Claims Associate
Diverse Lynx
Claims Associate (AA Level)
Work Location: Tampa, FL (Remote)
Job Type: Full-time
Qualification: High School Graduate
Experience Required: Minimum 5 years of experience in Claims Processing
Note: Candidates are required to attend a 6 to 8-week on-site training program.
Candidate Specifications
- Should be comfortable working from office
- Typing speed of 25 WPM with 90% accuracy
- Strong knowledge of the healthcare domain, with at least 5 years in healthcare and claims processing
- Minimum 3 years' experience as a Claim Examiner Level III
- Minimum 3 years' experience in Adjustments and Disputes (Appeals)
- Experience working on California Medicaid/Medicare claims
- Understanding of California claims contract language
- Knowledge of CPT and HCPC codes
- Familiar with UB04 & CMS1500 forms
- Basic mathematical skills with the ability to calculate benefits and out-of-pocket amounts
- Experience in Corrected Claims processing
- Ability to coordinate benefits with Medicare/Medicaid
Process Details
- Work Schedule: 5 days working
- Type: Non-Voice / Back Office
- Good typing speed required
Principal Responsibilities
- Medical Claims Processing: Accurately review, verify, and process insurance claims as per company policies and SOPs.
- Documentation Review: Analyze claim documents, medical records, and benefit summaries to determine eligibility and process claims accordingly.
- Customer & Internal Interaction: Communicate with members, healthcare providers, and internal teams to resolve claims and gather required information.
- Data Entry: Enter claim details and maintain accurate records within the claims management system.
- Continuous Improvement: Identify opportunities for process improvement to enhance claims accuracy and efficiency.
Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
Vacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Claims Associate in Tampa, FL vacancy
$27.14 per hour
...Claims Associate Location: Tampa, FL Compensation: $27.14 / hour Schedule: Full-Time | On-Site during training, then Hybrid (3 days in office / 2 days remote) About the Opportunity Are you a detail-oriented, analytical professional looking to launch a meaningful...ClaimsHourly payFull timeContract workWork at officeRemote workWork from homeAvenica
Tampa, FL2 days ago- Chubb Insurance Hong Kong is looking for a Claims Associate in Tampa, Florida to manage a workers' compensation claims desk. This is a temp-to-hire opportunity that offers hands-on business experience and development in claims management. Responsibilities include reviewing...ClaimsTemporary work
- First American in Tampa, FL is looking for an Associate Claims Counsel to manage claims and litigation processes. This role requires a Law Degree and at least 2 years of relevant experience, preferably in real estate. You will negotiate settlements with various stakeholders...Claims
- Chubb is looking for a Claims Associate to join their team in Tampa, Florida. This role involves managing a workers' compensation claims desk and providing essential support in the claims process. Successful candidates will possess a bachelor's degree or equivalent experience...ClaimsTemporary work
- ...The Tampa office of Kubicki Draper is currently seeking an Associate with 2+ years of insurance defense experience. Experience working on third-party bodily injury claims, handling extensive personal injury claims, including automobile claims, traumatic brain injuries,...ClaimsWork at office
Kubicki Draper
Tampa, FL1 day ago - ...the world of workers' compensation or auto & general liability claims? Join ESIS, a leader in risk management and insurance services,... ...future for employees everywhere! We are looking to add a Claims Associate to our team who will ultimately be responsible for managing a...ClaimsContract workTemporary work
$77.3k - $103k
First American (NYSE: FAF) is a long‑standing title insurance company that values its people. You will be an Associate Claims Counsel working for First American Title Insurance Company. What You’ll Do Investigate the facts and issues of the claim, determine whether coverage...Claims- ...injury law firm that represents clients in accident and injury claims. They handle cases such as car accidents, medical negligence, workplace... ...negotiations and litigation when necessary. Qualifications Associate Attorney should have minimum 5 years of Personal Injury...ClaimsWork at office
Protouch Staffing
Tampa, FL2 days ago $130k - $180k
...Responsibilities include: Defending employers in labor and employment litigation involving: Discrimination, retaliation, and harassment claims Wage and hour disputes Wrongful termination matters Non-compete and restrictive covenant enforcement Drafting and...ClaimsLocal areaJobot
Tampa, FL4 days ago- ...Associate Attorney 2 Full Time Professional Tampa, FL, US Litchfield Cavo LLP is a premier insurance coverage and litigation defense law... ...mediations and court appearances; and, Interact directly with clients, claim professionals, opposing counsel, colleagues and staff. Our Firm...ClaimsFull time
Litchfield Cavo
Tampa, FL3 days ago $52k
...of something bigger than themselves, moving them from solitary struggle to the pursuit of collective power. You’ll engage them in claiming their own powerful voice and developing their leadership as you guide them through conducting research into community problems. You...ClaimsLive outLocal areaRelocation packageFlexible hoursWeekend workAfternoon shiftDirect Action & Research Training Center
Tampa, FL20 hours ago- Job Overview A law firm seeks an Associate Attorney with a minimum of three years of experience in third‑party insurance coverage and bad... .... Duties Draft coverage opinions on third‑party liability claims. Litigate declaratory judgment actions. Advise clients on potential...ClaimsWork at office
