Management of and coordination with DPR's consultants and outside attorneys throughout the claim process. * Continuously analyze claim-specific details as the claim progresses to devise key ...
Management of and coordination with DPR's consultants and outside attorneys throughout the claim process. * Continuously analyze claim-specific details as the claim progresses to devise key ...
... claim processing units (problems/inquires). - Assist in providing daily leadership for associates to obtain optimal results. - Pull documents/files as requested in a timely manner. - Other duties as ...
... claim processing units (problems/inquires). - Assist in providing daily leadership for associates to obtain optimal results. - Pull documents/files as requested in a timely manner. - Other duties as ...
Service Warranty Administrator - Nissan Pembroke Pines
Pembroke Pines, FL · On-site
$16.50 - $22/hr
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Service Warranty Administrator - Nissan Pembroke Pines
Pembroke Pines, FL · On-site
$16.50 - $22/hr
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Process all claims by next business day following RO close date * Handle and resolve all claim corrections and charge-backs * Establish and maintain relationships with the manufacturer's designated ...
Forensic Account Biller & Collector
Miami, FL · On-site
$17.50 - $22.50/hr
Follow proper medical and insurance claim processes. * Review and analyze remittance advice and claims to resolve billing issues. * Contact vendors to follow up on outstanding claims. * Maintain up ...
Forensic Account Biller & Collector
Miami, FL · On-site
$17.50 - $22.50/hr
Follow proper medical and insurance claim processes. * Review and analyze remittance advice and claims to resolve billing issues. * Contact vendors to follow up on outstanding claims. * Maintain up ...
Front Desk Receptionist
Miami Gardens, FL · On-site
$14 - $17/hr
Company Description Platinum Public Adjusters champions homeowners, ensuring they receive fair settlements by expertly guiding them through the insurance claim process. We foster a supportive team ...
Quick apply
Front Desk Receptionist
Miami Gardens, FL · On-site
$14 - $17/hr
Company Description Platinum Public Adjusters champions homeowners, ensuring they receive fair settlements by expertly guiding them through the insurance claim process. We foster a supportive team ...
Works closely with Manager of Denials Management and engagement leadership to resolve barriers to account and claim processing and identify and implement opportunity areas to remediate issues and ...
Works closely with Manager of Denials Management and engagement leadership to resolve barriers to account and claim processing and identify and implement opportunity areas to remediate issues and ...
Front Desk Receptionist
Miami Gardens, FL · On-site
$14 - $17/hr
Company Description Platinum Public Adjusters champions homeowners, ensuring they receive fair settlements by expertly guiding them through the insurance claim process. We foster a supportive team ...
Quick apply
Front Desk Receptionist
Miami Gardens, FL · On-site
$14 - $17/hr
Company Description Platinum Public Adjusters champions homeowners, ensuring they receive fair settlements by expertly guiding them through the insurance claim process. We foster a supportive team ...
Forensic Account Biller & Collector
Miami, FL · On-site
$17.50 - $22.50/hr
Follow proper medical and insurance claim processes. * Review and analyze remittance advice and claims to resolve billing issues. * Contact vendors to follow up on outstanding claims. * Maintain up ...
Quick apply
Forensic Account Biller & Collector
Miami, FL · On-site
$17.50 - $22.50/hr
Follow proper medical and insurance claim processes. * Review and analyze remittance advice and claims to resolve billing issues. * Contact vendors to follow up on outstanding claims. * Maintain up ...
Senior Resolution Manager
Miami, FL · On-site
$25K/mo
Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent with clients' and corporate policies ...
Senior Resolution Manager
Miami, FL · On-site
$25K/mo
Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent with clients' and corporate policies ...
Senior Resolution Manager
Miami, FL · On-site
$66K - $94K/yr
Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent with clients' and corporate policies ...
Senior Resolution Manager
Miami, FL · On-site
$66K - $94K/yr
Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent with clients' and corporate policies ...
Workers Compensation Claims Adjuster - FL
Miami, FL · Remote
$51K - $73K/yr
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our ...
Workers Compensation Claims Adjuster - FL
Miami, FL · Remote
$51K - $73K/yr
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our ...
Workers Compensation Claims Adjuster - FL
Miami, FL · Remote
$63K - $81K/yr
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our ...
Workers Compensation Claims Adjuster - FL
Miami, FL · Remote
$63K - $81K/yr
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our ...
Maintain complete and defensible claim files for litigation support. * Identify operational risks and recommend process improvements.
Maintain complete and defensible claim files for litigation support. * Identify operational risks and recommend process improvements.
For some designated claims, report the claim to the Insurance Carrier and submit the paperwork. * For other claims, other members of the New Claims team the number of New Claims to be processed.
For some designated claims, report the claim to the Insurance Carrier and submit the paperwork. * For other claims, other members of the New Claims team the number of New Claims to be processed.
Service Coordinator
Hollywood, FL · On-site
$52K - $62K/yr
Support warranty claim processing, including parts ordering and vendor communication. * Provide excellent phone and email customer support, responding promptly to inquiries and service requests.
Quick apply
Service Coordinator
Hollywood, FL · On-site
$52K - $62K/yr
Support warranty claim processing, including parts ordering and vendor communication. * Provide excellent phone and email customer support, responding promptly to inquiries and service requests.
