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Claim Processor Jobs in Miami, FL (NOW HIRING)

Larkin Community Hospital

Medical Claim Adjuster

Miami, FL · On-site

$63K - $81K/yr

Medical Claim Adjuster DEPARTMENT: Patient Accounts SUPERVISOR: Business Office Director Larkin ... Perform adjustments using technical and claims processing expertise. * Identify discrepancies in ...

VITAS Healthcare

Medical Claims Examiner 2

Miramar, FL · On-site

Qualified candidates must have a minimum of two years experience as a claim processor in the health insurance environment preferred. * Working knowledge of medical terminology, claims processing ...

VITAS Healthcare

Medical Claims Examiner 2

Miramar, FL · Hybrid

Qualified candidates must have a minimum of two years experience as a claim processor in the health insurance environment preferred. * Working knowledge of medical terminology, claims processing ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Experience in claim processing required * Medical Billing Certification required * Coding Certification required * Ability to interpret Explanation of Benefits (EOB) * HIPPA certified * Customer ...

Integrated Resources INC

Claims Analyst III

Doral, FL · On-site

This department handles claim provider complaints. Review of claims that have already been processed by the system. The suppliers are complaining about issues with the previously processed claims.

Ourhrconnect

Auditor, Sr Stoploss Claim

Miami Beach, FL · On-site +1

$74K - $97K/yr

Develop new and review old stop loss claim forms. Assist with internal auditing of claims auditors ... It is our policy to provide equal opportunities in all phases of the employment process and to ...

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Claim Processor information

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How much do claim processor jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for claim processor in Miami, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 per hour, depending on experience, location, and employer.

What is a Claim Processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What job makes $10,000 a month without a degree?

A claim processor typically earns between $3,000 and $6,000 per month, so earning $10,000 monthly without a degree is uncommon in this role. High earnings in such jobs often depend on experience, certifications, or working in specialized or high-demand industries. Generally, roles with high income potential without a degree include sales, real estate, or certain entrepreneurial ventures, but they may require skills, networking, or licensing.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

What are some typical challenges a Claim Processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

What jobs pay 2000 a day?

Claim processors typically do not earn $2,000 a day; their salaries are usually based on hourly wages or salaries. High-paying roles in finance, consulting, or specialized medical fields may reach that level, but they often require extensive experience, certifications, or advanced skills. Most jobs paying $2,000 daily are in executive, consulting, or entrepreneurial roles rather than standard claim processing positions.

What do you need to be a claims processor?

To become a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, good organizational skills, and familiarity with claims processing software or computer systems. Some positions may require prior experience in insurance or customer service. Certifications are not usually mandatory but can enhance job prospects.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

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

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.
Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Miami, FL as of June 2026, with employment types broken down into 51% Full Time, 47% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.
Medical Claim Adjuster

Medical Claim Adjuster

Larkin Community Hospital

Miami, FL • On-site

$63K - $81K/yr

Full-time

Posted 24 days ago

Job description

JOB TITLE: Medical Claim Adjuster

DEPARTMENT: Patient Accounts

SUPERVISOR: Business Office Director

Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

GENERAL JOB DESCRIPTION

Under the direction of the Business Office Director, the Medical Claim Adjuster is responsible for reviewing and adjusting accounts in accordance with claims processing guidelines.

DUTIES AND RESPONSIBILITIES

  • Perform adjustments using technical and claims processing expertise.
  • Identify discrepancies in payments, adjust accounts based on expected amount.
  • Review and interpret contract language using provider contracts to confirm whether a claim is overpaid or underpaid.
  • Review denials and ensures posting reflects the appropriate denial reason code.
  • Review and handle relevant correspondences assigned to the team that may result in adjustments to accounts.
  • Preforms related duties as required.

QUALIFICATIONS FOR THE JOB

Education:

High School diploma of equivalent (additional certifications or education in medical billing/coding preferred)

Experience:

  • 1-2+ year’s claims processing experience.

Other:

  • Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance billing guidelines.
  • Excellent numerical and analytical skills, with a keen eye to detail.
  • Ability to interpret insurance EOBs and payment information accurately.
  • Strong problem-solving skills, with the ability to reconcile discrepancies and resolve payment-related issues effectively.
Larkin Community Hospital logo

About Larkin Community Hospital

Sourced by ZipRecruiter

At Larkin, we have been serving the health care needs of South Miami, Hialeah, and the surrounding communities for more than 40 years. We take pride in the continuing tradition of caring. We remain dedicated to providing excellent medical care with the personal touch and convenience that only a community hospital offers.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

South Miami, FL, US

Year founded

1969

Social media

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