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Claims Service Manager Jobs in Florida (NOW HIRING)

Amwins Self-Funded is looking for a Claims Manager to lead and support a dedicated claims team, strengthen day-to-day operations, and help deliver exceptional service to our clients and partners.

POSITION SCOPE AND ORGANIZATIONAL IMPACT Moss' Claims Manager directs and oversees the operations of insurance claims to meet operation, financial, and service requirements. This position will work ...

POSITION SCOPE AND ORGANIZATIONAL IMPACT Moss' Claims Manager directs and oversees the operations of insurance claims to meet operation, financial, and service requirements. This position will work ...

Manage and coordinate any insurance brokers' or insurance adjuster claims services and report status to the department head and others as needed * Manage, coordinate, and distribute all claims ...

... service by efficiently handling inbound calls from policyholders, contractors, and public adjusters ... Ability to manage multiple priorities within a fast paced and high-volume environment * Ability to ...

Submits all service warranty and Product Improvement Program claims within the required timeframe ... Manages recruiting, staffing and employee development activities for employees reporting to this ...

Overview At Gallagher, we're looking for a Client Service Manager to join our Commercial team. In ... Identify gaps in coverage, review claims, secure existing business, and drive the sale of ...

Overview At Gallagher, we're looking for a Client Service Manager to join our Commercial team. In ... Identify gaps in coverage, review claims, secure existing business, and drive the sale of ...

New

Bachelor's degree with minimum 1+ years client service and/or claims management experience OR- High School degree/GED with a minimum of 3+ years client service and/or claims management experience

Other duties include customer relations, reviewing all billing and warranty claims, interaction with the other managers in respect to their warranty and service needs. Responsible for making sure ...

Other duties include customer relations, reviewing all billing and warranty claims, interaction with the other managers in respect to their warranty and service needs. Responsible for making sure ...

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Claims Service Manager information

What is the difference between Claims Service Manager vs Claims Adjuster?

AspectClaims Service ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree and industry certificationsOften requires a high school diploma or equivalent; certifications like CPCU are common
Work EnvironmentSupervises claims teams, manages customer service, and oversees claims processesInvestigates claims, assesses damages, and determines claim validity
Industry UsageUsed in insurance companies to manage claims departmentsUsed across insurance companies to handle individual claims
Search & Comparison IntentPeople comparing managerial roles in claimsIndividuals seeking to understand claims investigation roles

The Claims Service Manager focuses on overseeing claims teams and ensuring excellent customer service, while Claims Adjusters handle the investigation and evaluation of individual claims. Both roles are essential in the insurance industry but differ in responsibilities and scope.

Claims Clerk I

Miami Lakes, FL β€’ On-site

$35K - $40K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 25 days ago


Job description

Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk. 

Responsibilities

  • Answer, screen and transfer inbound phone calls
  • Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.)
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Work claims files to ensure the appropriate eligibility and provider records are matched
  • Updates and maintains database as requested
  • Scan, rename and attach documents
  • Assist on different projects as instructed

Qualifications and Skills

  • High School or equivalent
  • 1+ years of experience in customer service
  • Excellent attention to detail and accuracy
  • Familiarity with insurance and medical terminology
  • Strong communication and interpersonal skills
  • Ability to work independently and as part of a team

Company Description

Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin.

QHM delivers highly personalized health management on each and every case. Our service includes:

Extensive worldwide network of providers
Efficient claims service and custom claims re-pricing
Experienced medical case management
Superior account management and 24 hour member service
Specialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits