7 senior federal claims practice specialist jobs found in Miami, FL

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: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters....

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: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters....

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: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters....

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) The Pharmacy Audit Rep Sr. will work on a wide range of activities to support pharmacy operations and initiatives to help meet goals and deliverables. Conducts audits of pharmacy claims in alignment with prior authorization requests and conducts audits of various pharmacy initiatives. Responsible for gathering and evaluating data from multiple sources to support ongoing pharmacy daily operations. Assist pharmacy leadership with business process and policy development of programs and productivity metrics. Assist with report development and analysis to support key initiatives and operations.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Supports daily operations...

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...

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...

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...