- Sedgwick (Miami, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Miami, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative , Auto | Commercial Trucking | Remote **PRIMARY PURPOSE** : ... To analyze and process low to mid-level auto physical damage claims . Commercial auto claims experience is preferred. Having a current New York adjuster's license… more
- Elevance Health (Miami, FL)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Friday, 8:30 am - 5:00 pm EST The **Claim Representative I** is responsible for successfully completing the required...for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Service Representative (REMOTE) Are you looking for an opportunity to join a global ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Miami, FL)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Molina Healthcare (Miami, FL)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- …a supportive team, this role is for you. As a Member Services Representative , you'll help members understand their healthcare benefits, access care, and feel ... from members, caregivers, and providers + Help with questions about benefits, eligibility, claims , and enrollment + Resolve most questions on the first contact; work… more
- Molina Healthcare (Miami, FL)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Molina Healthcare (Miami, FL)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- CDM Smith (Miami, FL)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- MyFlorida (Miami Lakes, FL)
- …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... validation and payments. + Serve as a customer service representative for calls made to the district office. +...office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or… more
- Utilities Service, LLC (Miami, FL)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- Legacy Parking Company (Miami, FL)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and...position and the work environment characteristics described below are representative of those that must be met by an… more
- Legacy Parking Company (Miami, FL)
- …improvements to enhance customer experience. + Investigate, monitor, and resolve damage claims ; implement safety programs to reduce risks and prevent recurrence. + ... physical demands of this position and the work environment characteristics described below are representative of those that must be met by an employee to perform the… more
- FirstBank PR (Miami, FL)
- …auditors and examiners. + Review and approve documentation for billings, probate claims , title disputes, and other legal issues. + Support the Subpoenas & ... Banking and Business Knowledge Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully… more