Claims Manager Position Available In Miami-Dade, Florida

Claims Manager Florida Dental Benefits

• 4.0 Coral Gables, FL Job Details Full-time $70,000
• $75,000 a year 1 day ago Benefits Health insurance Dental insurance Paid time off Retirement plan Qualifications Bilingual Supervisor experience Insurance prior authorization Management Team leadership Dental insurance Supervisor experience (3-5 years) Mid-level Microsoft Office Supervising experience Problem-solving Organizational skills Supervisor experience (1-2 years) Claims documentation review Dental office experience 1 year Insurance claim processing Leadership Communication skills

Full Job Description Job Title:

Claims Manager (Managed Dental Care)

Location:

Miami, FL Job Type:

Full-Time, Hybrid (Minimum 2 days/week in-office)

Start Date:

Immediate Application Method:

Apply via Indeed

• Company Overview Florida Dental Benefits (FDB) is a licensed Prepaid Limited Health Service Organization specializing in the administration of managed dental plans.

We partner with Medicare Advantage Organizations, Healthcare Companies, Discount Plans and Employer Groups and other entities to deliver high-quality, in-network dental care through our statewide provider network. We are headquartered in Miami, FL.

• Position Summary We are seeking an driven and detail-oriented Claims Manager to oversee all aspects of dental claims and pre-authorizations.

This role will lead a small team and report directly to the Director of Operations. The ideal candidate will bring foundational experience in dental claims processing and demonstrate emerging leadership capabilities. This is an excellent opportunity for a motivated individual looking to step into a leadership role and grow professionally within a supportive organization.

• Key Responsibilities
• Manage and lead a team of 2-3 claims specialists.
• Oversee the end-to-end dental claims and pre-authorization process.
• Ensure claims are processed accurately, timely, and in accordance with applicable guidelines and payer requirements.
• Serve as the point of escalation for complex claims issues.
• Collaborate with internal departments including Provider Relations and Customer Service.
• Track team performance metrics and provide reporting to senior leadership.
• Maintain up-to-date knowledge of CDT coding, regulations, and plan benefits.
• Develop and implement claims management best practices.
• Qualifications
• 1-3 years of experience in dental claims processing.
• Demonstrated interest or experience in team leadership or supervisory responsibilities.
• Familiarity with managed dental care models and claims systems.
• Strong problem-solving, organizational, and communication skills.
• Proficiency in standard office software tools (Microsoft Office Suite).
• Compensation & Benefits

Company-Paid Insurance Benefits:

o Medical Insurance o Dental Insurance o GAP Insurance

• Paid Time Off (PTO)

Hybrid Schedule:

In-office required at least 2 days per week

• Why Join Us?

Florida Dental Benefits offers a mission-driven work environment focused on improving dental care access and outcomes. As a Claims Manager, you’ll have the opportunity to gain hands-on leadership experience while working closely with senior management. This role provides a clear pathway for professional advancement in healthcare operations and benefits administration within a growing organization. Work in a close-knit, mission-driven team where your voice is heard and growth is encouraged. This is a launchpad for professionals looking to step into leadership and operations strategy in the healthcare benefits space. You’ll also have:

• Opportunities for cross-training with other teams
• Regular exposure to executive leadership
• A clear track toward future roles How to Apply We are hiring immediately. Please apply via Indeed by submitting your resume and an optional cover letter.
• Florida Dental Benefits is an Equal Opportunity Employer.

Job Type:

Full-time Pay:

$70,000.00

• $75,000.

00 per year

Benefits:

Dental insurance Health insurance Paid time off Retirement plan

Schedule:

8 hour shift Monday to

Friday Experience:

Dental Claims Processing:

3 years (Preferred)

Management:

1 year (Preferred)

Language:

Bilingual (Preferred)

Location:

Coral Gables, FL 33134 (Preferred) Shift availability: Day Shift (Preferred) Ability to

Commute:

Coral Gables, FL 33134 (Required) Ability to

Relocate:

Coral Gables, FL 33134: Relocate before starting work (Required)

Work Location:

Hybrid remote in Coral Gables, FL 33134