Claims Processing Director jobs in Clearwater, FL

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Underwriter - Personal Injury Attorney
  • US Claims Capital LLC
  • Clearwater, FL FULL_TIME
  • JOB SUMMARY

    US Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for people who are excited by the opportunity to join us! Offering an innovative environment guided by outstanding leadership, it is a perfect platform to demonstrate your talent and build your career. Energized by the challenges and rewards ahead, we are a passionate team that will continue working on the exponential growth of our business. We are currently hiring an experienced Underwriter to join our team.

    The Underwriter will work closely with a team of underwriters to review personal injury cases for pre-settlement litigation funding nationwide, with a heavy emphasis in NY. All personal injury case types are reviewed with emphasis on motor vehicle accidents, labor law, premises liability and civil rights cases. This is a salary-based position with annual bonus potential and full company benefits.

    You MUST HAVE PERSONAL INJURY EXPERIENCE to be considered for this role.


    RESPONSIBILITIES AND DUTIES

    • Conduct comprehensive evaluations of personal injury cases. Assessments will require the examination of the handling attorney, venue, docket, case facts, legal issues, causation, medical records, insurance coverage, and due diligence background searches.
    • Review and interpret legal documents, background records, and other necessary information to make funding decisions.
    • Work closely with lawyers and claimants to gather all necessary information and documentation.
    • Assign gross estimated case values, taking into consideration anticipated liens, as well as other potential liabilities.
    • Build and maintain relationships with law firms and legal professionals.
    • Carefully and confidently conclude final funding decisions.
    • Utilize a CRM database to enter underwriter evaluations.
    • Attend weekly underwriting meetings and lunch and learns
    • Collaborate with the underwriting team on specific cases and review guidelines for specific case types.
    • Other duties as assigned.

    EDUCATION, SKILL & EXPERIENCE REQUIREMENTS

    Juris doctorate degree, paralegal certificate, and/or experience working with personal injury cases.

    • Strong understanding of legal terminology and processes.
    • Excellent analytical, decision-making, and risk assessment skills.
    • Ability to locate and review state court dockets and federal dockets on Pacer.
    • Ability to assign venue-specific case values after appropriate training, with heavy NY emphasis;
    • Ability to work in a fast-paced environment while maintaining professional, quality legal work product;
    • Ability to speak with attorneys regarding case facts and procedural history, and to identify key information and documents needed to finalize review.
  • 2 Days Ago

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Processing technician
  • Octapharma
  • Dunedin, FL FULL_TIME
  • Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. You can, too! There are so many ways Octa...
  • 23 Days Ago

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Processing Technician
  • Default Board
  • Dunedin, FL FULL_TIME
  • Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You can, too!] There are so many ways Oc...
  • 1 Day Ago

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Claims Manager
  • BayCare
  • Clearwater, FL FULL_TIME
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatie...
  • 3 Days Ago

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Claims Assistant
  • Frank Winston Crum Insurance
  • Clearwater, FL TEMPORARY
  • FrankCrum is a Top Workplace!Frank Winston Crum Insurance (FWCI) issues Workers’ Compensation and General Liability policies by offering flexible coverage and payment options to meet the varied needs ...
  • 13 Days Ago

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Claims Representative
  • Auto-Owners Insurance Company
  • Clearwater, FL FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 1 Month Ago

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0 Claims Processing Director jobs found in Clearwater, FL area

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Injury Adjuster - FPI
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 3/28/2024 12:00:00 AM

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Entry-Level Claims Adjuster
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. We have an important mission: serving the members of the military commu...
  • 3/28/2024 12:00:00 AM

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Foreman - Sanitation
  • City of Treasure Island
  • Saint Petersburg, FL
  • Foreman - Sanitation Print (https://www.governmentjobs.com/careers/mytreasureisland/jobs/newprint/4397675) Apply ? Forem...
  • 3/28/2024 12:00:00 AM

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Bilingual Employee Benefits Specialist
  • Higginbotham Insurance Agency
  • Saint Petersburg, FL
  • Higginbotham, a privately held, independent insurance and financial services firm that ranks within the top 20 nationwid...
  • 3/28/2024 12:00:00 AM

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Experienced Auto Adjuster (Non-Injury)
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 3/26/2024 12:00:00 AM

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Manager, Claims Operations - Auto Non-Injury (Tampa)
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 3/26/2024 12:00:00 AM

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Director, P&C Pricing and Reserving Actuary - Loss Reserving
  • USAA
  • Tampa, FL
  • Why USAA? At USAA, we have an important mission: facilitating the financial security of millions of U.S. military member...
  • 3/25/2024 12:00:00 AM

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City Manager
  • City of Treasure Island
  • Saint Petersburg, FL
  • City Manager Print (https://www.governmentjobs.com/careers/mytreasureisland/jobs/newprint/4427655) Apply ? City Manager ...
  • 3/25/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$149,972 to $201,528
Clearwater, Florida area prices
were up 1.1% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
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Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020