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Claim File Reviewer Jobs in Florida (NOW HIRING)

Chubb Corporation

Claim Director

Tampa, FL · On-site

$120 - $180/hr

... and claim file quality. Identifying and evaluating coverage issues, preparing comprehensive ... Reviewing legal budgets and legal and third-party vendor's bills. Presenting litigation strategy ...

Chubb Ltd.

Claim Director

Tampa, FL · On-site

$120 - $180/hr

... and claim file quality. Identifying and evaluating coverage issues, preparing comprehensive ... Reviewing legal budgets and legal and third-party vendor's bills. Presenting litigation strategy ...

FCCI Insurance Group

Claim Assistant

Sarasota, FL · On-site

$18.58 - $28.62/hr

... filing claim forms, and follow-through on assigned tasks until completed. This is a great ... For further information, please review the Know Your Rights notice from the Department of Labor.

FCCI Insurance Group

Claim Assistant

Sarasota, FL · On-site

$18.58 - $28.62/hr

... filing claim forms, and follow-through on assigned tasks until completed. This is a great ... For further information, please review the Know Your Rights notice from the Department of Labor.

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All JobsClaim File Reviewer JobsClaim File Reviewer Jobs in Florida

Claim File Reviewer information

See Florida salary details

$10

$16

$22

How much do claim file reviewer jobs pay per hour?

As of Aug 10, 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 is a claim file reviewer?

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:
What job categories do people searching Claim File Reviewer jobs in Florida look for? The top searched job categories for Claim File Reviewer jobs in Florida are:
Claim File Reviewer jobs near you
Infographic showing various Claim File Reviewer job openings in Florida as of August 2026, with employment types broken down into 79% Full Time, 16% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $34,228 per year, or $16.5 per hour.

Claim Director

Chubb Corporation

Tampa, FL • On-site

$120 - $180/hr

Other

Posted 5 days ago

Chubb rating

8.2

Company rating: 8.2 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

141st of 304 rated insurance

Job description

The Claim Director, under minimal direction from the manager, investigates and settles claims promptly, equitably and within established best practices guidelines.


Responsible for investigating; settling high exposure, high risk Employment Practices Claims, including class actions


Ensure high level of customer service and claim file quality.


Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation.


Evaluating exposure through an in-depth analysis of legal and factual issues, retaining and managing litigation counsel through trial, developing and managing strategy for complex litigation


Attending arbitrations, mediations, trials.


Developing resolution strategies and negotiating settlements.


Reviewing legal budgets and legal and third-party vendor’s bills.


Presenting litigation strategy for complex litigation to senior claims management and underwriting staff.


Support business leaders on an as needed basis on various claim and underwriting related issues and marketing meetings.


Responsibilities:

  • Day to day handling of substantial caseload of line of business claims.

  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims.

  • Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.

  • Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages.

  • Directs and monitors assignments to experts and underlying defense counsel.

  • Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.

  • Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.

  • Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.

  • Travels to conferences, mediations, and trials as necessary.


Qualifications:

  • Ability to handle demanding caseload of claims pertaining to Employment Practices Liability and provide business support.

  • Approximately 5- 7 years claims and/or legal experience in the EPL area including evaluating and resolving complex matters.

  • Law degree preferred.

  • Property & Casualty Adjusters licenses in required jurisdictions within 90 days of employment;

  • Failure to obtain the licenses within 90 days will result in termination of employment

  • Desired Traits

  • Ability to work independently and assimilate learning materials on many different subjects

  • from various sources.

  • Excellent interpersonal communications and negotiation skills.

  • Ability to deal with customers in a professional manner.

  • Authoritative knowledge of CHUBB coverage, products, services, and liabilities.

  • Ability to self-motivate and self-starter.

  • Ability to make independent decisions using CHUBB best practices for guidance.Excellent verbal and written communication skills.

  • Strong interpersonal, negotiation and customer service skills.

  • Capable of dealing with highly visible and demanding customers.

  • Highly organized and able to respond to insureds and internal and external business partners in a timely manner.

  • Must be able to effectively work in a team environment.

  • If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.

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What Chubb employees say

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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US

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