Top 153 Claims specialist Jobs in Brandon, Fl

Claim Specialist II or III (Florida WC)
MEMIC —Tampa, FL
- Remote
- Microsoft Word
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Logistics Management Specialist
US Air Combat Command —Macdill AFB, FL
- $49,960 - $122,703 a year
- Part-time
- Background check
- Writing skills
- Pass drug screening
REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)
JTS Health Partners —Riverview, FL
- $22 - $25 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Senior level
- Profit sharing
- Paid holidays
Quick Apply
ESIS Claims Specialist, AGL
Chubb —Tampa, FL
- Full-time
- 7 years
- Analysis skills
- Senior level
14d
Senior Specialist – HR Data Administration
l'Oréal —Tampa, FL
- Full-time
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
5d
Revenue Cycle Specialist - Ancillary
Florida Orthopaedic Institute —Temple Terrace, FL
- $20 an hour
- Remote
- Pass drug screening
- Research
- Mid-level
Quick Apply
7d
RCMS Configuration Specialist I
Qualifacts Systems, Inc. —Tampa, FL
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
7d
Senior Casualty Claims Specialist, Attorney Represented - Southeast
Liberty Mutual —Tampa, FL
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Associate Claims Specialist - Medical Only
PMA Companies —Tampa, FL
- High school diploma or GED
- Organizational skills
- Medical terminology
12d
Construction Defect Major Case Specialist
The Travelers Companies, Inc. —Tampa, FL
- $104,000 - $171,700 a year
- Hybrid work
- Customer service
- 3 years
- High school diploma or GED
- Wellness program
- Paid holidays
RCM Specialist I - Billing Support
PT Administrative Services LLC —Tampa, FL
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Communication skills
- Commuter assistance
- Health savings account
Quick Apply
Student Services Support Specialist
Hillsborough College —Tampa, FL
- $18.04 - $27.49 an hour
- Full-time
- Military
- Research
- Office
Office Services Specialist
Leading Edge Administrators LLC —Tampa, FL
- Overtime
- Microsoft Outlook
- Computer literacy
- Office
4d
REIMBURSEMENT RECOVERY SPECIALIST
Moffitt Cancer Center —Tampa, FL
- $21.12 - $32.24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Specialist - Product Engineering
LTM —Tampa, FL
- $90,032 - $134,200 a year
- 5 years
- Java
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
Medical Billing & Insurance Specialist Ophthalmology
Kaufman Eye Institute —Zephyrhills, FL
- Full-time
- Private practice
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
14d
HVAC Training Specialist - Bilingual (English/Spanish)
Tropic Supply Inc —Florida
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Patient Collections Specialist
Blackstone Medical Services —Tampa, FL
- Entry level
Accounts Payable Specialist II
Shriners Hospitals for Children —Tampa, FL
- $21.96 - $32.94 an hour
- Full-time
- Microsoft Word
- 18 years or older
- Microsoft Outlook
Quick Apply
Health Insurance Revenue Cycle Specialist
Blackstone Medical Services —Tampa, FL
- Office
- Entry level

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claims specialist jobs near brandon, fl

Claim Specialist II or III (Florida WC)

MEMIC -
Tampa, FL

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Job Details

Benefits

Paid parental leave
Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Flextime
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Pet insurance

Qualifications

Driver's License

Full Job Description

CANDIDATES MUST HAVE FL CLAIMS LICENSE AND EXPERIENCE

The Claim Specialist II or III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.

Principal Duties and Responsibilities
1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.
4. Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
5. Maintains quality claim files in accordance with appropriate best practices, and other company procedures.
6. Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate.
7. Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate.
8. Serves as a mentor and helps prepare/train the less experienced Claim Department representatives.
9. Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same.
10. Prepares and presents files for Agent/Broker Reviews and Insured File Review.
11. Understands medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
12. Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
13. Maintains a working knowledge of all computer systems currently in use.
14. Travels throughout States as required to handle claims inventory assigned.
15. Continues education in claims through Associate in Claims or Claims Law (AEI) courses.

Minimum Knowledge, Skills and Abilities
1. Three years of workers' compensation lost time and medical only claim handling experience preferred.
2. Bachelor's degree preferred.
3. Computer skills, Word, Excel and Image Right preferred.
4. Must have a valid driver's license.
5. Strong attention to detail and strong communication skills both verbal and written.
6. Adaptable/flexible and self-directed with the ability to manage time, multiple priorities and other resources wisely.
7. Must have the ability to work effectively with other organizational team members.

Our comprehensive benefits package includes all traditional offerings such as:

Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 6%, plus annual bonus based on individual & company performance.
5 weeks of Paid Time Off (PTO)
11 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
Sit-Stand desks & daily stretch breaks

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law.

Apply Now

Refine Your Search

claims specialist jobs in brandon, fl

Claim Specialist II or III (Florida WC)

Logistics Management Specialist

REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)

ESIS Claims Specialist, AGL

Senior Specialist – HR Data Administration

Revenue Cycle Specialist - Ancillary

RCMS Configuration Specialist I

Senior Casualty Claims Specialist, Attorney Represented - Southeast

Associate Claims Specialist - Medical Only

Construction Defect Major Case Specialist

RCM Specialist I - Billing Support

Student Services Support Specialist

Office Services Specialist

REIMBURSEMENT RECOVERY SPECIALIST

Specialist - Product Engineering

Medical Billing & Insurance Specialist Ophthalmology

HVAC Training Specialist - Bilingual (English/Spanish)

Patient Collections Specialist

Accounts Payable Specialist II

Health Insurance Revenue Cycle Specialist

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

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