claims specialist

accountant

assessments analyst

associate client advocate

auto adjuster (mid-level) – non-injury Jobs in Tampa

auto adjuster (mid-level) – non-injury

claims adjuster

USAA

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
 
 
 
 The Opportunity
 
 
 
 
 As a Senior Auto Adjuster your work will focus on adjusting non-injury auto claims.
 
 You will investigate and determine coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, and rental vehicle coverages for repairable vehicles and total losses.
 
 
 
 What You'll Do
 
 
 
 <ul>
 <li>
 Investigates to determine coverage, liability, and physical damage including total loss settlements for highly complex auto claims.
 </li>
 <li>
 Negotiates liability for comparative negligence (claimant or adverse carrier).
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate.
 </li>
 <li>
 Interacts with multiple parties to gather information (police reports, recorded statements, witness statements) determine liability.
 </li>
 <li>
 Analyzes information obtained to establish compliance for regulatory requirements and settlement value.
 </li>
 <li>
 Evaluates and negotiates settlement of automobile first and third-party physical damage claims within established settlement authority limits and negotiates any excessive storage charges.
 </li>
 <li>
 Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
 </li>
 <li>
 Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions.
 </li>
 <li>
 Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
 </li>
 <li>
 Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
 </li>
 <li>
 Applies proficient knowledge of P&amp;C insurance industry products, services, to include P&amp;C insurance policy contracts, coverages and internal claims handling process and procedures.
 </li>
 <li>
 May serve as an informal resource for team members.
 </li>
 <li>
 Applies proficient knowledge of Auto Physical Damage to adjust claims.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 Experiences That Will Support Your Success
 
 
 
 <ul>
 <li>
 2 years of customer service experience.
 </li>
 <li>
 1 year of experience handling low to moderately complex auto non injury liability claims.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 </li>
 <li>
 Experience determining auto liability coverage.
 </li>
 <li>
 Proficient knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
 </li>
 <li>
 Demonstrated negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
 </li>
 <li>
 Ability to organize, analyze, and effectively determine risk and appropriate response.
 </li>
 <li>
 Successful completion of a job-related assessment may be required.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 1 to 2 years recent multi-vehicle claims liability to include comparative negligence.
 </li>
 <li>
 Contract Interpretation experience: Liability &amp; Physical Damage Coverage and Uninsured/Underinsured Motorists Property Damage.
 </li>
 <li>
 Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits.
 </li>
 <li>
 Arbitration/Subrogation knowledge.
 </li>
 <li>
 Guidewire Claims Center experience.
 </li>
 <li>
 Bachelor's degree.
 </li>
 <li>
 Active Adjuster's License.
 </li>
 <li>
 US military experience through military service or a military spouse/domestic partner.
 
 
 </li>
 </ul>
 
 Compensation range:
 
 The salary range for this position is: $54,550 - $74,000.
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Sr. Auto Adjuster

Crawford & Company

<div>Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.<ul><li>
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.</li><li>
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.</li><li>
Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.</li><li>
Analyzes claims activity and prepares reports for clients/carriers and management.</li><li>
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.</li><li>
Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits.</li><li>
Develops subrogation and third party recovery potential and follows reclaim procedures.</li><li>
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews</li></ul><ul>
<li>Bachelor's degree or equivalent experience required.</li>
<li>Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization.</li>
<li>Ability to work independently while assimilating various technical subjects.</li>
<li>Good verbal and written communication skills.</li>
<li>Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.</li>
<li>Strong ability to identify, analyze and solve problems.</li>
<li>Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.</li>
<li>Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.</li>
<li>License Requirements: Per State or Jurisdictional requirements.</li>
</ul>
#LI-ET1
Why Crawford?

