Claims Resolution Specialist

Job Overview">PMA Companies is seeking an experienced Senior Account Claims Representative to join our team. This role involves utilizing knowledge of general liability to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes.This includes providing superior customer service to internal and external business partners and...

About the RoleThe Medical Claims Specialist will determine the validity and compensability of claims, establish reserves, and authorize payments within established limits. They will also communicate claim status with customers, claimants, and clients.This position involves working closely with other claims professionals to resolve more complex or problematic...

CorVel Enterprise Comp, Inc. - A Great Place to WorkWe are proud to be a certified Great Place to Work Company, recognized for our commitment to creating a positive and supportive work environment. Our employees enjoy a range of benefits, including medical, dental, vision, and 401K, as well as opportunities for career growth and development. Job Overview:The...

Jimmie Giles Financial is seeking an experienced Claims Adjuster - Liability Specialist to join our team. As a key member of our team, you will be responsible for handling daily claims in Florida, ensuring timely and effective resolution. With a minimum of 5 years' experience in liability claims adjusting and proficiency in Xactimate, you will provide...

Job OverviewWe are seeking a skilled Medical Claims Specialist to join our team at CorVel Enterprise Comp, Inc. This role will be responsible for managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims.This is a hybrid position that requires close supervision and supports the goals of our claims...

Job Title: Healthcare Claims SpecialistWe are seeking a highly motivated and detail-oriented Healthcare Claims Specialist to fill this key role. The ideal candidate will possess more than two years of experience in medical billing and coding, as well as exceptional communication and organizational skills.About the Role:This is a fantastic opportunity to work...

We are seeking a highly motivated and experienced Attorney to join our team as an Insurance Claims Specialist. This is an excellent opportunity for someone looking to specialize in first-party insurance claims or flood insurance claims.In this role, you will have the chance to engage in various legal responsibilities, from strategic planning to courtroom...

Key Responsibilities">The successful candidate will have a proven track record of success in claims management, with a focus on general liability claims. The ideal candidate will possess excellent communication and interpersonal skills, as well as the ability to work independently and as part of a team.Investigate and evaluate claims to determine coverage...

Criterion Executive Search is recruiting a Senior Commercial Claims Adjuster for our client's team in the Tampa Bay area. This is an exciting opportunity for someone who enjoys resolving complex commercial casualty claims and has a strong understanding of commercial insurance policies.Job Requirements:5+ years of experience in commercial liability...

ResponsibilitiesClient Consultation and Case EvaluationMeet with clients to discuss their personal injury claims and gather relevant information, including medical records, accident reports, and witness statements.Determine liability and identify potential parties responsible for the injuries.Negotiation and SettlementCommunicate and negotiate with insurance...

Company Overview">Sherloq Solutions is a reputable company with over 100 years of history in the community. We foster a team environment, respect and value our employees' contributions.Salary">This position earns an estimated $60,000 - $80,000 per year, depending on experience, to maximize your skills in the healthcare revenue cycle industry.Job...

About the RoleWe are looking for a skilled Florida Insurance Claims Specialist to join our team. As a Florida Insurance Claims Specialist, you will be responsible for managing and litigating first-party insurance claims and flood insurance cases in Florida. With a strong background in litigation and experience in Federal Court, you will contribute to the...

About CorVel Enterprise Comp, Inc.CorVel Enterprise Comp, Inc. is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.We are a...

**About the Role:** Denovo Review is seeking a highly skilled PIP Claims Specialist to join our team in Tampa, Florida.This position requires an individual with strong research and analytical skills, excellent communication abilities, and experience working with insurance claims and litigation.Responsibilities:Analyze and process Discovery Requests,...

About the RoleJimmie Giles Financial is looking for an experienced Insurance Loss Adjuster to join our team. As a Field Liability Claims Specialist, you will be responsible for handling daily claims in the State of Florida area.The ideal candidate will have a strong background in insurance claims adjusting and be proficient in Xactimate. A minimum of 5...

About the RoleWe are seeking a highly skilled Credit Assistance Specialist to join our team at Scout Exchange. As a Credit Assistance Specialist, you will play a critical role in providing excellent customer service by offering credit assistance and solutions to our clients.Key ResponsibilitiesBilingual in English and Spanish, with a primary focus on Spanish...

About the Role">We are seeking an experienced Senior Account Claims Representative to join our team at PMA Companies. As a member of our claims department, you will play a critical role in investigating, evaluating and resolving claims to achieve the best possible outcomes for our clients.This role requires exceptional customer service skills, as you will be...

About the RoleTrovaSearch is seeking an exceptional leader to join our team as Director of Complex Claims. As a key member of our leadership team, you will be responsible for overseeing the technical and operational performance of teams within the complex claims department.Key ResponsibilitiesLeadership and Management: Directly supervise managers and/or...

About the OpportunityThis is a hybrid role that can be based in one of five locations: San Antonio, TX; Phoenix, AZ; Colorado Springs, CO; Chesapeake, VA; or Tampa, FL. As a Claims Litigation Case Manager with USAA, you will have the best of both worlds – collaborating in-person in the office and working from home when needed to achieve focused results.You...

At AdventHealth, we believe in the wholeness of each person and serve to uplift others in body, mind, and spirit.We are currently seeking a Senior Insurance Claims Specialist to join our team at AdventHealth Tampa. In this role, you will have the opportunity to work with a dynamic team of professionals who are passionate about delivering exceptional patient...