workers' Compensation Claim Associate I
3 weeks ago
Maitland, Florida, United States CCMSI Full timeAt CCMSI, we're committed to helping you grow your career in insurance. Our Workers' Compensation Claim Associate I LevelUP position is designed to provide you with the skills and knowledge needed to succeed as a Workers' Compensation Adjuster.This 12-month program is specifically tailored to fast-track individuals, whether you're a career-minded college...
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Insurance Accounts Specialist
4 weeks ago
Maitland, Florida, United States Complete Care Full timeJob Summary: As a key member of the Complete Care team, the Insurance Accounts Specialist will be responsible for managing daily billing, quality control of patient claims, and ensuring timely submission of claims. This role requires strong organizational skills, attention to detail, and the ability to work independently. Key Responsibilities: Manage daily...
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Accounts Receivable Specialist
4 weeks ago
Maitland, Florida, United States Complete Care Full timeJob SummaryWe are seeking a highly organized and detail-oriented Accounts Receivable Specialist to join our team at Complete Care. The successful candidate will be responsible for managing daily billing, quality control of patient claims, and following up on outstanding accounts receivable.Key ResponsibilitiesReview and submit claims in a timely manner for...
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Medical Billing Specialist
4 weeks ago
Maitland, Florida, United States Complete Care Full timeJob DescriptionAt Complete Care, we are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team. As a key member of our accounts receivable department, you will be responsible for daily billing, quality control of patient claims, managing payments, and following up on outstanding accounts receivable.Key...
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Senior Application Specialist, Full-Time
4 weeks ago
Maitland, Florida, United States AdventHealth Full timeAt AdventHealth, we're committed to creating a community that values the whole person - body, mind, and spirit. As a Senior Application Specialist, you'll play a vital role in our Centralized Payment Posting team, ensuring accurate and timely payment posting activities for our services.Key Responsibilities:Review electronic remittances and resolve...
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Customer Solutions IT Specialist
4 weeks ago
Maitland, Florida, United States Ardán, Inc., A Community of Companies Full timeCustomer Solutions IT SpecialistWe are seeking a highly skilled Customer Solutions IT Specialist to join our team at Ardán, Inc., A Community of Companies. As a key member of our Customer Solutions Team, you will be responsible for providing exceptional customer experiences from start to finish with our suite of technologies and services.Key...
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Customer Solutions IT Specialist
3 weeks ago
Maitland, Florida, United States Ardan Inc Full timeJob Title: Customer Solutions IT SpecialistAt Ardan Inc, we are seeking a highly skilled Customer Solutions IT Specialist to join our team. As a key member of our Customer Solutions Team, you will be responsible for providing exceptional customer service and technical support to our clients.Key Responsibilities:Investigate and resolve customer technical...
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Payroll Implementation Specialist
2 weeks ago
Maitland, Florida, United States BCforward Full timeJob Title: Payroll Implementation SpecialistJob Summary: BCforward is seeking a highly motivated Payroll Implementation Specialist to join our team. In this role, you will be responsible for analyzing complex payroll requirements, setting up clients in our TotalSource system, and ensuring timely and accurate data entry. If you have excellent communication...
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Payroll Implementation Specialist
4 weeks ago
Maitland, Florida, United States ADP Full timeJob DescriptionADP is seeking a highly skilled Payroll Implementation Specialist to join our team. As a key member of our implementation team, you will be responsible for ensuring the smooth processing of payrolls and special requests for assigned clients.Key Responsibilities:Process payrolls and special requests for assigned clientsEnsure accuracy and...