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Claims Associate Jobs in Miami, FL (NOW HIRING)

Conduent, Inc.

Pharmacy Claims Auditor CPhT

Miami, FL · Hybrid

$57K/yr

Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy ... With over 50,000 associates in 24 countries, you'll be part of a global team that's shaping the ...

Conduent, Inc.

Pharmacy Claims Auditor CPhT

Miami, FL · On-site

$57K/yr

Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy ... With over 50,000 associates in 24 countries, you'll be part of a global team that's shaping the ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

High school diploma or equivalent; associate or bachelor's degree preferred. * Minimum of 2-4 years of claims processing experience in a managed care or health insurance environment. * Strong ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

High school diploma or equivalent; associate or bachelor's degree preferred. * Minimum of 2-4 years of claims processing experience in a managed care or health insurance environment. * Strong ...

KUS

Warranty Associate

Davie, FL · On-site

$19 - $25/hr

The Warranty Associate will play a key role in managing warranty claims, coordinating outbound shipments, maintaining accurate records, and supporting cross-functional teams to resolve product ...

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Claims Associate information

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How much do claims associate jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for claims associate in Miami, FL is $20.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $22.07 per hour, depending on experience, location, and employer.

What does a claims associate do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

What are the key skills and qualifications needed to thrive as a claims associate?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What does a claims associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are some common challenges a claims associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.
More about Claims Associate jobs

What are the most commonly searched types of Claims jobs in Miami, FL?

The most popular types of Claims jobs in Miami, FL are:

What are popular job titles related to Claims Associate jobs in Miami, FL?

For Claims Associate jobs in Miami, FL, the most frequently searched job titles are:

What job categories do people searching Claims Associate jobs in Miami, FL look for?

The top searched job categories for Claims Associate jobs in Miami, FL are:

What cities near Miami, FL are hiring for Claims Associate jobs?

Cities near Miami, FL with the most Claims Associate job openings:

Claims Associate jobs near you
Infographic showing various Claims Associate job openings in Miami, FL as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 82% In-person, 7% Hybrid, and 11% Remote job distribution, with an average salary of $41,752 per year, or $20.1 per hour.

Claims Associate I

Stellar Human Resource Services LLC

Miami, FL

$17 - $23/hr

Full-time

Re-posted 14 days ago

Job description

Company: Stellar Public Adjusting Services

Job Title: Claims Associate I
Location: Miami
Department: Claims
Reports To: Claims Manager

Job Summary:

The Claims Associate I plays a critical support role in the Claims Department by handling administrative tasks, managing documentation, scheduling activities, and assisting Claims Associate II to ensure that files are complete, organized, and moving forward efficiently. This is an entry-level to mid-level role designed for individuals who are detail-oriented, organized, and eager to grow within the public adjusting field.

Key Responsibilities:

1. Administrative Support

  • Assist Claims Associate II in organizing and maintaining claim files.
  • Upload and tag documents (e.g., policies, estimates, inspection photos, invoices) to the Fila Management system.
  • Prepare standard forms and letters such as notices of representation, follow-up requests, and scheduling confirmations.

2. File Organization & Data Entry

  • Ensure that claim notes, communications, and documents are filed under the correct categories and associated with the correct contacts.
  • Assist with updating claim status fields, deadlines, and task lists in the File Management system.

3. Client Follow-Up & Requests

  • Make courtesy calls or send emails to gather missing documents (e.g., receipts, invoices, signed contracts).
  • Assist in answering basic client questions or routing them to the appropriate Claims Associate II.

4. Internal Collaboration

  • Support multiple Claims Associate II or a specific team depending on the workload.
  • Coordinate with the Scheduling team to ensure inspection appointments with clients, carriers, contractors, and adjusters are completed.
  • Follow up after inspections to ensure reports and photos are received and filed.
  • Coordinate with the Estimating and Field Teams to obtain supporting documentation for supplements or new claims.

5. Compliance & Checklist Monitoring

  • Help ensure claim files meet internal checklist requirements before submission to the Public Adjuster or other internal departments.
  • Flag incomplete files or missing documents to Claims Associate II and team leads.
  • Monitor deadlines for responses, supplemental submissions, and inspection scheduling.

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