12 claims representative jobs found in Orlando, FL

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve  your life’s best work.(sm) This is an opportunity that’s all about where you’ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look for your experience and expertise to help keep our service levels and accuracy extremely high. We’ll also look for your ideas on how to constantly evolve our claims processes. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 6 leader. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. If you're looking for a professional career with an industry leader, that serves an important social purpose, then we invite you to consider becoming an Associate in our Trainee program. We believe in work/life balance and full time here means 35 hours per week. Claims Trainees typically spend 6 - 9 months in training, before beginning a well defined career path with the opportunity for promotion as you meet new performance goals. If you've got the drive to succeed through service we'd love to talk with you. As a Trainee, you will gain skills and experience, via structured learning and on-the-job mentoring: How...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Accurately process institutional claims Editing and adjusting of claims per the EDI daily audit report Analyze and adjudicate claims to ensure accurate payment Interpret Fee for Service (FFS) and capitated provider contracts Review claims on a periodic basis...

If you are located within the state of California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it's reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. In this role, you'll be responsible for the implementation and day to day performance of process activities related to claims research and resolution. This includes the review of claims, contracts, and fee schedules to identify processing, procedural, systemic and billing errors. Join us and build your career with an industry leader. This is a challenging role with serious impact. You'll be providing a senior level of support to a fast paced, intense and high-volume claims operation where accuracy and quality are essential. This position is full - time (40...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Administers lower exposure claims in accordance with all pertinent requirements, policies and procedures. Works with and obtains information from clients, claimants, vendors, field personnel and other internal or external resources. Investigates losses to determine cause, scope and extent of damages and/or liability and possible subrogation. Evaluates claim for purposes of setting reserves and making appropriate payments. Documents all activity to support the outcome of the claim file. Achieves fair, equitable and timely claim disposition that is consistent with our customer and internal expectations....

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking a Client Service Manager to join our growing team. Can you deliver exceptional customer service? Are you interested in helping a range of clients through issues that vary from relatively simple to moderately complex? We are looking for people who are passionate about building relationships with clients, will collaborate with the sales team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you affect the business? Take a leadership role in the renewal process to ensure the best possible solutions are delivered to...

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking a Client Service Manager to join our growing team. Can you deliver exceptional customer service? Are you interested in helping a range of clients through issues that vary from relatively simple to moderately complex? We are looking for people who are passionate about building relationships with clients, will collaborate with the sales team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you affect the business? Take a leadership role in the renewal process to ensure the best possible solutions are delivered to...

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking a Client Service Manager to join our growing team. Can you deliver exceptional customer service? Are you interested in helping a range of clients through issues that vary from relatively simple to moderately complex? We are looking for people who are passionate about building relationships with clients, will collaborate with the sales team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you affect the business? Take a leadership role in the renewal process to ensure the best possible solutions are delivered to...

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking a Client Service Manager to join our growing team. Can you deliver exceptional customer service? Are you interested in helping a range of clients through issues that vary from relatively simple to moderately complex? We are looking for people who are passionate about building relationships with clients, will collaborate with the sales team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you affect the business? Take a leadership role in the renewal process to ensure the best possible solutions are delivered to...

UnitedHealthcare  is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing  your life's best work.(sm)  The UHC Provider Reimbursement Representative-Escalated Issues Team  requires that an employee will review and respond to emails received from UHN Network Managers, UHC Provider Advocates, the Social Media Team and UMR internal employees in regards to UMR processes, procedures and results that are being challenged. These inquiries can range from claim processing challenges and contracted pricing reviews, to questions about UMR plan language, authorizations, penalties, prompt pay and even legal and social media issues. Escalated Issues team members also review inquiries sent from internal UMR departments in relation to UHC provider...

UnitedHealthcare  is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing  your life's best work.(sm)  The UHC Provider Reimbursement Representative-Escalated Issues Team  requires that an employee will review and respond to emails received from UHN Network Managers, UHC Provider Advocates, the Social Media Team and UMR internal employees in regards to UMR processes, procedures and results that are being challenged. These inquiries can range from claim processing challenges and contracted pricing reviews, to questions about UMR plan language, authorizations, penalties, prompt pay and even legal and social media issues. Escalated Issues team members also review inquiries sent from internal UMR departments in relation to UHC provider...

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing  your life’s best work.(sm) The  Insurance Follow-Up Supervisor  is responsible for leading a team of representatives which focus on resolving outstanding claims with various payers.  This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 6:00am-6:00pm. It may be necessary, given the business need, to work occasional weekends.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Provides oversight for follow...