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- Job Overview We’re ChenMed - a family‑owned, physician‑led practice transforming healthcare for seniors. Join us as a Risk Adjustment Coder and help improve the quality of care while supporting our patients and team. The role involves reviewing medical records, identifying...RiskWork at officeRemote work
- ...seeking a detail-oriented and proactive Claims Examiner to join our risk management team. In this role, you will be responsible for... ...carriers Required Qualifications: Florida 6-20 All-Lines Adjuster License (or ability to obtain within 90 days of hire) At least...RiskPermanent employmentContract workTemporary workWork at office
Questpro
Hollywood, FL26 days ago - Auditing Manager CPC Coders Hybrid work setting, Florida residency required As Mount Sinai grows, so does our legacy in high-quality health... ...the institution. Analyze audit findings and identify trends, risks, and opportunities for improvement. Team Leadership &...RiskWork at office
$77.97k - $171.06k
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement- ...Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER... ...CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS),...RiskWork experience placementWork at officeLocal areaShift work
- ...coding experience. Physician Billing Credentials For Physician Billing: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified Coding Specialist -...RiskFull timeWork experience placementWork at officeLocal area
- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by... ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
- ...reflect the true clinical picture, improving the quality of risk adjustment data, and ensuring compliance with CMS (Centers for Medicare... ...communication skills for interacting with medical professionals, coders, and other stakeholders. Education & Experience Associate\'s...RiskFull timeWork at officeWork from homeFlexible hoursWeekend work
- ...department, overseeing at least four supervisors and their teams of adjusters. Establish clear performance expectations, conduct regular... .... Partner with internal departments (legal, underwriting, risk management) to support business objectives and mitigate risk...Risk
Loyalty MGA
Miami, FL17 days ago $50k - $70k
...the administration of the Town's Human Resources, payroll and risk management programs. The successful candidate must be able to... ...Participates and assist in safety, workers compensation, liability claims adjustments and other loss control programs to fulfill the Town's overall...RiskWork at office- ...suppliers, services and product categories to assure supply, reduce risk and ensure compliance with Brand claims and government... ...variety of communication settings, attentively listens to others and adjusts their own style. Decision Quality: Makes good and timely decisions...RiskFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shift
Independent Purchasing Cooperative
Miami, FL10 days ago $200k - $325k
...Chief Growth Officer Private Risk Management (Personal Lines) This is a hybrid role with the flexibility to work both virtually and... ...internal equity and alignment with market data. The salary may also be adjusted based on applicants geographic location. This position is...RiskFull timePart timeWork at officeLocal areaAon
Miami, FL19 hours ago$75k - $95k
..., GCP, ICH Guidelines, ICH Q9, 21 CFR Part 11, Data Integrity, Risk Management, and Quality by Design principles. ~ Experience conducting... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a...RiskPermanent employmentActalent
Miami, FL9 days ago- ...impacted by project activities. Monitor progress of initiatives and adjust to ensure successful completion. Consult with leadership on... ...operations. Create and monitor a control environment and risk management practices. Additional Duties Participate in evening...RiskFull timeWeekend workAfternoon shift
University of Miami
Miami, FL22 days ago - ...Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) PRIMARY PURPOSE : To investigate... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
- ...Description: This job is responsible for resolving research and adjustment inquiries within the bank's practices and procedures. Key... ...and escalating matters or issues to leadership to ensure minimum risk occurs. Line of Business Job Description: Resolves Research...RiskWork at officeImmediate startShift workDay shift
Bank of America
Hialeah, FL21 days ago - ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
- ...to: - HEDIS (Healthcare Effectiveness Data and Information Set) metrics. - Billing and coding performance. - Medical Risk Adjustment (MRA) assessments. - Review monthly claims submitted by health plans/MSOs and make necessary corrections. - Evaluate RX Cost...Risk
Providence Community Center LLC
Miami, FL18 days ago $15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area$135k - $170k
...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeWork at officeLocal areaAon
Miami, FL1 day ago$93.75k - $165k
...Senior Associate, Cyber and Digital Risk Management Country: United States of America Your Journey Starts Here: Santander is... ...documentation while having the ability to multi-task and adapt/adjust to multiple demands and competing priorities A high degree of...RiskHourly payPart timeWork experience placementWork at officeSantander Holdings USA Inc
Coconut Grove, FL19 hours ago- Overview Join to apply for the Aviation Adjuster role at McLarens Location: Miami - Hybrid, FL, US Date: Oct 3, 2025 Nearest Major Market... ..., the company offers comprehensive loss adjusting, claims, and risk management services, along with forensic technical services,...RiskLocal area
$18 per hour
...success of the property. This position will require long periods of time sitting, standing, and moving around. Follows all HR and Risk Management Company Policies. Performs miscellaneous job-related duties as assigned. Covers shifts for team members to ensure...RiskHourly payWeekly payTemporary workPart timeFor contractorsWork at officeLocal areaShift workUnassigned Department
Miami Beach, FL12 hours ago$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...requests, delivering efficient and personalized service to meet their financial needs. Collaborate: Partner with internal teams (Risk Officers, Treasury Management, Client Services) to deliver a seamless, full-service client experience. Manage Risk: Review and underwrite...RiskFor contractors
City National Bank of Florida
Miami, FL3 days ago - ...investment in personnel and technology. Scope As a Litigation Adjuster, you will evaluate insurance claims that have entered the litigation... ...exposure. Notify underwriting of undisclosed underwriting risks. Collaborate with the special investigation unit (SIU) when...RiskTemporary workWork experience placementRemote workFlexible hours
- ...Best Workplaces in Financial Services & Insurance National General Adjuster - Southeast Region PRIMARY PURPOSE : To handle losses or claims... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...and service authorization decisions. Maintain detailed and accurate records in internal systems to support regulatory compliance, risk management, and quality assurance efforts. Support the precertification and utilization management process, ensuring adherence to...RiskWork at office
Independent Living Systems
Miami, FL20 days ago - ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift workNight shift
Magnet Medical
Miami, FL14 days ago
