Insurance Claims Coordinator jobs in Miami, FL

Insurance Claims Coordinator is responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims for an organization. Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims. Being an Insurance Claims Coordinator reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution. Typically requires an associate degree or its equivalent. Additionally, Insurance Claims Coordinator typically reports to a manager. The Insurance Claims Coordinator gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. To be an Insurance Claims Coordinator typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Claims Advocate - Commercial insurance (South Florida location)
  • Insurance Office of America
  • Doral, FL FULL_TIME
  • Title: Claims Advocate

    Welcome to Insurance Office of America – one of the nation’s largest and premier privately held insurance agencies! Recognized as a Top Workplaces USA Award winner, IOA’s commitment to both a rewarding culture and employee satisfaction is unwavering. Prioritizing a strong work/life balance, personal and professional growth, competitive benefits, and giving back to our community aren’t just clichés here – they’re a part of who we are. With a growing workforce and over 60 office locations across the US and Northern Ireland, we can confidently serve our clients with an unmatched standard of excellence.

    Want to learn more? Complete the application below and one of our talented recruiters will be ready to answer any other questions you may have.

    Job Summary
    Responsible for IOA insurance Claims Management activities including: Client advocacy, service and communication; problem claim resolution; data analysis/action; monitoring triggered activities; claims reviews/audits; work comp claim monitoring and resolution; reserve analysis; unit stat and stewardship reporting; client education/consulting; sales support; litigation process management; new client onboarding; Intake process support; team leadership; individual productivity, quality, and service levels; data management/entry; Producer communication; team and individual professional development; identification of sales opportunities; IOA core values.

    What You’ll Do:
    • Live and champion IOA core values at all times, demonstrating the highest levels of personal character, integrity, and servant leadership.
    • Meet all performance requirements regarding production, quality, and service.
    • Deliver outstanding client service at all times, including proactively anticipating client needs, maintaining frequent and professional client communication, and responding quickly to any service requests.
    • Serve as a client advocate, continually providing high levels of ongoing client support while identifying and implementing actions in the best interest of clients.
    • Provide leadership to claims team, demonstrating a strong work ethic, positive attitude, and willingness to assist others at all times.
    • Exercise discretion and independent judgment to ensure beneficial outcomes for clients and IOA.
    • Actively seek to grow IOA business, including identifying and acting on sales opportunities.
    • Aggressively manage any problem claims to ensure timely resolution and optimize outcomes.
    • Regularly review aggravated inequity loss reports and take appropriate action on findings.
    • Monitor triggered activities on an ongoing basis, and identify and execute appropriate courses of action to ensure resolution.
    • Conduct/participate in claims reviews and perform claims audits as required.
    • Monitor workers compensation claims via the IOA Claims Portal and identify/take appropriate action to drive them to closure.
    • Perform reserve analysis to ensure accurate and timely case reserves in keeping with claims best practices.
    • Prepare and deliver unit stat reporting.
    • Develop and maintain positive relationships and communication with carriers necessary to effectively negotiate and influence positive claim outcomes on behalf of clients.
    • Serve as intermediary between clients and carriers, working to facilitate mutually beneficial claims resolutions.
    • Provide ongoing internal and external client education regarding any statute changes and state specific claims procedures best practices, including claim reporting, claim investigation, return to work, and continued claims handling.
    • Develop and maintain a comprehensive knowledge of all Risk Services offerings including RiskScore®, and provide consultation on and market those offerings to internal/external customers.
    • Identify claims trends, make client recommendations to promote safe work environments and mitigate exposures, and collaborate with Risk Advocates to address any identified client training needs.
    • Support Producer presentations and sales.
    • Develop and deliver stewardship reporting in keeping with departmental standards and within required timeframes.
    • Provide claims intake process support as needed.
    • Identify and work with clients and carriers to execute appropriate claims strategies and solutions.
    • Work with carrier claims teams to establish expectations regarding claims handling process quality, and continually monitor performance to ensure those standards are consistently met.
    • Provide timely and accurate client communication regarding claim status.
    • Participate in new client onboarding processes as needed.
    • Maintain agency operating software system to ensure accuracy and currency of data.
    • Act as back-up for teammates as needed, covering for others in their absence and ensuring overall team service excellence.
    • Constantly look for, recommend, and implement process improvements and best practices to improve individual, team, and organizational effectiveness.
    • Serve as claims management subject matter expert for team, answering questions, providing support, and developing solutions to client problems.
    • Monitor Individual performance to ensure productivity, efficiency, quality, and service standards are met, taking corrective actions when required.
    • Assist with initial/new hire and ongoing training support within team.
    • Encourage and participate in ongoing growth and professional development of all personnel within team.
    • Actively promote IOA culture and a positive work environment at all times, including participation in team building and other activities.
    • Maintain frequent and transparent communication regarding individual performance and activities with supervisor, and seeks, accepts, and implements performance coaching.
    • Work effectively with Producers, seeking input and developing win-win solutions to any claims related process, service, quality, or productivity issues.
    • Comply with all company work rules, standards, and policies and procedures at all times.
    • Maintains high degree of technical competence and industry/market expertise.
    • Ensure professional skills are continuously improved by actively participating in internal/external development opportunities.
    • Develop and maintain positive, productive relationships with IOA leadership, peers, co-workers, teammates, and employees.
    • Perform other duties as assigned.