Knowledge of UB04 / CMS1500 claims, ICD-10 / Revenue / CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission. * Proven ability to effectively and ...
Knowledge of UB04 / CMS1500 claims, ICD-10 / Revenue / CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission. * Proven ability to effectively and ...
Improve clean-claim rate * Support appeals and recoupments * Monitor AR trends and timely filing limits Process Development * Strengthen Order workflows * Build documentation checklists * Contribute ...
Improve clean-claim rate * Support appeals and recoupments * Monitor AR trends and timely filing limits Process Development * Strengthen Order workflows * Build documentation checklists * Contribute ...
Configuration Analyst
Miami, FL · On-site
Claims testing and processing including claim adjustments, as well as providing support and education to the staff as necessary. * The incumbent will troubleshoot and resolve provider records to ...
Quick apply
Configuration Analyst
Miami, FL · On-site
Claims testing and processing including claim adjustments, as well as providing support and education to the staff as necessary. * The incumbent will troubleshoot and resolve provider records to ...
Claim Processor information
See Miami, FL salary details
$11.50 - $12.75
2% of jobs
$12.75 - $14
6% of jobs
$14 - $15.26
9% of jobs
$15.91 is the 25th percentile. Wages below this are outliers.
$15.26 - $16.51
14% of jobs
$16.51 - $17.77
18% of jobs
The median wage is $17.81 / hr.
$17.77 - $19.02
17% of jobs
$19.71 is the 75th percentile. Wages above this are outliers.
$19.02 - $20.27
16% of jobs
$20.27 - $21.53
7% of jobs
$21.53 - $22.78
4% of jobs
$22.78 - $24.04
4% of jobs
$24.04 - $25.29
2% of jobs
$11
$18
$25
How much do claim processor jobs pay per hour?
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What do you need to be a claims processor?
What is the difference between Claim Processor vs Claims Examiner?
| Aspect | Claim Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; insurance certifications preferred |
| Work Environment | Office settings, insurance companies, healthcare providers | Office settings, insurance companies, healthcare providers |
| Employer & Industry Usage | Insurance companies, healthcare providers, third-party administrators | Insurance companies, third-party administrators, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing 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?

Insurance Claims Specialist (Construction Defects and Property Damage)
DPR ConstructionFort Lauderdale, FL • On-site
Full-time
Posted 24 days ago
DPR Construction rating
7.8
Based on 35 frontline employees who took The Breakroom Quiz
25th of 78 rated construction
Job description
The Insurance Claims Specialist will be responsible for assisting with the management of all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned.
Reporting: Role reports to Insured Claims Manager and Insured Claims Leader
Specific Duties Include:
Claims & Incident Management (General):
Initial triage and processing of incidents received from project teams for DPR (and DPR-related entities).
Input and/or review all incidents reported in DPR's RMIS system.
Working with the incident triage group to ensure timely and appropriate review of all incidents
Ensure all necessary information is compiled to properly manage claims. This includes working with the DPR teams to collect relevant documents such as the Prime contract, Subcontracts, Certificates of Insurance, Owner Policy Documents, Project Documents and Project Specific Coverage information, etc.
Assess all potential risks, as well as identify all contractual risk transfer mechanisms.
Analyzing potential insurance coverage for all applicable lines of coverage and report, with all appropriate documents and information, potential claims for DPR (and DPR-related entities) to the broker for any applicable program (Traditional, CCIP, OCIP).
Assist with the development and training of other DPR Workgroups (and DPR-related entities) around CD/PD Best Practices.
Construction Defect & Property Damage (CD/PD) Specific Claims Management:
Manage all assigned claims in DPR's RMIS system relating to Construction Defect and Property Damage matters for DPR (and DPR-related entities). This would include using all appropriate lines of coverage such as Commercial General Liability, Builder's Risk, Property, Contractor's Pollution Liability and Professional Liability, whether the policies are placed by DPR or our Clients.
Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Management of and coordination with DPR's consultants and outside attorneys throughout the claim process.
Continuously analyze claim-specific details as the claim progresses to devise key strategies in conjunction with all internal stakeholders and outside consultants.
Proactive management and coordination of all phases of the DPR CD/PD Claims Workflow.
Key Skills:
Basic working knowledge and familiarity of:
Commercial General Liability
Property Insurance (Including Inland Marine and Builder's Risk
Pollution Liability
Professional Liability
Controlled Insurance Programs (CCIP/OCIP)
RMIS Systems
Construction Industry Expertise
Strategic thinking
Strong written and oral communication skills
High level of EQ (Soft skills)
Self-Starter
Highly organized and responsive; ability to meet deadlines
Detail Oriented
Contractual risk assessment
Dispute management
Integrity
Ability to mentor and inspire others
Team player
Willingness to understand and advance the DPR Culture
Proactive Learner
Qualifications:
5-7 years relevant construction industry and/or insurance industry experience preferred.
Previous experience in construction company Risk Management highly desired.
Position location - TBD based on location of most qualified candidate.
DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.
Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.
Explore our open opportunities atwww.dpr.com/careers.
What DPR Construction employees say
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Benefits
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About DPR Construction
Sourced by ZipRecruiter
Industry
Construction
Company size
10,000+ Employees
Headquarters location
Redwood City, CA, US
Year founded
1990