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Claims Associate Jobs in New Port Richey, FL (NOW HIRING)

Chubb

ESIS Claims Associate

Tampa, FL · On-site

$16.25 - $21.75/hr

Job Title Claims Associate Are you ready to make a meaningful impact in the world of workers' compensation or auto & general liability claims? Join ESIS, a leader in risk management and insurance ...

Avenica

Claims Associate

Tampa, FL · On-site

$27.14/hr

Avenica has partnered with our customer--an industry-leading insurance group--to hire a Claims Associate focused on Auto and General Liability in their growing claims division. This is a structured ...

Chubb

ESIS Claims Associate

Tampa, FL · On-site

$16.75 - $22.75/hr

We are looking to add a Claims Associate to our team who will ultimately be responsible for managing a workers' compensation claims desk. This temp-to-hire program is designed to include hands-on ...

First American

Associate Claims Counsel

Tampa, FL

$77K - $103K/yr

Associate Claims Counsel manage their own claims load, oversee outside litigation counsel, and engage in high-level problem solving, negotiation and legal analysis in a stimulating and collegial ...

Assuranceamerica

Claims Adjuster Trainee

Tampa, FL

We believe in creating a culture where every associate can learn and grow. We strive to create a ... The Claims Adjuster Trainee will complete a series of Self-Study courses, classroom training and On ...

Assuranceamerica

Casualty Claims Examiner

Tampa, FL · Remote

The Casualty Claims Examiner will work alongside claims management, providing direction and ... Skills & Competencies Communication and analytical ability at a level to interact with associates ...

Markel International

Claims Examiner

Tampa, FL · On-site +1

$62K - $85K/yr

Successful completion of two years as an Associate Claims Specialist preferred. Qualifications: * Excellent written and oral communication skills * Strong analytical and problem-solving skills

One Ten Inc

Sales, Customer Service & Claims

Tampa, FL · On-site

High school diploma, GED, or Associate's degree * Minimum of 3 years of relevant experience in customer service, sales, or insurance claims * Strong communication and problem-solving skills * Ability ...

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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 New Port Richey, FL is $18.69, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $20.58 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

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The most popular types of Claims jobs in New Port Richey, FL are:

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For Claims Associate jobs in New Port Richey, FL, the most frequently searched job titles are:

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Claims Associate jobs near you

Business Claims Associate

Avalon Healthcare Solutions

Tampa, FL • On-site

$16.75 - $22.75/hr

Full-time

Medical

Re-posted 10 days ago

Job description

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost.
Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.
Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.
Avalon is a high growth company where every associate has an opportunity to make a difference. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.
For more information about Avalon, please visit www.avalonhcs.com.
Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.
For more about Avalon, please visit our web site at http://www.avalonhcs.com.
About the Business Claims Associate:
The Business Claims Associate will be a part of the Claims Operations Department and will report to the Claims Operations Supervisor. Responsibilities of the Claims Associate includes the submittal of weekly Provider Reconsideration faxes to multiple health plans and providing follow ups when appropriate. The Claims Associate will also upload faxed confirmations and health plan determination letters to in process tickets and will be expected to monitor Reconsideration queue to identify discrepancies. This role will also include performance of outbound calls and email communications to clients for status updates on tickets submissions to facilitate issue resolution. Additionally, the Claims Associate will evaluate provider issues presented on Provider Support tickets and work with the Senior team and management to determine trends and assist in driving resolution. Additionally, this role will include support of Network Operations. Furthermore, this position will also provide support for Network Operations, which includes the review and research of claims, verification of provider documentation, and the creation of ad-hoc reports
This position is eligible for hybrid-remote work and will be required to report to the corporate office in Tampa, Florida for 1-2 days per week.
Business Claims Associate - Essential Functions and Responsibilities:
  • Submit Provider Reconsideration tickets to multiple Health plans
  • Evaluate disputed claims in Reconsideration process and share findings with Senior staff to determine scope
  • Maintain and update Provider demographic records for network participation.
  • Uploading Health plan determination letters to appropriate Reconsideration tickets
  • Track Provider issues and monitor trends to support their resolution.
  • Update and responds to provider ticket requests within established turnaround times.
  • Provides excellent customer service to providers.
  • Collaborates with other departments to support provider needs.
  • Performs outbound calls to Health Plans to investigate aging reconsideration submissions and claims payment details.
  • Maintenance of various logs
  • Excellent written and verbal communication skills.
  • Research and resolve provider inquiries.
  • Performs other duties as assigned.
  • Storing and maintenance of multiple electronic documents.
  • Ability to multi-task

Business Claims Associate - Minimum Qualifications:
  • Good customer service and communication skills
  • Attentive to details and organized
  • Intermediate knowledge of Microsoft Office Suite products
  • Excellent interpersonal skills
  • Willingness to learn new skills
  • Experience with using eFax and performing outbound phone calls to clients

Business Claims Associate - Minimum Qualifications:
  • Associate degree preferred but not required
  • Experience working in the health care industry is preferred but not required
  • Experience with Provider credentialing is preferred but not required

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