Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to ...
Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to ...
Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to ...
Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to ...
Claims Adjustor (BI)
Oakland Park, FL · Remote
... coordinating with counsel on the defense of claims. There is a preference for someone on the east ... Experience in conflict resolution * Strong negotiation skills * Excellent written and verbal ...
Quick apply
Claims Adjustor (BI)
Oakland Park, FL · Remote
... coordinating with counsel on the defense of claims. There is a preference for someone on the east ... Experience in conflict resolution * Strong negotiation skills * Excellent written and verbal ...
Claims Adjuster (Bodily Injury)
Oakland Park, FL · On-site +1
... coordinating with counsel on the defense of claims. There is a preference for someone in FL but ... Experience in conflict resolution * Strong negotiation skills * Excellent written and verbal ...
Quick apply
Claims Adjuster (Bodily Injury)
Oakland Park, FL · On-site +1
... coordinating with counsel on the defense of claims. There is a preference for someone in FL but ... Experience in conflict resolution * Strong negotiation skills * Excellent written and verbal ...
General Liability Claims Consultant
Lake Mary, FL · Hybrid
$72K - $141K/yr
The position is responsible for coordinating all aspects of the claim resolution process in ... Manages highly complex investigations of claims, including coverage issues, liability ...
General Liability Claims Consultant
Lake Mary, FL · Hybrid
$72K - $141K/yr
The position is responsible for coordinating all aspects of the claim resolution process in ... Manages highly complex investigations of claims, including coverage issues, liability ...
... timely resolution of claims issues, disputes and appeals. The Claims Correspondence Coordinator ... acts as a liaison to clarify claim statuses, respond to inquiries, and support disputes and appeals ...
... timely resolution of claims issues, disputes and appeals. The Claims Correspondence Coordinator ... acts as a liaison to clarify claim statuses, respond to inquiries, and support disputes and appeals ...
These claims can be highly complex in nature and valued in the multi-million dollar range ... of resolution strategies and strategic coordination with counsel, insureds, brokers and other ...
These claims can be highly complex in nature and valued in the multi-million dollar range ... of resolution strategies and strategic coordination with counsel, insureds, brokers and other ...
These claims can be highly complex in nature and valued in the multi-million dollar range ... of resolution strategies and strategic coordination with counsel, insureds, brokers and other ...
These claims can be highly complex in nature and valued in the multi-million dollar range ... of resolution strategies and strategic coordination with counsel, insureds, brokers and other ...
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Senior Property Adjuster
Tampa, FL · Remote
Partners with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Quick apply
Senior Property Adjuster
Tampa, FL · Remote
Partners with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and ...
Claims Manager
West Palm Beach, FL · On-site
... resolution. This is a hands-on position that will work directly with Team Members, managers ... and coordination responsibilities as needed Benefits: * Competitive Health & Welfare Benefits ...
Claims Manager
West Palm Beach, FL · On-site
... resolution. This is a hands-on position that will work directly with Team Members, managers ... and coordination responsibilities as needed Benefits: * Competitive Health & Welfare Benefits ...
Claims Manager
West Palm Beach, FL · On-site
... resolution. This is a hands-on position that will work directly with Team Members, managers ... and coordination responsibilities as needed Benefits: * Competitive Health & Welfare Benefits ...
Claims Manager
West Palm Beach, FL · On-site
... resolution. This is a hands-on position that will work directly with Team Members, managers ... and coordination responsibilities as needed Benefits: * Competitive Health & Welfare Benefits ...
Claims Manager
Miami, FL · On-site
$1.0K/wk
The Credit and Collection Manager - Claims has the responsibility of leading and coordinating ... resolution of claims, thus contributing to cash flow and customer satisfaction. Main ...
New
Claims Manager
Miami, FL · On-site
$1.0K/wk
The Credit and Collection Manager - Claims has the responsibility of leading and coordinating ... resolution of claims, thus contributing to cash flow and customer satisfaction. Main ...
New
Claims Resolution Coordinator information
What does a claims resolution coordinator do?
A Claims Resolution Coordinator is responsible for reviewing, investigating, and resolving insurance or billing claims that have been denied, delayed, or are otherwise outstanding. They work closely with insurance companies, healthcare providers, and patients to gather necessary information and documentation, ensuring claims are processed correctly and efficiently. Their goal is to minimize claim denials and maximize reimbursement by identifying and addressing issues in the claims process. Effective communication, attention to detail, and a thorough understanding of insurance policies and billing procedures are essential in this role.
