Morgan White Group
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Claims Specialist - Miami, FL
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Morgan White Group 20 hours ago Be among the first 25 applicants Join to apply for the
Claims Specialist - Miami, FL
role at
Morgan White Group Get AI-powered advice on this job and more exclusive features. The Claims Specialist works with and reports to the Department Manager. The position is located at 75 Valencia Ave, Coral Gables, FL 33134.
Job Essential Duties and Responsibilities:
To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum one year of medical claims processing experience. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, inquire, and racers. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service practices, responding to customer inquiries. Perform periodic audits on individual and group policies to verify claims have been paid correctly. Protect operations by keeping claims information confidential. Ensures legal compliance by following company policies, procedures, and guidelines. Identify and escalate issues to supervisors. Meet or exceed all performance metrics. Be knowledgeable and have a clear understanding of the business processes within Morgan White Group including all internal departments, insurance carriers, brokers/agents, and group contacts. Perform other duties as assigned by the Department Manager.
Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at Morgan White Group by 2x Sign in to set job alerts for “Claims Specialist” roles.
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Claims Specialist - Miami, FL
role at
Morgan White Group 20 hours ago Be among the first 25 applicants Join to apply for the
Claims Specialist - Miami, FL
role at
Morgan White Group Get AI-powered advice on this job and more exclusive features. The Claims Specialist works with and reports to the Department Manager. The position is located at 75 Valencia Ave, Coral Gables, FL 33134.
Job Essential Duties and Responsibilities:
To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum one year of medical claims processing experience. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, inquire, and racers. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service practices, responding to customer inquiries. Perform periodic audits on individual and group policies to verify claims have been paid correctly. Protect operations by keeping claims information confidential. Ensures legal compliance by following company policies, procedures, and guidelines. Identify and escalate issues to supervisors. Meet or exceed all performance metrics. Be knowledgeable and have a clear understanding of the business processes within Morgan White Group including all internal departments, insurance carriers, brokers/agents, and group contacts. Perform other duties as assigned by the Department Manager.
Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at Morgan White Group by 2x Sign in to set job alerts for “Claims Specialist” roles.
Independent Insurance Claims Adjuster in Dania, Florida
Independent Insurance Claims Adjuster in Miami, Florida
Independent Insurance Claims Adjuster in Hollywood, Florida
Independent Insurance Claims Adjuster in Fort Lauderdale, Florida
Independent Insurance Claims Adjuster in Miami Beach, Florida
Independent Insurance Claims Adjuster in Hallandale, Florida
Independent Insurance Claims Adjuster in North Miami Beach, Florida
MULTI-LINE ADJUSTER - FLORIDA MIAMI AREA
Independent Insurance Claims Adjuster in Opa Locka, Florida
Independent Insurance Claims Adjuster in Hialeah, Florida
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr