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Claim File Reviewer Jobs in Florida (NOW HIRING)

Claims Major Case Director

Sarasota, FL · On-site +1

$92K - $130K/yr

... file. * Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports and related bills.

P&C Liability Supervisor

Jacksonville, FL · On-site +1

$82K - $92K/yr

Participate in claim reviews, stewardship meetings, and client presentations. * Address client ... Conduct periodic claim file audits to ensure quality standards and compliance. * Monitor claim ...

Identifying settlement opportunities using data and file reviews; escalate significant issues ... Maintain complete, accurate claim files, correspondence, and notes in the applicable claims system ...

Showing results 41-60

Claim File Reviewer information

See Florida salary details

$10

$16

$22

How much do claim file reviewer jobs pay per hour?

As of Aug 11, 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:
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.

Commercial Auto, Bodily Injury & General Liability Claims Adjuster

TEEMA

Tampa, FL • On-site

$80K - $95K/yr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Job description

Commercial Auto, Bodily Injury & General Liability Claims Adjuster 
Remote-Contact-To-Hire 


Our major Insurance client is hiring an experienced Commercial Auto, Bodily Injury & General Liability Claims Adjuster to join our Casualty team. This is a fully remote, direct-handling role for a seasoned casualty professional who can independently drive claims from first review through final resolution — including litigated matters.


You'll own your file inventory end to end: coverage analysis, investigation, exposure assessment, reserving, negotiation, and settlement. You'll work directly with clients, defense counsel, claimants, and their legal representatives, and your recommendations on loss exposure and settlement strategy will carry real weight.


Please note: An active New York State or California Adjuster License is required for this position. Resumes without it cannot be considered.


What You'll Do

  • Review and interpret coverage, then process and conclude assigned Auto, Bodily Injury, and General Liability casualty claims across multiple jurisdictions — both litigated and non-litigated
  • Direct and oversee outside investigative service providers, working closely with the client, client counsel, and investigative services to move claims to conclusion
  • Maintain an active, disciplined claim diary
  • Continually assess exposure and set accurate reserves with supported settlement recommendations
  • Prepare Loss Reports with thorough analysis of coverage, liability, and damages
  • Identify subrogation and risk transfer opportunities and initiate recovery efforts at the client's direction
  • Document all correspondence, reports, discussions, and decisions in the claim file record
  • Deliver a consistently high level of service to the client


What You'll Need


Required:

  • Active New York State or California Adjuster License (additional state licenses strongly preferred)
  • Minimum 3 years of Automobile and General Liability claims handling experience
  • High School Diploma or GED
  • Working knowledge of claims handling concepts, practices, and techniques — including coverage issues, litigation management, and product line knowledge
  • Demonstrated advanced analytical, decision-making, and negotiation skills
  • Strong verbal and written communication skills
  • Computer proficiency

Preferred:

  • Bachelor's degree in a related field
  • Multiple state adjuster licenses
  • Solid understanding of the litigation process and case valuation across multiple jurisdictions
  • Proven ability to manage a file inventory with minimal supervision, following company guidelines and industry best practices
  • Strong time management, organization, and prioritization skills in a fast-paced environment
  • Excellent customer service instincts and sound independent judgment


Work Environment

This is a remote, work-from-home position. The role is sedentary and primarily computer-based, requiring near vision and mid-range vision clarity, the ability to communicate clearly by phone and in writing, and occasional light physical activity.


Why This Position?

  • Fully remote — work from anywhere
  • Established, respected name in risk management and claims administration
  • Direct client contact and real ownership of your file inventory


Ready to apply? Submit your resume today!

Company Description

Direct Hire staffing agency.


Teema logo

About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

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