Claims Analyst jobs in Hialeah, FL

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Medical Claims Trainer
  • Jobs for Humanity
  • Miami, FL FULL_TIME
  • Job Description

    We have an exciting opportunity for you to make a difference in the lives of our 28 million members. At Centene, we are dedicated to improving the health of our communities, one person at a time. As a national organization, we offer competitive benefits, including flexible work options, to support your work-life balance.

    Position Purpose:
    We are seeking a Medical Claims Trainer for Sunshine State Health Plan's Claims Operations. In this role, you will provide training on medical claims processes, develop effective training curriculum, and support the implementation of new products.

    Please note that the Medical Claims Trainer will conduct both virtual and in-person training. Candidates must reside in Florida and be willing to travel a few times per month to meet business needs.

    Responsibilities:
    - Train, inspire, motivate, and coach employees to achieve desired quality and production results.
    - Identify and develop appropriate training programs, including selecting or designing training materials.
    - Communicate training progress to management in a clear and efficient manner.
    - Prepare and update training materials and paperwork.
    - Demonstrate excellent presentation and customer service skills.
    - Conduct training needs analyses and recommend improvements.
    - Perform audits to identify training needs and recommend policies and procedures.

    Education/Experience:
    - Associate's degree or equivalent experience.
    - 2 years of training or claims processing experience.
    - Knowledge of managed care information systems.
    - Advanced claims processing experience preferred.

    License/Certification:
    - Valid driver's license.

    Our Comprehensive Benefits Package includes:
    - Flexible work arrangements, including remote options, hybrid schedules, and dress flexibility.
    - Competitive pay.
    - Paid time off, including holidays.
    - Health insurance coverage for you and your dependents.
    - 401(k) and stock purchase plans.
    - Tuition reimbursement and opportunities for professional development.

    At Centene, we are committed to diversity and value the unique ways in which we are all different. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.

    If you are interested in this position, please respond with your updated resume. We look forward to hearing from you.
  • 11 Days Ago

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Medical Claims Trainer
  • Sunshine State Health Plan
  • HIALEAH, FL FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll hav...
  • 24 Days Ago

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Warranty Claims Clerk - Miami Gardens, FL
  • El Dorado Furniture Corp.
  • Miami, FL FULL_TIME
  • About Us El Dorado Furniture was established in South Florida in 1967, El Dorado Furniture has grown to become the largest Hispanic-owned furniture retail enterprise in the United States. With service...
  • Just Posted

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Independent Insurance Claims Adjuster in Hialeah, Florida
  • MileHigh Adjusters Houston Inc
  • Hialeah, FL FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 6 Days Ago

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Independent Insurance Claims Adjuster in Key West, Florida
  • MileHigh Adjusters Houston Inc
  • Key West, FL FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 6 Days Ago

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Independent Insurance Claims Adjuster in Opa Locka, Florida
  • MileHigh Adjusters Houston Inc
  • Opa Locka, FL FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 6 Days Ago

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0 Claims Analyst jobs found in Hialeah, FL area

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Accounts Receivable
  • RemX
  • Medley, FL
  • Job Description Job Description RemX is proud to represent Logistics organization in Blue Lagoon seeking for Accounts Re...
  • 4/23/2024 12:00:00 AM

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Sr. Operations Risk Monitoring & Control Analyst
  • Amerantbank
  • Hollywood, FL
  • Specialized role providing in-depth knowledge to Amerant Bank and subsidiaries of regulatory and industry best practices...
  • 4/23/2024 12:00:00 AM

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Mechanical Claims Analyst (Remote/Hybrid)
  • Jm Family Enterprises
  • Deerfield Beach, FL
  • Who We Are Looking For?Fidelity Warranty Services, Inc. (FWS), a subsidiary of JM&A, is looking for Mechanical Claims An...
  • 4/22/2024 12:00:00 AM

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Invoicing/Warranty Analyst
  • Bombardier
  • Opa Locka, FL
  • When applicable, Bombardier promotes flexible and hybrid work policies.Why join us?Bombardier is a global leader in avia...
  • 4/22/2024 12:00:00 AM

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Billing Support Specialist
  • Genesis Corp./New Journey AI LLC
  • Miami, FL
  • Genesis10 is seeking a Billing Support Specialist for a contract with our client in Miami, FL. Job Description: The Bill...
  • 4/22/2024 12:00:00 AM

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Sr. DATA & MEDICAL ECONOMIC ANALYST
  • Integrated Home
  • Hollywood, FL
  • Who we are: IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Heal...
  • 4/21/2024 12:00:00 AM

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Sr. Operations Risk Monitoring & Control Analyst
  • Amerantbank
  • Miramar, FL
  • Specialized role providing in-depth knowledge to Amerant Bank and subsidiaries of regulatory and industry best practices...
  • 4/19/2024 12:00:00 AM

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Sr. Operations Risk Monitoring \u0026 Control Analyst
  • Amerant Bank
  • Miramar, FL
  • Specialized role providing in-depth knowledge to Amerant Bank and subsidiaries of regulatory and industry best practices...
  • 4/19/2024 12:00:00 AM

Hialeah ( /ˌhaɪəˈliːə/) is a city in Miami-Dade County, Florida, United States. With the population of 239,673 at the 2018 United States Census, Hialeah is the sixth-largest city in Florida. It is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people at the 2015 census. It is located west-northwest of Miami, and is the only place in the county, other than Homestead, Florida, to have its own street grid numbered separately from the rest of the county (which is otherwise based on Miami Avenue at Flagler Street in downtown Miami, the county seat). Hialea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$36,981 to $47,424
Hialeah, Florida area prices
were up 2.9% from a year ago

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