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Claims Representative

Palmetto Bay, FL 33176

Posted: 03/06/2024 Employment Type: Permanent Industry: Admin Job Number: MM9664401228 Pay Rate: $100000-120000 / year

Job Description

About: Seeking a motivated, service-oriented Claims Representative experienced in handling medical professional liability claims for a third-party administrator located in Florida. The Claims Representative will be responsible for managing the claims process and providing excellent customer service to our clients and vendors. 
Responsibilities: 
  • Solid working knowledge of the Healthcare insurance industry, products, policy language, coverage, and claim practices.
  • Solid verbal and written communication skills with the ability to develop positive working relationships, and summarize and present information to clients, claimants/counsel, and senior management as needed.
  • Ability to exercise independent judgment, 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.
  • Develop the ability to negotiate moderately complex settlements.
  • Adaptable to a changing environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.

Requirements: 
  • Bachelor's Degree. Medical background is a plus.
  • Ten years of relevant experience in claim handling.
  • Must have Florida Insurance Adjuster License. Multiple state licenses are a plus.
  • Professional designations are an asset but not required (e.g. CPHRM, CPCU).

Benefits:
  • 401(k)
  • Proft sharing plan
  • Health insurance
  • Paid time off

License/Certification:
  • Florida Insurance Adjuster License 
  • Multi-state licenses are a plus
 

Meet Your Recruiter

Maria Martinez
Talent Acquisition Manager

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About Palmetto Bay, FL

Unlock exciting career opportunities in Palmetto Bay, Florida! Nestled in Miami-Dade County, Palmetto Bay offers job seekers a perfect blend of suburban charm and urban convenience. This vibrant area boasts a thriving job market, excellent schools, beautiful parks like Ludovici Park, and easy access to stunning coastal beaches. Indulge in the region's diverse culinary scene, visit the Deering Estate for its historic architecture and lush landscaping, or catch a show at the South Miami-Dade Cultural Arts Center. Join us in exploring job openings in this enchanting community and embark on a fulfilling career journey in Palmetto Bay!