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Claim Operator Jobs in Florida (NOW HIRING)

Epic Denials Management Operator

Tallahassee, FL · Remote

$17 - $22.75/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Lake Mary, FL · Remote

$15.75 - $21/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Miami, FL · Remote

$17.25 - $23/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Tampa, FL · Remote

$17 - $22.75/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Jacksonville, FL · Remote

$16.75 - $22.25/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of ...

Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of ...

... and veterans, who claim and meet eligibility requirements of veterans preference, receive ... Operating heavy equipment (e.g., skid steer, front-end loader, excavator) * Driving dump trucks or ...

This role reviews claim documentation, determines coverage eligibility, and communicates claim ... internal operating procedures. * Meet established productivity, quality assurance, customer ...

Denials and Appeals Specialist

Jacksonville, FL · On-site

$16.25 - $21.50/hr

This position supports a hospital-based medical group operating across multiple states. The role is ideal for someone with experience in medical billing, insurance accounts receivable, claim ...

Billing Specialist

Boca Raton, FL · Remote

$18.25 - $24.75/hr

Claim Preparation & Submission * Review patient accounts for billing readiness. * Verify all ... Adhere to company policies and standard operating procedures. Qualifications: To excel in this role ...

Billing Specialist

Boca Raton, FL · On-site +1

$18.25 - $24.75/hr

Claim Preparation & Submission * Review patient accounts for billing readiness. * Verify all ... Adhere to company policies and standard operating procedures. Qualifications: To excel in this role ...

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Claims Specialist

Boca Raton, FL · On-site

$22 - $24/hr

Enjoys investigating into payer issues and resolving claim obstacles quickly ● Persistent follow-through operator: Stays on claims until final payment is secured, no loose ends ● Detail-obsessed ...

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Showing results 1-20

Claim Operator information

What are some common challenges a claim operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

What are the key skills and qualifications needed to thrive as a claim operator, and why are they important?

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What does a claim operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.

What job categories do people searching Claim Operator jobs in Florida look for?

The top searched job categories for Claim Operator jobs in Florida are:

What cities in Florida are hiring for Claim Operator jobs?

Cities in Florida with the most Claim Operator job openings:

Infographic showing various Claim Operator job openings in Florida as of August 2026, with employment types broken down into 40% Full Time, 58% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution.

Claim Recovery Agent (Subrogation Adjuster)

Phoenix Loss control

Gainesville, FL • On-site

$100K/yr

Full-time, Contractor

Re-posted 13 days ago


Job description

Job Type: Contract

Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone

Compensation: Commission only based on successful recovery of claims

Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours


COMPANY OVERVIEW

Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. 

POSITION SUMMARY

Claim Recovery Agents are responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing recovery of the repair costs.


Duties

  • Review and analyze claim information, identify liable party, and take action to move claims toward successful resolution
  • Gather costing and prepare invoices for select clients
  • Correspond with liable party/insurance carrier both verbally and in writing
  • Negotiate settlements
  • Resolve conflicts and escalate urgent issues

Requirements

  • Strong computer skills and knowledge of Microsoft Office
  • Ability to work independently, manage goals and deadlines, have good attention to detail
  • Adaptability, logical thinking and conscientiousness
  • Excellent communication skills (both verbal and written)
  • Strong conflict resolution and negotiation skills
  • High-speed internet access, personal computer, phone line dedicated to work contacts

Position Advantages

  • Uncapped Compensation Potential: Top Performers who excel at the role have the ability to earn an annual compensation of more than $100,000
  • Flexible Work Schedule: Remote with the ability to choose your own hours/days of work

This is a contract position. There are no benefits offered with this position.