- ...Compensation Practice at Lewis Brisbois represent the defense of third-party administrators, insurance carriers, and employers against the claims of employees. We offer our clients vast experience in all areas of workers’ compensation. Our attorneys are highly skilled in all...ClaimsWork at office
- ...Associate Vice President, GTM & Commercial Strategy, Real World Data About the Company Innovative healthcare technology (HealthTech... ...Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive...Claims
- Associate Attorney La Cava Jacobson, P.A., an AV Preeminent rated Florida Defense Firm, handles litigation and appeals in all Florida state... ...2.5-5 years of experience in defending medical malpractice claims. We are seeking lawyers who have experience in taking and defending...ClaimsTemporary work
$120k - $180k
Associate Attorney - Medical Malpractice Defense We are seeking an Associate Attorney with 2.5-5 years of experience defending medical malpractice claims to join our growing Florida defense practice. This is primarily an onsite role; while some hybrid flexibility may be...ClaimsTemporary workLocal area$70k
...title services and more. We are currently seeking a well rounded Associate Attorney to join our team and work on assigned cases under... ...code enforcement violations and liens, escrow disputes, and title claims and defects Attorney-led and supervised title closing services...ClaimsFull timeWork at officeLocal areaMonday to Friday- ...Associate Inside Sales Executive You Belong at Greenway Bring your best and truest self. We celebrate what makes us different and... ...or interview process. If you are contacted by anyone claiming to represent Greenway Health and they request money, personal...ClaimsWork at officeImmediate startRemote work
- ...directly to our Senior Manager of Revenue Cycle Operations, the RCM Associate will support all billing and revenue cycle operations at Nourish, including resolving patient billing tickets, managing claim workflows, and building and optimizing RCM processes as we scale...ClaimsFull timeRemote work
- ...specialties and clinical approach, ensuring the right clients find you. Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support-so you can focus your time and energy on clinical work. Professional Autonomy ~ Decide how many...ClaimsLive inWork at officeRemote work
$1,400 - $2,800 per month
...restoration company that does more than just build — they advocate . They help homeowners and business owners navigate complex insurance claims and ensure they get fully funded for property repairs after storm damage. Their service delivers peace of mind and zero out-of-...ClaimsContract workRemote workFlexible hours$80 per hour
...-minutes) Guaranteed payment every two weeks via direct deposit Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made up of thousands of providers across the country, each with diverse backgrounds...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work- ...A leading insurance claims firm in Lutz, Florida is looking for Licensed Claims Adjusters. This role offers a rewarding career with flexibility and the chance to make a difference in people's lives. Candidates will receive comprehensive training to excel in claims adjustments...Claims
MileHigh Adjusters Houston
Lutz, FL3 days ago - ...A leading claims adjusting firm in Florida is looking for Independent Insurance Claims Adjusters to join their growing team. This role offers the opportunity to make a positive impact while enjoying flexible work conditions and competitive pay. Applicants should be actively...ClaimsFlexible hours
MileHigh Adjusters Houston
Seffner, FL3 days ago - ...reliable detail oriented able to handle a high volume of work. Must have previous knowledge of insurance verification, authorization, claim filing and appealing claims. Duties include: Receive and post payments to patient accounts daily. Calling patients to collect...Claims
Blackstone Medical Services
Tampa, FL3 days ago - ...to ensure maximum reimbursement is received for physician billing. The ideal candidate would have a strong understanding of medical claims billing. Research and resolve claims denials using the appropriate resources Check that pre‑bill claims are passing internal edits...ClaimsFull timeWork at office
Florida Ortho Corp
Tampa, FL3 days ago $1,424.46 - $2,493.56 per month
...providing counseling, recruiting, billing or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. An Associate's degree, or higher from an accredited college or university, Or 60 semester or 90 quarter hours, can...ClaimsWork experience placementMonday to FridayState of Florida
Tampa, FL3 days ago- ...seeking an Entry-Level Medical Billing Specialist. This role involves supporting medical billing processes, assisting with insurance claims, and providing patient account assistance. Ideal candidates should possess strong attention to detail, excellent communication...ClaimsWork at office
Reveljobs
Tampa, FL3 days ago - ...experience will be considered for partnership opportunities. Lewis Brisbois is a recognized leader in the area of insurance coverage and claims. Our Insurance Coverage Practice focuses on interpreting contracts of all kinds and representing insurers in complex coverage...ClaimsWork at office
Lewis Brisbois Bisgaard & Smith
Tampa, FL2 days ago $63k - $115.5k
...Tax Experienced Associate, Business Incentives Group Our Specialized Tax Services ("STS") Business Incentives Group ("BIG") business... ...thrive every dayby helping companies and individuals identify and claim government incentives designed to promote innovation and...ClaimsTemporary workWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Associate. Be the first to apply!
Related searches
- fraud associate Tampa, FL
- front desk associate Tampa, FL
- wealth strategy associate Tampa, FL
- process associate Tampa, FL
- remote associate Tampa, FL
- publishing associate Tampa, FL
- seasonal associate Tampa, FL
- community engagement associate Tampa, FL
- strategy associate Tampa, FL
- care management associate Tampa, FL