Claims Case Manager Jobs in Florida , Employment

Are you looking for an exciting opportunity to use your expertise as a Claims Case Manager? We are looking for a motivated and experienced professional to join our team and help us provide exceptional customer service. If you have a passion for problem-solving and a desire to make a difference, this could be the perfect job for you!

Overview Claims Case Manager is responsible for managing the claims process from start to finish. They are responsible for ensuring that all claims are handled in a timely and accurate manner, and that all parties involved are kept informed of the progress. They must also ensure that all claims are settled in accordance with the applicable laws and regulations. Detailed Job Description Claims Case Managers are responsible for managing the entire claims process from start to finish. This includes gathering and analyzing information, preparing and filing claims, negotiating settlements, and ensuring that all parties involved are kept informed of the progress. They must also ensure that all claims are settled in accordance with the applicable laws and regulations. They must also be able to handle customer inquiries and complaints in a professional and timely manner. Claims Case Manager Job Skills Required

• Excellent communication skills

• Strong problem-solving and analytical skills

• Ability to work independently and as part of a team

• Knowledge of insurance regulations and laws

• Knowledge of claims processing systems

• Ability to handle customer inquiries and complaints

• Ability to work under pressure and meet deadlines

Claims Case Manager Job Qualifications

• Bachelor’s degree in business, finance, or a related field

• At least two years of experience in claims processing

• Knowledge of insurance regulations and laws

• Knowledge of claims processing systems

• Ability to handle customer inquiries and complaints

• Ability to work under pressure and meet deadlines

Claims Case Manager Job Knowledge

• Knowledge of insurance regulations and laws

• Knowledge of claims processing systems

• Knowledge of customer service principles

• Knowledge of medical terminology

• Knowledge of legal terminology

• Knowledge of computer systems and software

Claims Case Manager Job Experience

• At least two years of experience in claims processing

• Experience in customer service

• Experience in medical terminology

• Experience in legal terminology

Claims Case Manager Job Responsibilities

• Gather and analyze information to prepare and file claims

• Negotiate settlements with insurance companies

• Ensure that all parties involved are kept informed of the progress

• Handle customer inquiries and complaints in a professional and timely manner

• Ensure that all claims are settled in accordance with the applicable laws and regulations

• Monitor and review claims to ensure accuracy and timeliness

• Maintain records of all claims and settlements