Current jobs related to Claims Investigator - Miami, Florida - Konkordia Phoenix PLC, Inc.

  • Insurance Claims Investigator

    3 weeks ago

    Miami, Florida, United States Advantage Surveillance LLC Full time

    Job OpportunityAdvantage Investigations is seeking a Part-Time SIU Claims Investigator to join our Operations Team in the Miami, FL area. As a key member of our team, you will be responsible for conducting investigations of auto, property, homeowner liability, and worker's compensation insurance claims in support of client objectives and company quality...

  • Investigator

    1 month ago

    Miami, Florida, United States Frasco Inc Full time

    About UsFrasco Inc. is a leading provider of investigative services, offering unparalleled quality investigations throughout the United States. Our company has a rich history spanning over 55 years, and we are committed to delivering exceptional results to our clients.Job SummaryWe are seeking a highly skilled Field / Claim Investigator to join our team. As...

  • Senior Data Investigator

    3 weeks ago

    Miami, Florida, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled Senior Data Investigator to join our team at Elevance Health. As a key member of our Payment Integrity team, you will be responsible for identifying, investigating, and developing complex cases against perpetrators of healthcare fraud.Key ResponsibilitiesConduct in-depth investigations of healthcare claims to...

  • Insurance Claims Adjuster

    1 month ago

    Miami, Florida, United States United Auto Insurance Full time

    Job SummaryUnited Automobile Insurance Company is seeking an experienced Insurance Claims Adjuster to join our team. As an Initial Action Adjuster, you will be responsible for evaluating and processing insurance claims, assessing damage, determining liability, and negotiating settlements with policyholders or third parties.Key ResponsibilitiesConduct...

  • Property Damage Litigation Claims Adjuster

    1 week ago

    Miami, Florida, United States United Auto Insurance Full time

    COMPANY OVERVIEW:United Automobile Insurance Company is a leading provider of property and casualty insurance solutions. As a Property Damage Litigation Adjuster, you will play a critical role in managing and resolving comprehensive, collision, and property damage claims in litigation.SCOPE:As a PD Litigation Adjuster, you will be responsible for evaluating...

  • Florida PIP Claims Adjuster

    3 weeks ago

    Miami, Florida, United States Embark MGA Full time

    Job OpportunityWe are seeking a highly skilled and experienced Medical Adjuster to join our team at Embark MGA. As a Medical Adjuster, you will be responsible for handling Florida PIP claims, including investigations and demand handling.Key ResponsibilitiesHandle Florida PIP claims, including investigations and demand handling.Prior experience in handling...

  • Private Investigator

    4 weeks ago

    Miami, Florida, United States PhotoFax Full time

    Job OverviewPhotoFax, a leading private detective agency, is seeking a skilled Private Investigator to join our team in the Miami, FL region. As a Private Investigator, you will be responsible for conducting surveillance and investigations in a covert manner, utilizing a company-issued fully customized surveillance vehicle.Key Responsibilities:Conduct...

  • Third Party Adverse Subrogation Claims Adjuster

    1 month ago

    Miami, Florida, United States United Auto Insurance Full time

    Job DescriptionUnited Automobile Insurance Company is seeking a highly skilled Third Party Adverse Subrogation Adjuster to join our team. As a key member of our claims department, you will be responsible for investigating claims to identify recovery opportunities, pursuing reimbursement from liable third parties and their insurers, and negotiating...

  • Claims Coverage Counsel

    5 days ago

    Miami Beach, Florida, United States Now Hiring You, LLC Full time

    Job SummaryThe Coverage Counsel will provide legal counsel for guidance on all matters related to coverage disputes and coverage initiatives. This role involves analyzing insurance policies, investigating claims, and providing legal opinions.Key ResponsibilitiesReview insurance policies to assess coverage and identify potential issues or ambiguities.Conduct...

  • Senior Forensic Engineer

    1 month ago

    Miami, Florida, United States Charles Taylor Full time

    Job Title:Senior Forensic EngineerWe are seeking a highly skilled Senior Forensic Engineer to join our team at Charles Taylor. As a Senior Forensic Engineer, you will be responsible for performing independent and project management assigned duties related to structural assessments, design compliance reports, notice of claim reports, and building envelope...

  • Senior Forensic Engineer

    4 weeks ago

    Miami, Florida, United States Charles Taylor Full time

    Job Title:Senior Forensic EngineerJob Summary:We are seeking a highly skilled Senior Forensic Engineer to join our team at Charles Taylor. As a Senior Forensic Engineer, you will be responsible for conducting structural assessments, design compliance reports, and building envelope investigations for commercial and residential buildings.Key...

  • Human Resources Specialist

    1 week ago

    Miami, Florida, United States Femwell Group Health Full time

    At Femwell Group Health, we are seeking a skilled Human Resources Generalist to join our team. As a key member of our HR department, you will be responsible for handling various HR functions, including employee relations matters, investigations, and unemployment claims.The ideal candidate will have a strong understanding of employment law and be able to...

