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Claim File Reviewer Jobs in Florida (NOW HIRING)

Claim Assistant

Maitland, FL ยท On-site

$18 - $19/hr

This position plays a key part in keeping claim files accurate, organized, and moving efficiently through the review process. The ideal candidate is detailoriented, dependable, and comfortable ...

Claim Assistant

Maitland, FL ยท On-site

$18 - $19/hr

This position plays a key part in keeping claim files accurate, organized, and moving efficiently through the review process. The ideal candidate is detailoriented, dependable, and comfortable ...

Medical Claim Adjuster

Lake Mary, FL ยท Hybrid

$22.54 - $34.72/hr

Review medical documentation and monitor treatment to ensure ongoing care is related to the work injury. * Document claim activity, maintain claim files, and establish appropriate reserves. * Process ...

Medical Claim Adjuster

Sarasota, FL ยท Hybrid

$22.54 - $34.72/hr

Review medical documentation and monitor treatment to ensure ongoing care is related to the work injury. * Document claim activity, maintain claim files, and establish appropriate reserves. * Process ...

Medical Claim Adjuster

Sarasota, FL ยท On-site

$22.54 - $34.72/hr

Review medical documentation and monitor treatment to ensure ongoing care is related to the work injury. * Document claim activity, maintain claim files, and establish appropriate reserves. * Process ...

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Showing results 1-20

Claim File Reviewer information

See Florida salary details

$10

$16

$22

How much do claim file reviewer jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for claim file reviewer in Florida is $16.46, according to ZipRecruiter salary data. Most workers in this role earn between $13.65 and $17.55 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Claim File Reviewer, and why are they important?

To thrive as a Claim File Reviewer, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies or claims processing, typically backed by relevant experience or a degree in a related field. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent organizational skills, discretion, and effective communication are valuable soft skills for accuracy and collaboration. These capabilities ensure thorough and compliant claim reviews, minimizing errors and supporting fair outcomes for all parties.

What are some common challenges Claim File Reviewers face when evaluating complex insurance claims?

Claim File Reviewers often encounter complex cases that require careful analysis of policy details, medical records, and legal documentation. A key challenge is balancing efficiency with thoroughness, as missing critical information can lead to incorrect claim decisions. Additionally, reviewers must navigate tight deadlines while collaborating closely with adjusters, legal teams, and sometimes customers to resolve discrepancies. Staying updated on changing regulations and company policies is also essential to ensure accurate and compliant reviews.

What is the difference between Claim File Reviewer vs Claims Adjuster?

AspectClaim File ReviewerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance licenses or certifications often preferred
Work EnvironmentOffice setting, reviewing claim files and documentationOffice or field, investigating claims and interacting with claimants
Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding role differences, job requirements, and career pathsComparing responsibilities, credentials, and work scope

The Claim File Reviewer primarily focuses on reviewing and verifying claim documentation within an office environment, often requiring minimal certifications. In contrast, Claims Adjusters investigate claims, sometimes in the field, and may hold insurance licenses. Both roles are integral to the insurance industry but differ in scope, responsibilities, and required credentials.

What are Claim File Reviewers?

Claim File Reviewers are professionals who evaluate insurance claims to ensure their accuracy, completeness, and compliance with policy guidelines. They review submitted documents, assess the validity of claims, and may request additional information or clarification from claimants. Their work helps insurance companies detect errors, prevent fraud, and make fair decisions regarding claim approvals or denials. Claim File Reviewers play a crucial role in maintaining the integrity of the claims process and upholding industry standards.
What are popular job titles related to Claim File Reviewer jobs in Florida? For Claim File Reviewer jobs in Florida, the most frequently searched job titles are:
Infographic showing various Claim File Reviewer job openings in Florida as of July 2026, with employment types broken down into 79% Full Time, 17% Part Time, 2% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $34,228 per year, or $16.5 per hour.
Claim Assistant

Claim Assistant

CCMSI

Maitland, FL โ€ข On-site

$18 - $19/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago


Job description

Overview

Position Title:ย Claim Assistant

Location:ย Maitland, FL (in-office reporting M-F)

Schedule:ย 8:00 am-4:30 pm ET

Salary Range:ย $18-$19/hr

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

We are seeking a Claim Assistant to support our claims team in a fastpaced, highvolume office environment. In this role, you will provide essential clerical and organizational support to Claims Adjusters as they review and manage claims. This position plays a key part in keeping claim files accurate, organized, and moving efficiently through the review process.

The ideal candidate is detailoriented, dependable, and comfortable handling a steady workflow of administrative tasks such as document processing, data entry, file maintenance, and communication support. This is an excellent opportunity for someone interested in the insurance or claims field who thrives in a collaborative, teamfocused environment.

ResponsibilitiesWhen we hire support team members, we look for organized, dependable professionals who thrive in fastpaced environments and take ownership of every detail. In this role, your accuracy and efficiency will directly support a busy team of adjusters and our client service commitments.ย What You'll Do
  • Activate new claims and ensure files are set up accurately in the claim system.
  • Schedule appointments and coordinate with medical providers.
  • Process, code, and route incoming medical bills.
  • Scan, attach, and organize electronic documents within claim files.
  • Assist adjusters with diary management and document queues.
  • Provide general clerical support to maintain workflow efficiency for a highvolume team.
Qualifications

What You Bring

Required
  • Strong organizational skills and the ability to manage tasks in a fastpaced office environment.
  • Comfort handling highvolume clerical work with accuracy and attention to detail.
  • Excellent verbal and written communication skills.
  • Ability to operate general office equipment and multitask across systems.
  • Reliability, initiative, and the ability to work with minimal direct supervision.
  • Commitment to confidentiality and professionalism.
  • Strong teamwork and customer service mindset.
  • Reliable, predictable attendance during business hours.
  • Proficiency with Microsoft Office (Word, Excel, Outlook).
Helpful (Not Required)
  • Bilingual in English and Spanish.

    - highly valued for communicating with claimants, employers, or vendors, but not required.

  • Experience supporting a highvolume claims desk.
  • Knowledge of medical terminology.
  • Associate degree or two years of related business/office experience.

Why You'll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

How We Measure Success

At CCMSI, great Claim Assistants stand out through accuracy, responsiveness, and strong operational support. We measure success by:

  • Quality file support - precise claim setup, clean documentation, and reliable coordination
  • Workflow dependability - timely processing of tasks, diary items, and document queues
  • Accuracy & attention to detail - correct coding, proper routing, and consistent data integrity
  • Team collaboration - proactive communication and effective support for a busy claims team
  • Professional ownership - taking initiative, following through, and solving problems with care
  • Cultural alignment - understanding that every task supports real people and real outcomes

This is where we shine, and we hire Claim Assistants who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship:ย CCMSI does not provide visa sponsorship for this position.ADA Accommodations:ย CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer:ย CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.ย 

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #IND456 #LI-InOffice #OfficeLife #Maitland #GreaterOrlando #Florida

Employment Type: OTHER