Top 121 Claims specialist Jobs in Doral, Fl

Benefits Specialist
PL Developments LLC —Doral, FL
- From $72,000 a year
- Monday to Friday
- Hybrid work
- Spanish
- OSHA
- 5 years
- Paid holidays
- Health insurance
Accounts Receivable Specialist
Oshi Health —Miami, FL
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Specialist, Benefits Eligibility and Authorizations
Cardinal Health —Doral, FL
- $20.02 - $25.78 an hour
- Monday to Friday
- Research
- Mid-level
- Office
- Paid parental leave
- Health savings account
Litigation Specialist - REMOTE
K2 Claims Services, LLC —Miami, FL
- $95,000 - $115,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Medicare Retention Specialist
Solis Health Plans —Doral, FL
- $20 - $21 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
Quick Apply
Revenue Cycle Specialist
SANITAS USA INC —Doral, FL
- Full-time
- Spanish
- English
- Mid-level
Quick Apply
4d
Fraud Specialist
BrightStar Credit Union —Cooper City, FL
- $23.80 - $29.32 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Health savings account
- Health insurance
3d
Revenue Cycle Specialist 3 - Legal Billing (H)
University of Miami —Medley, FL
- Full-time
- Hybrid work
- Management
- 5 years
- HIPAA
- Health insurance
- Dental insurance
Bilingual On-Site Account Specialist
The Standard —Miami, FL
- $66,000 - $96,250 a year
- Full-time
- Background check
- Spanish
- English
- Paid parental leave
- Paid holidays
12d
Payroll Specialist
Seaboard Marine —Miami, FL
- Extended hours
- Microsoft Word
- Spanish
- Microsoft Outlook
- Paid holidays
- Health insurance
Restoration Estimator & Insurance Claims Specialist
Paul Davis Restoration of Miami Beach and Hialeah FL —Hialeah, FL
- $75,000 - $95,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Paid time off
Quick Apply
Network Data Specialist II
Solis Health Plans —Doral, FL
- $25 - $27 an hour
- Full-time
- Mid-level
- 3 years
- Databases
Quick Apply
9d
Network Data Specialist I
Solis Health Plans —Doral, FL
- $22 - $24 an hour
- Full-time
- Ability to walk for extended periods
- Mid-level
- Office
Quick Apply
Payment Posting/Collections Specialist
Luis Hines & Associates P.A. —Miami, FL
- $20.00 - $29.25 an hour
- Part-time
- HIPAA
- Mid-level
- 3 years
- Flexible schedule
Quick Apply
8h
Legal Administrative Specialist
US Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys —Miami, FL
- $95,326 - $123,927 a year
- Online Application
- Background check
- Customer service
- Pass drug screening
5d
Insurance Specialist/ Front Desk
KYds Miami Therapy Center —Doral, FL
- $18 - $22 an hour
- Part-time
- Bilingual
- Spanish
- Inventory management
Quick Apply
5d
Compliance Specialist
Solis Health Plans —Doral, FL
- $60,000 - $70,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
Quick Apply
Payroll Specialist
Nord Anglia Education —Miami, FL
- Hybrid work
- Spanish
- English
- Mid-level
- 401(k)
Medicare DME Billing & AR Specialist
Valgorithm —Fort Lauderdale, FL
- Full-time
- Remote
- English
- Mid-level
- 2 years
Quick Apply
Medical Billing Specialist
N&Y Community Wellness Center Corp —Miami, FL
- $20 - $25 an hour
- Full-time
- Hybrid work
- Customer service
- Medical office experience
- Mid-level
- Paid time off
- Flexible schedule
Quick Apply
1d

I want to receive the latest job alert for claims specialist in doral, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims specialist jobs near doral, fl

Benefits Specialist

PL Developments LLC -
Doral, FL

Apply Now

Job Details

From $72,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Employee discount
Life insurance

Qualifications

Spanish
Confidential information handling
Spreadsheets
English

Full Job Description

PL Developments, also known as PLD, is a leading manufacturer, packager, and distributor of over-the-counter (OTC) pharmaceutical products and consumer healthcare goods

SUMMARY:

The Benefits Specialist administers and supports the day-to-day operations of employee benefits programs, leave of absence processes, and related Total Rewards activities. This role serves as a key resource to employees, managers, and HR partners by providing guidance on benefit plans, resolving complex inquiries, maintaining data integrity across HRIS and vendor systems, and supporting compliance, reporting, and open enrollment activities. The role also provides limited backup support for Workers’ Compensation and selected Total Rewards administration.

