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Claim Processor Jobs in Miami, FL (NOW HIRING)

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial ...

REVA INC

Revenue Cycle Manager

Fort Lauderdale, FL · On-site

Manage the claim denial process, appealing and resolving payer denials through denial-recovery acceleration. * Prepare and submit ONN letters and file with the IDR as necessary. Payments ...

REVA INC

Revenue Cycle Manager

Fort Lauderdale, FL · On-site

Manage the claim denial process, appealing and resolving payer denials through denial-recovery acceleration. * Prepare and submit ONN letters and file with the IDR as necessary. Payments ...

HUB

Senior Claims Consultant

Davie, FL · On-site

Provide guidance to client as to claim process along with directionregardinglikely outcomeand timelines * Liaise with carriers and representatives throughout theclaim process * Appropriately document ...

HUB

Senior Claims Consultant

Miami, FL · On-site

Provide guidance to client as to claim process along with directionregardinglikely outcomeand timelines * Liaise with carriers and representatives throughout theclaim process * Appropriately document ...

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Showing results 21-40

All JobsClaim Processor JobsClaim Processor Jobs in Miami, FL

Claim Processor information

See Miami, FL salary details

$11

$18

$25

How much do claim processor jobs pay per hour?

As of Aug 13, 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 do you need to be a claim processor?

To become a claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Experience with insurance policies, claims processing software, or customer service can be beneficial, and some employers may require familiarity with specific tools or certifications related to insurance or claims management.

Is it hard to be a claim processor?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with claims management software. The difficulty can vary based on workload, complexity of claims, and experience level, but it generally involves routine tasks with some need for problem-solving and communication skills.

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 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.
What are the most commonly searched types of Claim Processor jobs in Miami, FL? The most popular types of Claim Processor jobs in Miami, FL are:
Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Miami, FL as of August 2026, with employment types broken down into 80% Full Time, 18% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.

Reimbursement Specialist

Pediatric Associates

Plantation, FL

$18.25 - $25.25/hr

Full-time

Posted 28 days ago

Job description

Monday - Friday, 8am-5pm EST
 

PRIMARY FUNCTION:  Reimbursement Specialist is responsible for analyzing the billing process to determine appropriateness in payment (reimbursement). This position manages all components of claims processing including: 1) coordination of disputed, rejected, and delayed claims, and 2) to problem solve and review returned, disputed or rejected claims from Government and other third party Payers. Additionally, this position is responsible for communicating with billers regarding coding processes to prevent future denials. 

ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.) 

  1. Processes correspondence related to assigned contracted and/or non-contracted insurance carriers including self-pay accounts. 

  2. Researches denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims. Call and check claim status, work A/R and insurance carrier reports, and insurance denials. Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims. 

  3. Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial Class and the Insurance Group and verify that they are in the correct financial reporting groups. 

  4. Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner. 

  5. Monitor payer payment policies (bundling process) for each carrier to ensure guidelines are followed. 

  6. Responsible for validating appeal opportunities, creating appeal letters, generating and submitting individual and/or batch appeals in a timely manner, tracking appeals and recoveries. Follow up on outstanding appeals, and work closely with the appropriate teams to validate contracts. 

  7. Communicate and escalate denial trends, short payments, or payer policies to Management. 

  8. Other various duties as assigned, including cross training in other functional areas. 

*Non patient-facing 

PERFORMANCE REQUIREMENTS: 

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations. 

TYPICAL WORKING CONDITIONS:  

Indoor Work 

Operating Computer 

Reach Outward 

Manual Dexterity 

Lift/Carry 20 lbs. or less 

Push/Pull 12 lbs. or less 

Sitting 

Other Physical Requirements 

Vision 

Sense of Sound 

Sense of Touch 

EDUCATION: High school diploma/GED or equivalent. 

LICENSURE/CERTIFICATION: None 

EXPERIENCE: Minimum of 1 year of insurance/collection experience in a medical environment preferred. 
KNOWLEDGE, SKILLS & ABILITIES:  

  • Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.)  

  • Skill in defining problems, diagnostics of common coding errors, and impact on claims processing, collection of data, interpreting billing information.  

  • Must possess strong interpersonal skills; must be able to communicate effectively with co-workers, the Business Office Manager and must be able to work effectively as a team member within the Business Office.  

  • Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics.  

  • Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner. 

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