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Claim Operator Jobs in Florida (NOW HIRING)

Hospital Billing Operator

Tampa, FL ยท Remote

$17.25 - $22.25/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Hospital Billing Operator

Miami, FL ยท Remote

$17.50 - $22.50/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Hospital Billing Operator

Tallahassee, FL ยท Remote

$17.25 - $22.25/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Hospital Billing Operator

Jacksonville, FL ยท Remote

$17 - $21.75/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Hospital Billing Operator

Lake Mary, FL ยท Remote

$16 - $20.50/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

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 ...

Operator in Training

Fort Myers, FL ยท On-site

$21.05 - $25.45/hr

Description Lee County Utilities is looking for an Advanced Water Reclamation Facility Operator in ... and veterans, who claim and meet eligibility requirements of veterans preference, receive ...

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

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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 are popular job titles related to Claim Operator jobs in Florida? For Claim Operator jobs in Florida, the most frequently searched job titles 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 July 2026, with employment types broken down into 78% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.
Claim Recovery Agent (Subrogation Adjuster)

Claim Recovery Agent (Subrogation Adjuster)

Phoenix Loss control

Gainesville, FL โ€ข On-site

$100K/yr

Full-time, Contractor

Posted 23 days ago


Job description

Job Type:โ€ฏContract

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

Compensation:โ€ฏCommission only based on successful recovery of claims

Schedule:โ€ฏFlexible full-time caseload with preferred Monday to Friday during business hours


COMPANY OVERVIEW

Phoenix Loss Control (PLC) is aโ€ฏUS-based business servicesโ€ฏproviderโ€ฏin the cable, telecom, and utilities sector. PLCโ€™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-partyโ€ฏdamageโ€ฏto their infrastructure, such asโ€ฏunderground fiber optic or gas lines. PLC currently employs over 140โ€ฏpeople, servicing some of the largest cableโ€ฏandโ€ฏtelecomsโ€ฏoperatorsโ€ฏ(e.g., Comcast,โ€ฏSpectrum,โ€ฏAT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth.โ€ฏ

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 aโ€ฏcontract position. There are no benefits offered with this position.