Work schedule: Monday- Friday / Hybrid Schedule

JOB QUALIFICATIONS:

Bachelor’s degree and 5+ years of progressive experience in benefits administration, HR operations, or a related Total Rewards function, or an equivalent combination of education and experience that provides comparable knowledge, skills, and abilities

Must be bilingual in English and Spanish

Experience with UKG preferred; strong proficiency in HRIS platforms, benefits administration systems, reporting tools, and Microsoft Excel required

Demonstrated ability to handle sensitive employee information with a high degree of confidentiality and attention to detail

Excellent written communication, planning, interpersonal, time management, analytical, problem-solving, and organizational skills

Demonstrated ability to interpret and explain benefit plan provisions, processes, and procedures to employees with a high level of subject matter knowledge

Strong working knowledge of leave of absence administration, including FMLA, ADA, disability, and related leave processes, preferred

Working knowledge of Workers’ Compensation processes, claims coordination, OSHA reporting requirements, and return-to-work accommodations preferred

Demonstrated flexibility and adaptability in managing changing priorities and tight deadlines

Exposure to compensation or broader Total Rewards reporting is preferred, including support for job data maintenance and standard reporting

Ability to travel occasionally, as needed

POSITION RESPONSIBILITIES:

Maintains advanced knowledge of the company’s benefit plans, wellness initiatives, program offerings, and applicable regulatory requirements, and serves as a subject matter resource for employees, managers, and HR partners

Develops, documents, and continuously improves procedures and internal controls to support efficient and compliant administration of employee benefits programs

Audits, processes, and updates employee benefit enrollments, changes, and terminations in carrier and benefits administration systems, and initiates related documentation as needed

Monitors HRIS and benefit administration systems, including UKG and carrier platforms, to ensure updates are accurately recorded, data integrity is maintained, and discrepancies are researched and resolved in a timely manner

Maintains effective working relationships with third-party benefit administrators, carriers, and external partners

Assists in the coordination, facilitation, and communication of benefit open enrollment and employee education meetings, as needed

Administers and coordinates leave of absence programs, including employee communication, documentation tracking, vendor coordination, and support for FMLA, ADA, disability, and related leave processes

Stays current on federal and state laws, regulations, and legislative changes affecting employee benefits and leave administration

Responds to employee benefit inquiries and provides clear guidance on available plans, coverage options, and employee cost structures

Communicates enrollment deadlines, required actions, and related benefit timelines to employees

Prepares benefits communication and educational materials to support employee understanding and program participation

Provides limited support for Total Rewards reporting and data administration, including standard reporting, data validation, and maintenance of job-related information as needed

Serves as backup support for Workers’ Compensation administration, including claims coordination, OSHA reporting follow-up, and return-to-work or accommodation documentation, as applicable

Travels occasionally, as needed, to support benefits administration or employee meetings

PHYSICAL REQUIREMENTS:

Primarily office-based work with occasional visits to manufacturing areas (PPE required)

Ability to lift, up to 25 pounds occasionally

Must be able to sit for extended periods of time

Occasional walking, climbing stairs, stooping, kneeling, or crouching

Starting Salary: $72,000

BENEFITS:
PLD is a proud employer offering many corporate benefits, including:

Medical and Dental Benefits

Vision

401K with employer match

Group Life Insurance

Flex Spending Accounts

Paid Time Off and Paid Holidays

Tuition Assistance

Corporate Discount Program

Opportunities to Flourish Within the Company

PL Developments is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

#HP1 (https://employers.indeed.com/reporting/ads/464f974b0b0f2295?startDate=2024-01-01&endDate=2024-01-18)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

claims specialist jobs in doral, fl

Benefits Specialist

Accounts Receivable Specialist

Specialist, Benefits Eligibility and Authorizations

Litigation Specialist - REMOTE

Medicare Retention Specialist

Revenue Cycle Specialist

Fraud Specialist

Revenue Cycle Specialist 3 - Legal Billing (H)

Bilingual On-Site Account Specialist

Payroll Specialist

Restoration Estimator & Insurance Claims Specialist

Network Data Specialist II

Network Data Specialist I

Payment Posting/Collections Specialist

Legal Administrative Specialist

Insurance Specialist/ Front Desk

Compliance Specialist

Payroll Specialist

Medicare DME Billing & AR Specialist

Medical Billing Specialist

I want to receive the latest job alert for claims specialist in doral, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected