We are hiring a Claims Manager in the Coral Gables, FL. area in Miami.

This is an in-office position available with one of our best clients in the insurance services industry.

In this role, you will manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your leadership will be crucial in maintaining professional relationships and achieving set goals.

Key Responsibilities:
- Supervise claims departments to ensure efficient workflow and timely processing.
- Oversee the Claims Examiner Department, optimizing claims processing to maximize client savings.
- Perform quality assessments to minimize errors and identify claims for auditing.
- Coordinate with other departmental supervisors to maintain operational processes.
- Implement new procedures and train staff in claims handling.
- Provide regular updates to clients on claims status.
- Keep staff informed on company, department, and organizational issues.
- Advise management on issues and suggest improvements.

Requirements:
- Knowledge of medical claims coding, medical specialties, and services billed to insurance companies.
- Experience in claims evaluation, adjudication, and customer service.
- Ability to manage and train a team of claims professionals.
- Strong communication skills for client follow-ups and internal coordination.

If you're looking for a rewarding opportunity at a company that offers great benefits, work environment, and opportunity for growth, apply today!

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.