Top 111 Claims specialist Jobs in Winter Park Fl

Workers Compensation Claims Specialist, Disposition
CNA Insurance —Lake Mary, FL
- $54,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Experience equivalent to degree accepted
Credentialing Specialist/Medical Biller
Center for Pain Management —Winter Park, FL
- $21 - $23 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Databases
- Health insurance
- Dental insurance
1d
Medical Billing Specialist - Medical Equipment
Collaborative, LLC —Lake Mary, FL
- From $25 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Dental insurance
Quick Apply
11d
Senior Casualty Claims Specialist - Southeast
Liberty Mutual —Lake Mary, FL
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
4d
Multi-Line Claim Specialist (Product)
CCMSI —Maitland, FL
- $68,500 - $85,000 a year
- Full-time
- Hybrid work
- Spanish
- Computer literacy
- Writing skills
- Paid holidays
- Disability insurance
Claims Specialist - Professional Liability
Tokio Marine North America (TMNA) —Lake Mary, FL
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Claims Specialist - Professional Liability
Philadelphia Insurance Companies (PHLY) —Lake Mary, FL
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Health insurance
- Tuition reimbursement
Claims Specialist II - Veterans Disability Appeals
Allsup Employment Services —Orlando, FL
- $17 - $21 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
MEDICAL BILLING SPECIALIST
Aspire Health Partners —Orlando, FL
- $18 an hour
- Full-time
- Adults
- Mid-level
- Driver's License
- 403(b) matching
- Health savings account
Quick Apply
Insurance Verification Specialist - Specialty Pharmacy
AssistRx —Orlando, FL
- $39,520 - $45,760 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Consumer Access Specialist
Advent Health Altamonte Springs —Altamonte Springs, FL
- From $23.34 an hour
- Full-time
- Microsoft Outlook
- Administrative experience
- Typing
Quick Apply
Auto and General Liability Claims Specialist
The Hartford —Lake Mary, FL
- $107,600 - $161,400 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
11d
Access Center Specialist I (Primary Care)
Nemours —Orlando, FL
- Full-time
- Hybrid work
- Medical office experience
- Primary Care
- High school diploma or GED
2d
Reimbursement Specialist
COPILOT Provider Support Services LLC —Maitland, FL
- HIPAA
- Research
- Mid-level
Quick Apply
Claims Specialist
ODC Construction —Orlando, FL
- Full-time
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
1d
Client Operations Specialist - Wealth Management
The LifeWealth Group —Winter Garden, FL
- $50,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Licensed Clinical Social Worker/Licensed Professional Counselor
Feeling Good Psychotherapy —Florida
- $48 - $50 an hour
- Contract
- Remote
- Licensed Clinical Social Worker
- HIPAA
- Clinic experience
- Disability insurance
- Health insurance
Quick Apply
9d
Experienced Paralegal – Litigation – Casualty / Professional Liability – Orlando, FL
Marshall Dennehey —Orlando, FL
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Free parking
- Paid holidays
Quick Apply
Blended Claims Specialist, Construction
CNA Insurance —Lake Mary, FL
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Experience equivalent to degree accepted
11d
Payroll Specialist/HR Assistant
Bay Hill Club & Lodge —Orlando, FL
- $21 - $23 an hour
- Full-time
- Computer literacy
- Employment & labor law
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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Workers Compensation Claims Specialist, Disposition

CNA Insurance -
Lake Mary, FL

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Job Details

Full-time
$54,000 - $103,000 a year

Qualifications

Mid-level
Organizational skills
2 years
Communication skills
Time management

Full Job Description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).

JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
May serve as a mentor/coach to less experienced claim professionals

May perform additional duties as assigned.

Reporting Relationship

Typically Manager or above

Skills, Knowledge & Abilities

Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
Demonstrated ability to develop collaborative business relationships with internal and external work partners.
Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
Demonstrated investigative experience with an analytical mindset and critical thinking skills.
Strong work ethic, with demonstrated time management and organizational skills.
Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Developing ability to negotiate low to moderately complex settlements.
Adaptable to a changing environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas

Education & Experience:

Bachelor's Degree or equivalent experience.
Typically a minimum four years of relevant experience, preferably in claim handling.
Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Professional designations are a plus (e.g. CPCU)

#LI-AR1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected]

Apply Now

Refine Your Search

claims specialist jobs in winter park fl

Workers Compensation Claims Specialist, Disposition

Credentialing Specialist/Medical Biller

Medical Billing Specialist - Medical Equipment

Senior Casualty Claims Specialist - Southeast

Multi-Line Claim Specialist (Product)

Claims Specialist - Professional Liability

Claims Specialist - Professional Liability

Claims Specialist II - Veterans Disability Appeals

MEDICAL BILLING SPECIALIST

Insurance Verification Specialist - Specialty Pharmacy

Consumer Access Specialist

Auto and General Liability Claims Specialist

Access Center Specialist I (Primary Care)

Reimbursement Specialist

Claims Specialist

Client Operations Specialist - Wealth Management

Licensed Clinical Social Worker/Licensed Professional Counselor

Experienced Paralegal – Litigation – Casualty / Professional Liability – Orlando, FL

Blended Claims Specialist, Construction

Payroll Specialist/HR Assistant

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