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50 claims processing jobs at 44 companies in Tamarac, FL

1mo
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Senior Claims Representative
Miami, Florida, United States
$137k-$205k/yr HybridFull Time
QBE Insurance Group
QBE Insurance GroupASX: QBE: Provides international general insurance and reinsurance products and services.
Oversee and process complex claims, supervise claims staff, develop claims processes; preferred tertiary degree, insurance designation or enrollment, and LATAM-qualified attorneys preferred.
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3mo
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Claims Adjudicator
Miami, Florida, United States
OnsiteFull Time
Beyond Risk
Beyond Risk: Provides alternative risk financing and insurance management solutions to businesses.
2+ YOEMinimum 2 years of claims processing experience; bilingual (Spanish or Portuguese); strong customer service; proficient in Microsoft Office; detail-oriented with ability to follow procedures.
Microsoft Office
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1mo
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Claims Correspondence Coordinator
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEHigh school diploma or equivalent (associate preferred); minimum 2 years claims processing or healthcare administration experience; proficiency with Microsoft Office Suite and claims management systems; experience processing UB04 and CMS 1500; familiarity with HIPAA preferred.
Microsoft Office Suite
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1w
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Claims Adjuster-Worker's Compensation
Fort Lauderdale, Florida, United States
$57k-$90k/yr OnsiteFull Time
Broward County
Broward County: Providing municipal administration and public infrastructure for the county.
4+ YOEFlorida All-Lines Adjuster license required, 4+ years adjusting workers' compensation/liability claims, valid Florida Class E driver’s license, experience with EDI/CMS and claim investigation/settlement processes.
EDI, CMS
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1mo
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Cargo Claims Specialist - Recovery
Plantation or United States or Canada
OnsiteFull Time
DHL Group
DHL GroupXetra: DHL: Global provider of logistics and postal services.
3+ YOE3+ years cargo claims or recovery experience; familiarity with transportation liability frameworks (COGSA, Montreal Convention, Carmack) preferred; strong English communication; claims process experience; logistics or marine insurance background advantageous.
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2mo
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Childcare Food Program Claims Rep
Fort Lauderdale, Florida, United States
OnsiteFull Time
Family Central
Family Central: Provides educational and family support services for children and families.
1+ YOEHigh school diploma; 1 year claims processing experience (2 years preferred); Florida driver’s license; strong communication; ability to work flexible hours; background screening required.
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1mo
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On-site Medical Claims Examiner
Miami, Florida, United States
OnsiteFull Time
Alivi
Alivi: Provides medical transportation coordination and healthcare benefit management.
3+ YOEHigh school diploma, 3+ years claims operations experience (Medicare) processing medical claims; knowledge of CPT/ICD-10/Revenue codes, Medicare fee schedules, and Excel/Office; strong analytical and communication skills.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Outlook, Health Suite
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Senior Data Engineer – EDI Claims Processing
Plantation, Florida, United States
OnsiteFull Time
NationsBenefits
NationsBenefits: Provides supplemental health benefits and fintech payment solutions.
5+ YOEBachelor's or equivalent, 5+ years data engineering experience, strong Databricks/PySpark/Delta Lake/SQL Server skills, deep knowledge of HIPAA X12 EDI and Medicaid encounter processing, claims validation and clearinghouse integration.
Databricks, PySpark, Delta Lake, SQL Server, T-SQL, Azure Databricks, HIPAA X12 EDI, HIPAA Suite, Availity, Change Healthcare, FHIR, HL7, Azure
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3w
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Third Party Claims Specialist-Finance-BHC
Fort Lauderdale, Florida, United States
OnsiteFull Time
Broward Health
Broward Health: Operates public hospitals and healthcare centers in South Florida.
1+ YOEReview, research, correct, and submit third‑party claim forms; high school diploma/GED and 1 year experience required; knowledge of claims processing and electronic transmission.
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2mo
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Claims Analyst (North Palm Beach, FL, US, 33408)
North Palm Beach, Florida, United States
OnsiteFull Time
NextEra Energy
NextEra EnergyNYSE: NEE: Generates, transmits, and distributes electric power and renewable energy.
3+ YOE3+ years claims experience in high-volume or fast-track environment; familiarity with BDX processing, FNOL, TPA coordination; strong Excel and data-ability; detail-oriented.
Microsoft Excel, BDX processing, TPA systems, claims management systems
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4d
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
ICE
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
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2mo
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Analyst, Claims Research
Miami, Florida, United States
OnsiteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
3+ YOEAt least 3 years of medical claims processing experience; multi-state exposure; data analysis; strong communication and organizational skills.
Microsoft Excel, Office Suite, Data analysis tools
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1mo
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Business Analyst I, II, III (Claims)
Boca Raton or Alabama or Arkansas or California or Connecticut or Florida or Georgia or Kentucky or Missouri or North Carolina or Nevada or Ohio or South Carolina or Tennessee or Texas or Virginia or Wisconsin
$80k-$109k/yr RemoteFull Time
Windward Risk Managers
Windward Risk Managers: Manages home insurance carriers and provides comprehensive operational support.
3+ YOEBachelor's degree or equivalent; experience as a claims systems business analyst in P&C homeowners/residential commercial; strong requirements elicitation, documentation, analysis, stakeholder communication, and regulatory/process knowledge.
Duck Creek, SugarCRM, ClickClaims, SQL, Microsoft Excel, Microsoft Visio, Jira
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2mo
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Claim Examiner I
Doral, Florida, United States
$19-$23/hr FieldFull Time
Solis Health Plans
Solis Health Plans: Provides personalized Medicare Advantage health insurance plans and services
2+ YOEHigh school diploma or equivalent; 2+ years claims processing experience in managed care; familiarity with Medicare/DSNP guidelines, CPT/HCPCS/ICD-10 coding, claims systems, and Microsoft Office; strong analytical and communication skills.
CPT, HCPCS, ICD-10, Microsoft Office
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2mo
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Quest Health Solutions LLC - RCM Insurance Specialist
Coral Springs or West Plains
OnsiteFull Time
Quest Health Solutions
Quest Health Solutions: Distributes continuous glucose monitoring systems and diabetes management supplies.
Healthcare revenue cycle, DME, insurance verification, payer configuration, Brightree, and claims processing experience.
Brightree, E-claim, Insurance verification, Payer configuration
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1w
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Distribution Associate
Miami, Florida, United States
$17-$22/hr OnsiteFull Time
Pantropic Power
Pantropic Power: South Florida's authorized Caterpillar dealer for power systems and engines.
Receive, inspect, and process incoming parts; fill backorders; pack and prepare orders for pickup or shipment; apply freight charges and process carrier claims.
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1w
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Grievance/Appeals Analyst I (US)
Mason or Salt Lake City or Miami or Indianapolis
RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEHS diploma/GED and minimum 3 years experience in grievances/appeals, claims, or customer service; business writing, analytical, and communication skills; familiarity with provider networks, claims and medical management processes.
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2mo
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Sales Representative
Pembroke Pines, Florida, United States
$40k/yr HybridFull Time
1-800 WATER DAMAGE
1-800 WATER DAMAGE: Provides emergency property restoration and disaster cleanup services.
Sales experience, ability to speak with homeowners, handle claims process, make calls, follow leads, close sales.
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3w
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Healthcare Configuration and Data Integrity Manager
Miami, Florida, United States
$60k-$70k/yr OnsiteFull Time
Provider Network Solutions
Provider Network Solutions: Manages medical provider networks and healthcare administrative services.
3+ YOE3-5 years claims processing experience, 1-2 years healthcare data management, knowledge of medical terminology/claims/COB/diagnosis coding, and advanced Microsoft Office skills (Outlook, Access, Excel, Word).
Microsoft Outlook, Microsoft Access, Microsoft Excel, Microsoft Word, TPA system
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1w
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Admin Clerical
Miramar, Florida, United States
OnsiteFull Time
Integrated Home Care Services
Integrated Home Care Services: Provides integrated home health, medical equipment, and infusion services.
Processing and verifying health plan claims, preparing and scanning supporting documentation, mailing records; familiarity with Brightree and MedTrac preferred.
Brightree, MedTrac
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