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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
 

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