Claims Processing Director jobs in Sarasota, 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)

A
Claims Associate
  • Ajax Paving Industries
  • Venice, FL OTHER
  • Application Instructions: Apply online at: https://www.ajaxpaving.com/florida/employment-fl.html


    Please complete the entire online application, sign and date the relevant sections, and then submit. You will receive a confirmation email after your online application has been submitted.

    If you cannot or do not wish to apply online, drop off or send printed applications to:

    Ajax Paving - Employment Office
    One Ajax Drive
    North Venice, FL 34275
    flemployment@ajaxpaving.com
    Fax: 941-486-3500


    Position Description: As a Claims Associate at Ajax Paving, your primary focus will be on managing and supporting our


    company’s claims process. You’ll work closely with our Safety Director to ensure efficient handling


    of claims related to our road construction and trucking projects. Below are the specific


    responsibilities and qualifications for this role:


    Duties & Responsibilities:
    1. Claims Processing:
    o Assist in processing and documenting claims related to Ajax Paving’s operations.
    o Collaborate with Ajax managers & supervisors to gather necessary information and documentation.
    o Maintain accurate records of claims, including correspondence, reports, and updates internal and
    with our insurance partners.
    o Ensure timely follow-up on outstanding claims.

    2. Communication and Coordination:
    o Communicate with internal stakeholders, including project managers, site supervisors, and legal
    teams.
    o Coordinate with external parties such as insurance providers, contractors, and regulatory
    agencies.
    o Handle inquiries related to claims status and provide updates as needed.

    3. Data Management:
    o Input claims data and updates into systems accurately.
    o Generate reports and summaries for management review.
    o Organize and maintain electronic and physical claim files.
    o Accurately preparing and transmitting all first reports of injury and for all lines of business.

    4. Administrative Support:
    o Assist with administrative tasks, including filing, organizing documents, and various projects
    and inquiries.
    o Fielding incoming calls and send out appropriate claim forms.
    o Responding to internal and external inquiries regarding claim status.
    o Requesting claim and other payments to be issued by Ajax.
    o Support the claims team during audits and investigations.
    o Maintain various department manuals and documents.

    5. Coaching and Feedback
    o Review in vehicle camera footage to develop and administer internal coaching
    o Administer internal driver scorecard program


    Position Requirements: Qualifications:

    1. Education:

    Minimum of a 2-year associates degree. Paralegal certificate or relevant prior claims experience is a plus.

    2. Skills:

    o Proficiency in Microsoft Office Suite (Word, Excel, Outlook). o Strong organizational skills and attention to detail.
    o Self-motivated with a high work ethic
    o Excellent communication and interpersonal abilities.


    3. Experience:
    o Prior experience in claims processing is a must.
    o Familiarity with insurance terminology and claims procedures


    Equal Opportunity Employer: Equal Opportunity Employer/Minorities/Women/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

  • 30 Days Ago

F
Manager, Liability Claims
  • FCCI Services Inc.
  • Sarasota, FL FULL_TIME
  • For over 60 years, FCCI Insurance Group has built a reputation on trust and relationships. As a leading super-regional property & casualty insurer with strong financials and excellent partnerships wit...
  • 20 Days Ago

I
Medical Claims Specialist
  • Intercoastal Medical Group
  • Sarasota, FL FULL_TIME
  • Intercoastal Medical Group, Inc. is seeking an experienced Medical Claims Denial Specialist for a multispecialty practice. The specialist is responsible for managing claim denials, submitting medical ...
  • 27 Days Ago

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Processing Clerk II
  • Sarasota County
  • Sarasota, FL FULL_TIME
  • PURPOSE: This is an essential position responsible for performing a complete range of essential administrative duties for the Court Processing division. The ideal candidate requires diligence for anal...
  • 16 Days Ago

C
Submission Processing - Coins Cataloger
  • Certified Collectibles Group
  • Sarasota, FL FULL_TIME
  • Submission Processing - Coins Cataloger (Starting at $16.00) Certified Collectibles Group (CCG) is a multi-divisional global organization that specializes in the third-party expert authentication, gra...
  • 17 Days Ago

S
Processing Clerk II
  • Sarasota County Clerk and Comptroller
  • Sarasota, FL FULL_TIME
  • PURPOSE: This is an essential position responsible for performing a complete range of essential administrative duties for the Court Processing division. The ideal candidate requires diligence for anal...
  • 17 Days Ago

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0 Claims Processing Director jobs found in Sarasota, FL area

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CX Division Manager
  • Zelis
  • Saint Petersburg, FL
  • Position Overview The CX Division Manager performs day-to-day management of overall project operations during the implem...
  • 4/24/2024 12:00:00 AM

S
Appeals Specialist I
  • SSC - Sarasota
  • Sarasota, FL
  • Essential Duties and Responsibilities (List in order of importance or percentage of time spent on the particular respons...
  • 4/23/2024 12:00:00 AM

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Safety Director
  • AEG
  • Palmetto, FL
  • In order to be considered for this role, after clicking "Apply Now" above and being redirected, you must fully complete ...
  • 4/23/2024 12:00:00 AM

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Home Health RN Executive Director Operations Full Time
  • Aveanna Healthcare
  • Sarasota, FL
  • *** This position is salaried and has a 10% bonus incentive plan *** Position Overview: The RN Executive Director is dir...
  • 4/22/2024 12:00:00 AM

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Corporate Safety Manager
  • Ceres Environmental Services
  • Sarasota, FL
  • Position: Corporate Safety Manager Company: Ceres Environmental is a diverse privately-held company with operations that...
  • 4/22/2024 12:00:00 AM

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Client Manager, Commercial Risk-BKS Partners
  • Baldwin Risk Partners
  • Tampa, FL
  • BKS Partners is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Comm...
  • 4/22/2024 12:00:00 AM

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PATIENT SERVICES MANAGER - TAMPA BAY AREA
  • Florida Orthopaedic Institute
  • Tampa, FL
  • Job Details Position Type Full Time Education Level Bachelors Degree Travel Percentage None Job Shift Day Description In...
  • 4/22/2024 12:00:00 AM

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Historical Resources Division Manager
  • Manatee County, FL
  • Bradenton, FL
  • Salary: $76,330.80 - $118,219.92 Annually Location : Bradenton, FL Job Type: Full-Time (Salaried) Job Number: 24-00266 D...
  • 4/21/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$150,839 to $202,698
Sarasota, Florida area prices
were up 1.5% 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.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020