Because a claim is more than a number - it&rsquo;s a person, a child, a friend. It&rsquo;s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We&rsquo;re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:

<ul><li>Competitive base pay</li>
</ul><ul><li>The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate&rsquo;s previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
</li></ul><ul><li>Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.</li>
<li>We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:</li>
</ul><ul><li>Medical, Dental and Vision Plans
</li><li>Prescription Drugs
</li><li>HSA, HRA, and FSA Accounts
</li><li>Paid Holidays, Vacation and Sick Leave
</li><li>401(k) Retirement Plan
</li><li>Tuition Assistance
</li><li>Paid Parental Leave
</li><li>Supplemental Health Benefits 
</li></ul><div>Other Benefits currently available at no cost include:
</div><ul><li>Enhanced Mental Health Support
</li><li>Virtual Physical Therapy
</li><li>Caregiving Services
</li><li>Life Assistance Program
</li></ul>
<div><ul><li>The above information highlights some of the benefits currently available to eligible full-time employees.</li></ul>
</div>
<ul><li>Training programs that promote continuous learning and career progression while enhancing job performance.</li>
<li>Sustainability programs that give back to the communities in which we live and work.</li>
<li>A culture of respect, collaboration, entrepreneurial spirit and inclusion.</li>
</ul>
Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.</div><div></div>

Claim Examiner- Liability

CorVel Corporation

<div>The Workers&rsquo; Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

 This is a hybrid role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional projects and duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $52,999 &ndash; $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Claims Specialist

Bloomin' Brands, Inc.

<div>
 The Claims Risk Analyst provides operational and analytical support to the workers&rsquo; compensation and general liability programs at Bloomin&rsquo; Brands, Inc. (&ldquo;BBI&rdquo;), with primary responsibility supporting the workers&rsquo; compensation function and Return-to-Work coordination.
 
 
 Under the direction of the Senior Workers&rsquo; Compensation Claims Manager, this role assists in claims data reporting across both workers&rsquo; compensation and general liability programs, OSHA recordkeeping administration, documentation management, and regulatory reporting support. The position also provides support to the General Liability Early Resolution Program and assists with documentation related to third-party property damage claims.
 
 
 
 Essential Duties And Responsibilities
 
 
 
 Workers&rsquo; Compensation Program Support
 
 
 <ul>
 <li>
 Assist with administration and tracking of the Return-to-Work program, including monitoring modified duty placements, duration, and related metrics.
 </li>
 <li>
 Support OSHA recordkeeping and reporting requirements, including maintaining OSHA logs and preparing documentation for review and submission.
 </li>
 <li>
 Assist with Bureau of Labor Statistics (BLS) reporting and related compliance documentation.
 </li>
 <li>
 Compile materials and supporting data for quarterly claim reviews.
 </li>
 <li>
 Maintain organized and accurate documentation within Origami RMIS and other claims systems.
 
 
 </li>
 </ul>
 Reporting &amp; Data Management
 
 
 <ul>
 <li>
 Run and distribute standard and ad hoc analytical reports from Origami RMIS as directed, supporting both Workers&rsquo; Compensation and General Liability programs.
 </li>
 <li>
 Prepare recurring reports on claim activity, trends, OSHA metrics, and Return-to-Work performance.
 </li>
 <li>
 Assist in identifying basic claim trends, such as injury types, frequency by location, or loss drivers.
 </li>
 <li>
 Support data accuracy and integrity within the claims management system.
 
 
 </li>
 </ul>
 General Liability &amp; Property Claim Support
 
 
 <ul>
 <li>
 Provide support to the General Liability Early Resolution Program.
 </li>
 <li>
 Assist with documentation intake and tracking for third-party property damage claims.
 </li>
 <li>
 Coordinate collection of invoices, estimates, photographs, and related claim documentation for submission to the appropriate claims professionals.
 </li>
 <li>
 Escalate claim matters requiring evaluation or negotiation to the appropriate adjuster or TPA.
 
 
 </li>
 </ul>
 Cross-Functional Coordination
 
 
 <ul>
 <li>
 Support Operations and Risk teams by reinforcing incident reporting procedures.
 </li>
 <li>
 Provide guidance to field teams regarding documentation expectations and reporting processes.
 </li>
 <li>
 Support special projects and additional reporting needs.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 Education
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree preferred; equivalent experience considered.
 
 
 </li>
 </ul>
 
 Experience
 
 
 
 <ul>
 <li>
 2&ndash;4 years of experience in claims administration, insurance operations, risk management, or data/reporting support roles.
 
