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At Home Claims Processing Jobs in Florida (NOW HIRING)

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... services at patients' homes. OneHome's patient focused model creates one integrated point of ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... services at patients' homes. OneHome's patient focused model creates one integrated point of ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... services at patients' homes. OneHome's patient focused model creates one integrated point of ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... services at patients' homes. OneHome's patient focused model creates one integrated point of ...

Healthcare Support Staffing

Claims Processor

Tampa, FL

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Experience processing Provider Dispute Resolution (PDR), appeals ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Experience processing Provider Dispute Resolution (PDR), appeals ...

Miccosukee Tribe of Indians

Be Seen First

Claims Processor

Miami, FL · On-site

$24 - $27/hr

... processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This position supports the Health Department's revenue cycle by helping ...

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

Ensure claims are processed within established turnaround times and service level agreements (SLAs ... Team Collaboration At Wellcove, we strive to create an inclusive culture for all. We understand the ...

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All JobsAt Home Claims Processing JobsAt Home Claims Processing Jobs in Florida

At Home Claims Processing information

See Florida salary details

$8

$14

$19

How much do at home claims processing jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for at home claims processing in Florida is $14.32, according to ZipRecruiter salary data. Most workers in this role earn between $12.21 and $15.43 per hour, depending on experience, location, and employer.

What is at home claims processing?

At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.

What are the key skills and qualifications needed to thrive as an at home claims processor?

To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.

What are some common challenges faced by remote claims processors, and how can they be effectively managed?

Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.

What is the difference between At Home Claims Processing vs Customer Service Representative?

AspectAt Home Claims ProcessingCustomer Service Representative
CredentialsInsurance knowledge, claims processing certificationsCommunication skills, customer service training
Work EnvironmentRemote, home-basedRemote or in-office, customer-facing
Industry UsageInsurance companies, claims departmentsVarious industries including retail, telecom
Job FocusReviewing and processing insurance claimsAssisting customers, resolving inquiries

At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

What are the most commonly searched types of Claims Processing jobs in Florida?

The most popular types of Claims Processing jobs in Florida are:

What cities in Florida are hiring for At Home Claims Processing jobs?

Cities in Florida with the most At Home Claims Processing job openings:

At Home Claims Processing jobs near you
Infographic showing various At Home Claims Processing job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $29,790 per year, or $14.3 per hour.

Claims Processing Professional

Miramar, FL • On-site

Humana
Health Care and Social Assistance • 10K+ employees

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

168th of 312 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Humanaexternal

$53K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Become a part of our caring community
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.This is in office position requires you to be on site at our Miramar, FL branch location.

As a Claims Processing Professional, you will:

  • Review and process healthcare claims within established turnaround times.
  • Verify member eligibility, provider information, authorizations, and contractual requirements before processing claims.
  • Determine whether you should approve, deny, adjust, or return claims for additional information.
  • Resolve claim discrepancies by gathering and evaluating supporting documentation.
  • Process both electronic and paper claims while maintaining productivity, quality, and accuracy standards.
  • Use multiple internal systems to review claims, document findings, and complete claim processing.
  • Maintain compliance with HIPAA regulations, organizational policies, and all applicable state and federal guidelines.
  • Collaborate with internal departments to resolve claim issues and support claim adjudication.
  • Adapt to evolving business processes, system enhancements and regulatory changes.
  • Meet productivity, quality, and performance expectations.

Use your skills to make an impact

Required Qualifications

  • Minimum of 1 year of healthcare claims processing experience.
  • Knowledge of healthcare claims processing practices and medical insurance terminology.
  • Work across multiple computer systems.
  • Prioritize multiple tasks and work independently.
  • Commitment to HIPAA compliance.

Preferred Qualifications

  • Experience processing medical, home health, or managed care claims.
  • Knowledge of CPT, ICD-10, and HCPCS coding.
  • Experience working with provider contracts, authorizations, or eligibility verification.
  • Bilingual (English/Spanish).
  • Associate's degree or higher in Business, Healthcare Administration, or a related field.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$53,700 - $72,600 per year


Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana logo

About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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Hours and flexibility

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