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Palmetto Bay

    Claims Representative - Palmetto Bay, United States - CAREERXCHANGE, Inc.

    CAREERXCHANGE, Inc.
    CAREERXCHANGE, Inc. Palmetto Bay, United States

    2 weeks ago

    Default job background
    Permanent
    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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