 
 </li>
 </ul>
 
 Skills
 
 
 
 <ul>
 <li>
 Proficiency in Origami RMIS or similar claims management systems preferred
 </li>
 <li>
 Strong Microsoft Excel skills, including report generation and basic data analysis
 </li>
 <li>
 Strong organizational and documentation management skills
 </li>
 <li>
 Ability to interpret and summarize claims data clearly
 </li>
 <li>
 Effective written and verbal communication skills
 </li>
 <li>
 Basic understanding of workers&rsquo; compensation and general liability concepts preferred
 
 
 </li>
 </ul>
 Bloomin' Brands offers benefits such as medical, dental, vision, and 401k. Further details around eligibility and additional benefit offerings can be found at BloominBrandsBenefits.com.
 
 
 We value diversity and are proud to be an Equal Opportunity Employer. We are committed to providing all individuals employment consideration regardless of race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
 
 
</div>

Claims Risk Analyst

Heritage MGA LLC

<div>Claims Manager &ndash; Property Claims
Location: Tampa, FL (Westshore District) 
Hybrid Opportunity Available Following Successful Onboarding 
Property &amp; Casualty Insurance
Lead a Team. Influence Strategy. Make an Impact.
At The Heritage Companies, we're looking for an experienced Property Claims Manager who is passionate about developing people, driving operational excellence, and delivering exceptional claims outcomes.
This is an outstanding opportunity to join a growing organization where your leadership truly matters. As the parent company of three property and casualty insurance carriers, Heritage is a super-regional coastal insurer serving customers across the country while maintaining a people-first culture that values collaboration, innovation, and continuous growth.
Our corporate headquarters is located in the heart of Tampa's Westshore District at Westshore City Center, offering an ideal location just minutes from Tampa International Airport, International Plaza, major shopping and dining destinations, and convenient access to all major bridges serving the greater Tampa Bay area.
Following a successful onboarding and training period, this position offers a hybrid work schedule, providing flexibility while maintaining strong collaboration with our leadership team.
Why Heritage?
Our culture is one of the things that truly sets us apart.
We believe that great companies are built by investing in great people. We celebrate successes, support one another, encourage professional development, and create opportunities for employees to grow their careers. Our teams are engaged, collaborative, and genuinely enjoy working together in a professional yet business casual environment.
We're also deeply committed to giving back. Through volunteerism, charitable partnerships, fundraising initiatives, and community outreach, Heritage employees make a meaningful impact throughout the greater Tampa Bay area and across all of our operating locations.
We complement our culture with:<ul><li>
Competitive salary and performance-driven compensation</li><li>
Outstanding medical, dental, vision, and retirement benefits</li><li>
Comprehensive wellness initiatives that support physical, emotional, and financial well-being</li><li>
Generous paid time off and company holidays</li><li>
Career advancement opportunities within a growing organization</li><li>
Hybrid work flexibility after onboarding</li><li>
Employee recognition programs and a collaborative, people-first culture</li></ul>
Position Summary
The Property Claims Manager is responsible for leading and developing both internal and external claims professionals responsible for the investigation, evaluation, negotiation, and resolution of property claims.
This leadership role oversees daily claims operations, ensures regulatory and procedural compliance, drives operational excellence, mentors team members, and helps shape the strategic direction of the Property Claims organization.
What You'll Do<ul><li>
Lead, coach, mentor, and develop a high-performing team of property claims professionals.</li><li>
Oversee claim investigations, evaluations, negotiations, and settlements while ensuring adherence to company standards and regulatory requirements.</li><li>
Review new claims and assign work based on complexity, expertise, and workload.</li><li>
Provide settlement authority guidance and technical expertise to claims adjusters.</li><li>
Conduct open and closed file audits to promote quality, consistency, and operational excellence.</li><li>
Manage complex, high-exposure property claims and develop effective resolution strategies.</li><li>
Analyze claims trends, financial performance, reserve adequacy, and loss adjustment expenses while providing recommendations to senior leadership.</li><li>
Build strong partnerships with policyholders, agents, independent adjusters, attorneys, vendors, and internal business partners.</li><li>
Interpret policy language and state-specific regulations to support sound coverage decisions.</li><li>
Represent the company during mediations, settlement conferences, and legal proceedings when appropriate.</li><li>
Support catastrophe (CAT) planning and operational response during weather events.</li><li>
Recruit, hire, train, coach, and evaluate team members while fostering a culture of accountability, collaboration, and continuous improvement.</li><li>
Participate in departmental initiatives, system enhancements, testing, and process improvement efforts.</li><li>
Partner closely with Underwriting, Finance, Human Resources, Legal, and executive leadership to achieve organizational objectives.</li></ul>
What We're Looking For<ul><li>
Bachelor's degree preferred (equivalent education and experience considered).</li><li>
Florida 6-20 All-Lines Adjuster License required.</li><li>
4+ years of leadership experience managing Personal or Commercial Property Claims teams.</li><li>
Strong technical expertise in property claims handling, coverage analysis, litigation management, and claims regulations.</li><li>
Experience leading, mentoring, and developing claims professionals.</li><li>
Working knowledge of Xactimate, XactAnalysis, and XactNet preferred.</li><li>
Proficiency with Microsoft Office applications.</li><li>
Exceptional communication, negotiation, analytical, and problem-solving skills.</li><li>
Strong organizational and leadership abilities with a commitment to delivering outstanding customer service.</li><li>
Ability to thrive in a fast-paced environment while balancing multiple priorities.</li></ul>
Build Your Future With Heritage
If you're an experienced claims leader looking for an organization where you can make an impact, develop talented teams, and grow your career with an innovative insurance company, we'd love to hear from you.
Join The Heritage Companies and become part of a growing organization known for its exceptional culture, collaborative leadership, commitment to its employees, and dedication to serving both our customers and our communities.
Apply today and discover why Heritage is a great place to build your career.
Additional Information
All offers of employment are contingent upon successful completion of a pre-employment background screening. Additional screenings, including driving history and credit reports, may be required based on the position.
This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Management reserves the right to modify or assign additional responsibilities based on business needs.
Heritage Insurance Holdings, Inc. is an Equal Opportunity Employer. We are committed to creating an inclusive workplace and welcome applicants from all backgrounds. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected status.</div>

