Claims and Policy Processor Jobs in Florida

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Description Must handle all aspects of revenue cycle in the Nextgen system for new physician practice. Charge entry, claims processing, payment posting, insurance collections and follow-up and patient statements and follow-up. Qualifications Education: High school, college degree preferred. Experience: Minimum 4-6 years experience in all aspects of medical billing and collection....
Adjudication of medical insurance claims utilizing payer specific polices and procedures for which specific training is provided. PREFERRED QUALIFICATIONS: Claims processing, medical billing and MUST HAVE: CPT,HCPCS and ICD-9 CMS 1500 and/or CMS 1450 claims Medicare billing Strong experience in the analysis and processing of claims, utilization review/quality assurance procedures, CMS payment meth...
Florida Farm Bureau Insurance Company, a subsidiary of Southern Farm Bureau Insurance has been serving our citizens/members in the state of Florida for over 50 years, providing protection from risk. Joining our business offers you family oriented management with long-term growth potential and stability. We currently have an opening for a Multi-Lines Claims Adjuster Trainee (see job description bel...
Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...
Nationwide Insurance is currently looking to hire several individuals for our Casualty Bodily Injury Claims organization in Gainesville, FL. This is an inside (desk adjuster) position. Previous casualty claims processing/handling experience is highly preferred. Two to three years of customer service preferred. College (4 year) degree highly preferred. Candidates bilingual in Spanish a plus. This p...
Organized in 1953,ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...
RESPONSIBILITIES: Our client is seeking Homeowner Claims Representatives for their Lake Mary, Florida (FL) location. Scope of responsibilities include: First party property claims Analyze an insurance policy and review an estimate Assist in insurance adjustment processes and requirements Organize and maintain information needed in the performance of specific work tasks The hours for this role can...
Liberty Mutual Insurance At Liberty Mutual Insurance, doing the right thing is essential to all that we do. Our commitment to building and sustaining a talented and diverse workforce has helped us to become a global leader in property and casualty insurance. As of December 31, 2012, Liberty Mutual Insurance had $36.9 billion in annual consolidated revenue. Our financial strength and profitability...
INTERNATIONAL AUTO LOGISTICS JOB DESCRIPTION JOB TITLE: Claims Analyst CLASSIFICATION: Administrative Support DEPARTMENT: Claims STATUS: Salary JOB SUMMARY: The Claims Analyst is responsible for the investigation, negotiation and resolution of claims in accordance with company policy provisions and best practices. Includes the input of claim data and guiding customers through the claim process. RE...
POSITION PURPOSE: To analyze and evaluate claims and assure that the adequate amounts are paid, denied, and/or applied toward deductible. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Review claim to verify claim entered with correct information vs submitted physical bill Confirm policy eligibility, review against policy permanent exclusions, and/or general policy exclusions, as well as identify poss...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Our claims operations, including our Senior Claims Business Process Consultants, are the focal poin...
JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution commercial property damage claims predominantly of a moderate to serious nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization. JOB RESPONSIBILITIES: 1. Handles to conclusion moderate to serious complexity commercial propert...
JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution commercial property damage claims predominantly of a moderate to serious nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization. JOB RESPONSIBILITIES: 1. Handles to conclusion moderate to serious complexity commercial propert...
GAINSCO Auto Insurance markets non-standard private passenger automobile products through retail agencies, in Texas, New Mexico, Arizona, Oklahoma, Florida, Georgia, South Carolina, and Virginia. GAINSCO Auto Insurance has fully integrated insurance capabilities, including marketing, underwriting, customer service and claims handling. Our operations are bilingual (English/Spanish). Job Purpose: To...
Job Title: Senior Claims Examiner Reports to: Claims Manager Classification: Exempt Position Type: Full-Time Job Description Who we are Built on a foundation of traditional community values, Sawgrass Mutual is a policyholder owned insurance company - neighbors helping neighbors. Sawgrass Mutual exists solely to serve the insurance needs of our policyholders, not to provide investment profits to sh...
SUMMARY: Direct responsibility for claims starting with contacting insured on receipt of loss through claim resolution. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned to meet the business needs. ·Proper investigation, adequate reserving and expeditious adjustment of claims ·Recommends claim payments to policyholders and claimants ·Handles claims within po...
-Manager to oversee a unit of 5-8 people and their respective caseloads. Oversee all aspects of file handling on pending claims which includes: facts of loss, coverage analysis, investigation, negligence/compensability/liability determinations, damage assessment and coordination of medical care as appropriate. Approve and monitor litigation management, settlement negotiations, and appropriate use...
Company Confidential Tallahassee, FL
Job Description: Handle a caseload of approximately 150 pending claims that encompass all levels of complexity. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of a...
At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...
Description: Position Description: A claims testing quality analyst is involved in every phase of the software quality product development cycle, defines and implements test plans and strategies. Positions in this function are involved in developing and implementing efficient and effective test plans for new systems problems and/or enhancements. Includes understanding of QA methodology, processes...
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Business Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Florida
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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