  • Auto Estimator

    5 days ago

    Miami, Florida, United States The General Full time

    Job DescriptionWe are seeking an experienced Auto Estimator/Appraiser to join our team at The General. As a key member of our claims team, you will be responsible for handling physical damage claims in the field, conducting on-site inspections, and providing expert advice on vehicle repair and parts costs.Key Responsibilities:Prepare and submit appraisals...

  • Healthcare Liaison

    2 weeks ago

    Miami, Florida, United States Centene Corporation Full time

    Job SummaryWe are seeking a skilled Healthcare Liaison to join our team at Centene Corporation. As a key member of our organization, you will serve as the primary contact for providers and act as a liaison between the providers and our health plan.Key ResponsibilitiesServe as primary contact for providers and act as a liaison between the providers and the...

  • Healthcare Network Liaison

    1 month ago

    Miami, Florida, United States Centene Corporation Full time

    Job Summary:We are seeking a skilled Healthcare Network Liaison to join our team at Centene Corporation. As a key member of our network development team, you will play a critical role in building and maintaining strong relationships with healthcare providers.Key Responsibilities:Serve as primary contact for providers and act as a liaison between the...

  • Senior Auditor

    1 week ago

    Miami, Florida, United States CGS Full time

    Senior Auditor Job DescriptionCGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting services in support of fraud investigations involving complex financial transactions and organizations attempting to evade detection.The ideal candidate will develop, coordinate, and draft technical audit guidelines, be proficient in...

  • Human Resources Generalist

    4 days ago

    Miami, Florida, United States Femwell Group Health Full time

    About the Role:Femwell Group Health is seeking a skilled HR Generalist to join our team. As a key member of our HR department, you will be responsible for providing support and guidance to employees, management, and physicians on various HR-related matters.Key Responsibilities:Handle employee relations matters, including investigations and unemployment...

  • HR Generalist

    1 week ago

    Miami, Florida, United States AlphaStaff Talent Search Full time

    Job Title: HR GeneralistAlphaStaff Talent Search is seeking an experienced HR Generalist to join our team. As an HR Generalist, you will be responsible for handling various HR functions, including terminations, unemployment claims, workers' compensation, change of status, and employee relations matters.Key Responsibilities:Handle Employee Hotline calls and...

  • Leave and Disability Administrator

    4 days ago

    Miami, Florida, United States Norwegian Cruise Line Full time

    Job Summary: The Leave and Disability Administrator oversees and administers the daily operations of Leave Administration, PTO, and Life Insurance at Norwegian Cruise Line. This role leads investigations, resolves complex issues, liaises with benefits providers, recommends program improvements, monitors leave administration, and provides customer service. It...

  • Mass Torts Legal Assistant

    1 week ago

    Miami, Florida, United States Rubenstein Law, P.A. Full time

    Job SummaryThe Mass Torts Legal Assistant plays a vital role in supporting attorneys and supervisors in handling cases throughout all phases. This includes maintaining open communication with clients, providers, and inter-office teams, as well as co-counsels in other states. Key responsibilities include daily interaction with clients and stakeholders via...

Claims Investigator

2 months ago

Miami, Florida, United States Konkordia Phoenix PLC, Inc. Full time
Job Description

Job Type: 1099 / Contracted Work

Location: 50% working from home, 50% working in the field

Compensation: $25/hr and $.50/mile

Company Overview: Konkordia Phoenix PLC, Inc. is a business services provider in the cable, telecom, and utilities sector. Our core service is outside plant damage investigation, recovery, and prevention. We help our clients recover the costs of third-party damages to their infrastructure, such as underground fiber optic or gas lines.

Position Summary: Field investigators are needed to collect, access, and report damages to buried utilities. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment.

Duties:

  • Conduct on-site field investigations
  • Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates
  • Develop and maintain a solid comprehensive of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines
  • Prepare and respond to damage calls within a timely manner
  • Complete damage investigations within 10 days and then work with and support our claims managers to complete the investigation and begin the recovery process
  • Respond to damages within 24 hours of assignment
  • Accurately record all time, mileage, and other associated, specific items

Required Skills and Capabilities:

  • Interpersonal skills to gather information and conduct field interviews with involved parties, including contractors and technicians, witnesses, law enforcement, and possible damagers
  • Smartphone to gather photos, videos, and other information while conducting investigations
  • Computer, with high internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals
  • Exceptional attention to detail and strong, demonstrated written and verbal communication skills
  • Proven ability to operate independently and prioritize while adhering to timelines
  • Strong, objective analytical skills
  • Valid driver's license, current insurance, and reliable vehicle with the ability to respond to damages at any time
  • Safety vest, work boots, and hard-hat

Preferred Qualifications and Skills:

  • Current or previous telecommunication or utility experience
  • Knowledge of underground utility locating procedures and systems
  • Investigation, inspection, or claims/field adjusting
  • Criminal justice, legal, or military training or work experience
  • Engineering, infrastructure construction, or maintenance background
  • Live within 60 miles of this posting's location

Job Requirements: This is a 1099, contract position. There are no benefits offered with this position.