Claims Manager

Elevance Health

<div>Job ID: JP00046732 
 
Anticipated Start Date: 08/24/2026
Responsible for coordinating cases for precertification and prior authorization review.
Primary duties may includes, but are not limited:
<ul><li>Managing incoming calls or incoming post services claims work.
</li><li>Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
</li><li>Refers cases requiring clinical review to a Nurse reviewer.
</li><li>Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
</li><li>Responds to telephone and written inquiries from clients, providers and in-house departments.
</li><li>Conducts clinical screening process.
</li><li>Authorizes initial set of sessions to provider.
</li><li>Checks benefits for facility based treatment.
</li><li>Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
</li></ul>Requirements<ul><li>
Requires HS diploma or GED and a minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.
</li><li>Reside in the Tampa, FL area.</li></ul>
Preferred<ul><li>
Medical terminology training and experience in medical or insurance field.</li><li>
Medical background or healthcare experience.</li><li>
Prior authorization, claims, or insurance experience.</li><li>
Strong communication, customer service, and problem-solving skills.</li><li>
Ability to multitask and work efficiently in a fast-paced environment</li><li>
Proficient with computers and multiple systems.</li></ul> 
Contract type<ul><li>
Contract</li></ul> 
Additional Details<ul><li>
Work Details Monday - Friday 8am-5pm</li><li>
The position is remote. The training will be onsite in the Tampa office for 1-2 weeks.</li><li>
5411 Sky Center Drive, Tampa, FL</li></ul>
About BCForward
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work. 
 
BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. 
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. 
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration. employed. 
<div>Benefits Information
BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).</div></div>

Utilization Management Rep I (contract)

FedEx

<div>Responsible for performing the clerical and administrative functions for any or all hub and station operational areas, including linehaul, records management, quality assurance and customer service. Tends to damaged and incorrectly addressed packages in a timely manner to optimize delivery time. Serves as a customer&rsquo;s first line of contact for a variety of issues. 
Essential Functions
<ul><li>Provides clerical support to various management and operational functions, including, but not limited to, photocopying, filing, faxing, emailing and answering telephone.
</li><li>Reviews, researches and/or enters data in various systems to support respective functional area.
</li><li>Compiles data and provides various regular and adhoc reports to management for review and determination.
</li><li>Serves as frontline customer service to receive, solve and/or escalate customer inquiries and issues.
</li><li>Assists management with Business Control Self Assessment (BCSA) audit activity by retrieving data and/or files for review.
</li><li>Responsible for records management tasks such as maintenance, destruction and inventory In addition to the above essential functions, the following functional area assignments have additional essential functions as noted below: Additional Quality Assurance/Loss Prevention essential functions.
</li><li>Supports ability for timely delivery and mitigates loss and damage by performing address searches/corrections through various sources and ensuring packages are in good condition for the customer.
</li><li>Prioritizes workflow to maximize the number of packages that can be resolved and sent out for delivery in the same day.
</li><li>Ensures all packages receive appropriate scan statuses.
</li><li>Inspects and handles hazardous material damages as per policy.
</li><li>Ensures all loose product is accounted for as per company policy.
</li><li>Researches missing packages to understand the root cause of scanning failures and compiles information on disputed deliveries for management review.
</li><li>Reviews and trends loss and damaged claims filed to identify improperly charged claims and brings to the attention of management Additional Linehaul essential functions.
</li><li>Reviews and enters all Independent Contractor (IC) settlement information into appropriate system to ensure proper payments.
</li><li>Enters settlement adjustments as directed by manager.
</li><li>Compiles required documentation to establish and maintain Department of Transportation (DOT)-required files.
</li><li>Verifies timely log entry into system.
</li><li>Enters all individual vehicle mileage record information into the system and works with ICs and Linehaul staff to rectify any issues.
</li><li>Tracks a variety of metrics, including the IC charge back program, complaints and maintenance compliance and prepares weekly reports for management review.
</li><li>Serves as initial contact to receive IC inquiries or issues relating to settlement, uniforms, decals, etc., to route to management for appropriate resolution.
</li>Performs other duties as assigned. 
<li>
</li></ul> 
Minimum Education
<ul><li>High School Diploma or GED required
</li></ul>Minimum Experience
<ul><li>Previous clerical or customer service experience preferred
</li></ul>Knowledge Skills and Abilities
<ul><li>General business skills such as typing; data entry and review; and use of phone, copier, and fax
</li><li>Software skills, including use of Microsoft Office software and web-based applications
</li><li>Customer service skills necessary to effectively and professionally respond to requests
</li><li>Time management, organizational and multi-tasking skills necessary to work in a fast-paced environment, handling various tasks and changing priorities, while maintaining a high attention to detail and accuracy to achieve daily assignments and goals
</li></ul>Job Conditions 
 
Preferred Qualifications:
Pay Transparency:
Pay:
Additional Details: Part Time - Sun-Thurs 0600-1200p 
For details on our comprehensive benefits, click here. 
Federal Express Corporation is an Equal Opportunity Employer including, Vets/Disability.
Reasonable accommodations are available for qualified individuals with disabilities throughout the application process. Applicants who require reasonable accommodations in the application or hiring process should contact recruitmentsupport@fedex.com.
Applicants have rights under Federal Employment Laws:<ul><li>
Know Your Rights</li><li>
Pay Transparency</li><li>
Family and Medical Leave Act (FMLA)</li><li>
Employee Polygraph Protection Act</li></ul>
E-Verify Program Participant: Federal Express Corporation participates in the Department of Homeland Security U.S. Citizenship and Immigration Services&rsquo; E-Verify program (For U.S. applicants and employees only). Please click below to learn more about the E-Verify program:<ul><li>
E-Verify Notice (bilingual)</li><li>
Right to Work Notice (English) / (Spanish)</li></ul></div>

Operations Admin I-1

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