What are the key skills and qualifications needed to thrive as a claims resolution coordinator?
To thrive as a Claims Resolution Coordinator, you need strong analytical abilities, attention to detail, and knowledge of insurance or healthcare claims processes, often supported by a relevant associate’s or bachelor’s degree. Familiarity with claims management software, billing systems, and regulatory compliance tools is typically required. Excellent communication, problem-solving skills, and the ability to manage conflict set top performers apart in this role. These skills are crucial for ensuring timely and accurate claim resolution, reducing errors, and maintaining positive relationships with clients and stakeholders.
What are some common challenges faced by claims resolution coordinators when working with insurance providers and clients?
Claims Resolution Coordinators often encounter challenges such as navigating complex policy details, managing tight deadlines, and communicating effectively with both insurance providers and clients who may be frustrated or anxious about their claims. Coordinators must be adept at problem-solving and remain patient and empathetic while gathering documentation, clarifying coverage, and negotiating settlements. Collaboration with other departments, such as billing or legal, is common to help resolve discrepancies and ensure a smooth claims process.
What is the difference between Claims Resolution Coordinator vs Claims Adjuster?
| Aspect | Claims Resolution Coordinator | Claims Adjuster |
|---|---|---|
| Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; insurance licensing often required |
| Work Environment | Office setting, team collaboration, customer service focus | Office or field work, investigating claims, interacting with claimants and providers |
| Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Primary Responsibilities | Coordinate claim resolution processes, communicate with claimants, ensure timely processing | Evaluate damages, determine claim validity, authorize payments |
The Claims Resolution Coordinator primarily focuses on coordinating and facilitating the claims process, ensuring smooth communication and resolution. In contrast, Claims Adjusters evaluate claims directly, investigate damages, and make payment decisions. Both roles are essential in the insurance industry but differ in their core functions and responsibilities.
Is claims processing a stressful job?
Claims resolution coordinators often handle complex cases and tight deadlines, which can contribute to workplace stress. The job requires strong organizational skills and attention to detail, and workload fluctuations may also impact stress levels. However, many find the role manageable with proper training and support systems in place.
What are the most commonly searched types of Claims Resolution jobs in Florida?
The most popular types of Claims Resolution jobs in Florida are:
What are popular job titles related to Claims Resolution Coordinator jobs in Florida?
For Claims Resolution Coordinator jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Claims Resolution Coordinator jobs in Florida look for?
The top searched job categories for Claims Resolution Coordinator jobs in Florida are:
What cities in Florida are hiring for Claims Resolution Coordinator jobs?
Cities in Florida with the most Claims Resolution Coordinator job openings:
Job description
Overview
Responsibilities
Qualifications
Work alongside an engaged onsite team focused on claims resolution, compliance, and customer service excellence.
???? Work Style: Onsite
???? Location Requirement: Gainesville, FL
???? FTE: Full-Time (1.0 FTE)
Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from claimants and related parties. Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to supporting audit and regulatory requirements.
Responsibilities
Key Responsibilities
• Manages and evaluates insurance claims for accuracy and timely processing.
• Investigates claims and negotiates settlements.
• Responds to inquiries from claimants and related parties.
• Assists clients in submitting claims correctly.
• Coordinates with internal teams to facilitate claim resolution.
• Maintains detailed records and verifies claim compliance.
Qualifications
Education
- High School Diploma/Equivalent
Required Skills & Qualifications
- 2+ years of experience in insurance claims processing and support
- Knowledge of insurance policies and claim adjudication
- Experience investigating and resolving claim issues
- Strong communication and customer service skills
- Ability to maintain detailed records and ensure compliance
Preferred Experience
- Experience verifying patient insurance eligibility and working with commercial and government payers, including BCBS, Medicare, Medicaid, and third-party insurance carriers preferred
- Epic experience required, with familiarity using computerized insurance billing systems and Microsoft Office programs preferred
- Strong communication, organizational, and problem-solving skills with the ability to work independently in a fast-paced environment
- Above-average math aptitude with strong attention to detail and accuracy
- Ability to interact professionally with patients, payers, and internal teams while exercising sound judgment in account resolution
- Knowledge of medical terminology preferred
- Demonstrated ability to consistently achieve performance expectations while managing multiple priorities under pressure
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958