    What We’re Looking For:
     5 years of claims handling experience
     Licensed Insurance Adjuster
     Exceptional customer service skills
     Excellent multi-tasking, organizational, delegation and decision-making skills
     Outstanding verbal/written communication skills
     Ability to perform large work volumes with high degrees of accuracy
     PC proficiency
     Exceptional personal character
     High School Diploma (or equivalent)

    What We Offer
    :
    • Competitive salaries and bonus earning potential
    • Great benefits, including company paid health insurance
    • Paid time off for holidays, vacations, and sick time
    • 401K with an employer match
    • Participation in our employee stock plan
    • Opportunities for professional growth and career progression
    • A culture that emphasizes respect for every individual
    • Company commitment to work/family life balance and community service
    • Teammates who share your drive for excellence
    • Knowing every day you are helping our clients protect their families and businesses

    Still wondering if IOA is the right fit for you?
    • If you want to feel the significance of knowing your efforts have been both recognized, appreciated and rewarded, then IOA is right for you.
    • If you want to feel valued and have a real influence towards the continued success of your organization, then IOA is right for you.
    • If you want to feel the peace of knowing that you’ve made the best decision of your professional life, then IOA is right for you.
  • Just Posted

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Claims Adjuster - Auto Damage
  • Progressive Insurance
  • Miami, FL FULL_TIME
  • As an auto damage claims adjuster, you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair process from beginning to end. Managing your own ...
  • 27 Days Ago

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Claims Adjudicator
  • Best Doctors Insurance Services Llc
  • Miami, FL FULL_TIME
  • POSITION PURPOSE: Effectively and accurately applies policy conditions of coverage, processing guidelines and cost containment knowledge into the adjudication of global health claims and comprehensive...
  • 16 Days Ago

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(SIU) Auto Claims Investigator
  • Star Casualty Insurance Company
  • Miami, FL FULL_TIME
  • Overview:We are seeking a skilled SIU Investigator to join our team. The ideal candidate will have a background in fraud prevention detection, Insurance Knowledge and possess strong research and Inter...
  • 9 Days Ago

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Claims Coordinator
  • Del Monte Fresh Produce Company NA Inc
  • Coral, FL FULL_TIME
  • Purpose of Position: This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner. In ...
  • 13 Days Ago

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Claims Coordinator
  • Del Monte Fresh Produce Company NA Inc
  • Coral, FL FULL_TIME
  • Purpose of Position: This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner. In ...
  • 13 Days Ago

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0 Insurance Claims Coordinator jobs found in Miami, FL area

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Claims Administrative Assistant
  • United Claims Specialists
  • Miami, FL
  • Job Description Job Description We are seeking a proactive and detail-oriented Claims/Administrative Assistant to join o...
  • 4/24/2024 12:00:00 AM

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HEAVY EQUIPMENT MECHANIC HELPER
  • City of Miami, FL
  • Miami, FL
  • Salary: $40,146.91 Annually Location : City of Miami, FL Job Type: Full-Time Job Number: 3409-20240122-SUPP2 Department:...
  • 4/24/2024 12:00:00 AM

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Personal Lines Account Executive
  • World Insurance Associates LLC
  • Miami Lakes, FL
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/23/2024 12:00:00 AM

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Insurance/Billing Coordinator
  • ALDO SURGICAL & HOSPITAL SUPPLY INC
  • Hialeah, FL
  • Job Description Job Description Insurance processing and billing; handle customer service calls in regards to open/close...
  • 4/23/2024 12:00:00 AM

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Insurance Verification Specialist
  • Marcos Consulting Group Inc
  • Miami, FL
  • Job Description Job Description Busy Podiatric Office looking for an insurance verification specialist. Experience with ...
  • 4/22/2024 12:00:00 AM

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Insurance - Client Manager
  • NSI Insurance Group
  • Miami Lakes, FL
  • Job Description Job Description NSi Insurance Group is one of the largest privately-owned insurance brokerage firms in S...
  • 4/22/2024 12:00:00 AM

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Insurance Specialist
  • The Dental Care Group Inc
  • Miami, FL
  • Job Type Full-time Description The Insurance Specialist/Receivable is responsible for -maintaining current insurance pra...
  • 4/22/2024 12:00:00 AM

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Quality Manager
  • The Walsh Group
  • Miami, FL
  • Overview: Archer Western, a member of The Walsh Group, is currently seeking a Quality Manager for our Miami Signature Br...
  • 4/22/2024 12:00:00 AM

Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Claims Coordinator jobs
$47,695 to $72,423
Miami, Florida area prices
were up 2.9% from a year ago

Insurance Claims Coordinator in Wilmington, DE
Based on our compensation data, the estimated salary potential for Insurance Claims Coordinator will increase 16 % over 5 years.
December 22, 2019
Insurance Claims Coordinator in New Orleans, LA
Resource Solutions are recruiting for two Claim Technicians to work for a insurance provider in their office in Chelmsford.
February 10, 2020
Insurance Claims Coordinator in Bellingham, WA
This individual will review all claims and make coverage decision.
January 31, 2020