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Claims Associate Jobs in Spring Hill, FL (NOW HIRING)

Arthritis Associates of Florida

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Medical Accounts Receivable (A/R) Specialist

Palm Harbor, FL · On-site

$20 - $23/hr

  • Life

  • Retirement

  • PTO

POSITION IS ON-SITE ONLY Arthritis Associates of Florida is seeking an experienced, detail-oriented ... Investigate, appeal, and resolve denied, underpaid, and unpaid claims. * Perform detailed insurance ...

Arthritis Associates of Florida

Be Seen First

Medical Accounts Receivable (A/R) Specialist

Palm Harbor, FL · On-site

$20 - $23/hr

  • Life

  • Retirement

  • PTO

POSITION IS ON-SITE ONLY Arthritis Associates of Florida is seeking an experienced, detail-oriented ... Investigate, appeal, and resolve denied, underpaid, and unpaid claims. * Perform detailed insurance ...

Assuranceamerica

SIU Desk Investigator - Tampa

Tampa, FL

$21 - $27/hr

We believe in creating a culture where every associate has the opportunity to learn and grow. We ... Claims Investigations to include but not limited to: statements, document analysis/verification ...

Jackson Lewis

Litigation Associate - Of Counsel (Remote)

Tampa, FL · Remote

$120K - $216K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Defend and litigate lawsuits involving a broad range of employment-related claims and agency ... Associate role) handling California employment litigation * To be eligible for consideration for an ...

Denovo Review

First Party Property Attorney (308/o)

Tampa, FL · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

A well-established law firm is seeking a First Party Property Associate Attorney to join its dynamic practice. This role offers an opportunity to work on property damage claims, including cases ...

Nautical Ventures

Warranty Administrator

Holiday, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

High school diploma or equivalent (associate's or bachelor's degree preferred). * Previous experience in warranty administration, claims processing, or customer service. * Knowledge of warranty terms ...

Nautical Ventures West LLC

Warranty Administrator

Holiday, FL

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

High school diploma or equivalent (associate's or bachelor's degree preferred). * Previous experience in warranty administration, claims processing, or customer service. * Knowledge of warranty terms ...

Nautical Ventures Marine LLC

Warranty Administrator

Holiday, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

High school diploma or equivalent (associate's or bachelor's degree preferred). * Previous experience in warranty administration, claims processing, or customer service. * Knowledge of warranty terms ...

Nautical Ventures

Warranty Administrator

Holiday, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

High school diploma or equivalent (associate's or bachelor's degree preferred). * Previous experience in warranty administration, claims processing, or customer service. * Knowledge of warranty terms ...

paradigm

Associate Director, Provider Marketing

Tampa, FL · Remote

$38K - $52K/yr

The Associate Director of Provider Marketing (Associate Director, Outreach & Education) is ... Workers' compensation claims experience highly desirable. Core Competencies: * Communication:

paradigm

Associate Director, Provider Marketing

Tampa, FL · Remote

$38K - $52K/yr

The Associate Director of Provider Marketing (Associate Director, Outreach & Education) is ... Workers' compensation claims experience highly desirable. Core Competencies: * Communication:

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All JobsClaims Associate JobsClaims Associate Jobs in Spring Hill, FL

Claims Associate information

See Spring Hill, FL salary details

$11

$17

$25

How much do claims associate jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for claims associate in Spring Hill, FL is $17.81, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $19.57 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 Spring Hill, FL?

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

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

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

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

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

Claims Associate jobs near you

Medical Accounts Receivable (A/R) Specialist

Arthritis Associates of Florida

Palm Harbor, FL • On-site

$20 - $23/hr

Full-time

Life, Retirement, PTO

Re-posted 21 days ago

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Job description

POSITION IS ON-SITE ONLY

Arthritis Associates of Florida is seeking an experienced, detail-oriented, and highly motivated Medical Accounts Receivable (A/R) Specialist to join our growing rheumatology practice. This position is ideal for a revenue cycle professional who excels at resolving complex insurance claims, reducing aged accounts receivable, and navigating payer reimbursement issues for specialty medications and infusion services.

The ideal candidate will have a strong background in medical billing and collections, be proficient in eClinicalWorks (eCW), and possess the analytical skills necessary to successfully manage legacy account cleanup and ongoing revenue cycle activities.

What You'll Do

  • Work aged accounts receivable and aggressively pursue outstanding insurance and patient balances.
  • Investigate, appeal, and resolve denied, underpaid, and unpaid claims.
  • Perform detailed insurance follow-up with Medicare, and commercial payers.
  • Review and reconcile legacy billing accounts and historical balances.
  • Research and resolve payment posting discrepancies, unapplied cash, and credit balances.
  • Submit claim corrections, reconsiderations, and appeals.
  • Verify reimbursement according to payer contracts and fee schedules.
  • Conduct insurance benefits investigations for infusion therapies and biologic buy-and-bill medications.
  • Verify coverage, prior authorization requirements, deductibles, coinsurance, and patient financial responsibility.
  • Follow up on high-dollar infusion claims and specialty drug reimbursement issues.
  • Maintain accurate account documentation within eClinicalWorks.
  • Collaborate with clinical, front office, and billing teams to ensure accurate claim submission and reimbursement.

Qualifications

Required

  • Minimum of 3 years of medical accounts receivable, billing, or insurance follow-up experience.
  • Demonstrated experience resolving complex insurance claims and denials.
  • Strong working knowledge of Medicare, Medicare Advantage, commercial insurance, and manufacture copay assistance programs.
  • Proficiency in eClinicalWorks (eCW) Practice Management and EHR systems.
  • Proficient knowledge of CPT, ICD-10, HCPCS, modifiers, and medical terminology.
  • Excellent organizational skills and attention to detail.
  • Strong written and verbal communication skills.
  • Ability to work independently while meeting productivity and quality goals.

Preferred

  • Rheumatology, infusion, oncology, gastroenterology, or specialty practice experience.
  • Experience with biologic medications and buy-and-bill reimbursement.
  • Knowledge of infusion coding, prior authorizations, and copay assistance programs.
  • Experience with legacy system cleanup and data reconciliation projects.

Skills & Competencies

✔ Expertise in insurance follow-up and denial management
✔ Strong analytical and problem-solving abilities
✔ Thorough understanding of revenue cycle management
✔ Experience with high-dollar specialty and infusion claims
✔ Proficiency in payer portals and electronic claim systems
✔ Ability to prioritize and manage large volumes of aged accounts
✔ Commitment to accuracy, compliance, and confidentiality
✔ Strong customer service and professional communication skills

Company Description

We are a well-established, physician-led rheumatology practice with two providers, offering a highly collaborative environment where team members take ownership, work closely with the physician, and play a meaningful role in managing complex autoimmune conditions and delivering consistent, relationship-driven patient care.