Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions ...
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
New
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
New
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
New
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
New
Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize, and make daily use of information. Coordinate daily workflow to coincide with payment cycle.
Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize, and make daily use of information. Coordinate daily workflow to coincide with payment cycle.
Claims Analyst (Auto)
Jacksonville, FL · On-site
Investigates, negotiates, and processes cargo claims in accordance with various customer's policies and procedures within industry standards * Follows standard operating procedures to appropriately ...
Claims Analyst (Auto)
Jacksonville, FL · On-site
Investigates, negotiates, and processes cargo claims in accordance with various customer's policies and procedures within industry standards * Follows standard operating procedures to appropriately ...
Investigates, negotiates, and processes cargo claims in accordance with various customer's policies and procedures within industry standards * Follows standard operating procedures to appropriately ...
Investigates, negotiates, and processes cargo claims in accordance with various customer's policies and procedures within industry standards * Follows standard operating procedures to appropriately ...
Claim Examiner I
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures. * Accurately adjudicate new day claims , ensuring proper application of ...
Quick apply
Claim Examiner I
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures. * Accurately adjudicate new day claims , ensuring proper application of ...
Responsible for receiving and processing all lawsuits for active/effective VLP members and the creation of new profiles for prospects with pre-existing lawsuits. The Claims Agent is responsible for ...
Quick apply
Responsible for receiving and processing all lawsuits for active/effective VLP members and the creation of new profiles for prospects with pre-existing lawsuits. The Claims Agent is responsible for ...
Medical Claims Examiner 2
Miramar, FL · Hybrid
Working knowledge of medical terminology, claims processing procedures, and accounts payable process. EDUCATION * Two year college degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D ...
Medical Claims Examiner 2
Miramar, FL · Hybrid
Working knowledge of medical terminology, claims processing procedures, and accounts payable process. EDUCATION * Two year college degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D ...
Medical Claims Examiner 2
Miramar, FL · On-site
Working knowledge of medical terminology, claims processing procedures, and accounts payable process. EDUCATION * Two year college degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D ...
Medical Claims Examiner 2
Miramar, FL · On-site
Working knowledge of medical terminology, claims processing procedures, and accounts payable process. EDUCATION * Two year college degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D ...
Claims Administrator
Bonita Springs, FL · On-site
$55K - $65K/yr
Responsibilities include claims processing and finding ways to enhance process/drive improved damage recovery. What you will do... * Handle intake process for new claims, including gathering ...
Claims Administrator
Bonita Springs, FL · On-site
$55K - $65K/yr
Responsibilities include claims processing and finding ways to enhance process/drive improved damage recovery. What you will do... * Handle intake process for new claims, including gathering ...
Review of claims that have already been processed by the system. The suppliers are complaining about issues with the previously processed claims. Will be identifying root causes, necessary correction ...
Review of claims that have already been processed by the system. The suppliers are complaining about issues with the previously processed claims. Will be identifying root causes, necessary correction ...
The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will ...
The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will ...
The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will ...
The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will ...
Claims Auditor
Miami, FL · On-site
By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors. Ultimately, this role supports the delivery ...
Quick apply
Claims Auditor
Miami, FL · On-site
By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors. Ultimately, this role supports the delivery ...
Claims Manager
Jacksonville, FL · On-site
The Claims Manager role will serve as a key member of the Company's risk management function, responsible for the management of insurance claims, claims data, and claims-related processes across a ...
Quick apply
Claims Manager
Jacksonville, FL · On-site
The Claims Manager role will serve as a key member of the Company's risk management function, responsible for the management of insurance claims, claims data, and claims-related processes across a ...
Claims Associate II
Miami, FL · On-site
$17 - $23/hr
This individual will serve as the primary contact to our clients throughout the claims process and help manage the investigation of their claims. The position will work under the direction of the ...
Claims Associate II
Miami, FL · On-site
$17 - $23/hr
This individual will serve as the primary contact to our clients throughout the claims process and help manage the investigation of their claims. The position will work under the direction of the ...
Medical Claim Adjuster
Miami, FL · On-site
$63K - $81K/yr
Perform adjustments using technical and claims processing expertise. * Identify discrepancies in payments, adjust accounts based on expected amount. * Review and interpret contract language using ...
Quick apply
Medical Claim Adjuster
Miami, FL · On-site
$63K - $81K/yr
Perform adjustments using technical and claims processing expertise. * Identify discrepancies in payments, adjust accounts based on expected amount. * Review and interpret contract language using ...
Claims Processing information
See Florida salary details
$8.98 - $9.96
2% of jobs
$9.96 - $10.94
6% of jobs
$10.94 - $11.92
9% of jobs
$12.43 is the 25th percentile. Wages below this are outliers.
$11.92 - $12.90
14% of jobs
$12.90 - $13.88
18% of jobs
The median wage is $13.91 / hr.
$13.88 - $14.86
17% of jobs
$15.40 is the 75th percentile. Wages above this are outliers.
$14.86 - $15.84
16% of jobs
$15.84 - $16.82
7% of jobs
$16.82 - $17.80
4% of jobs
$17.80 - $18.78
4% of jobs
$18.78 - $19.76
2% of jobs
$8
$14
$19
How much do claims processing jobs pay per hour?
As of Jun 10, 2026, the average hourly pay for claims processing in Florida is $14.32, according to ZipRecruiter salary data. Most workers in this role earn between $12.21 and $15.43 per hour, depending on experience, location, and employer.
What is the difference between Claims Processing vs Claims Adjuster?
| Aspect | Claims Processing | Claims Adjuster |
|---|---|---|
| Credentials | High school diploma or equivalent; certifications vary | High school diploma; often state licensing or certifications |
| Work Environment | Office-based, administrative setting | Fieldwork and office-based, investigative environment |
| Industry Usage | Insurance companies, healthcare providers | Insurance companies, claims departments |
| Job Focus | Reviewing and processing claims for payment | Investigating claims, determining liability and settlement |
Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.
What is a claims processing job?
A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. It requires attention to detail, knowledge of insurance policies, and often involves using specialized software to track claim status and ensure timely resolution.
What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?
Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.
What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?
To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.
What is claims processing?
Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in Florida? The most popular types of Claims Processing jobs in Florida are:
What are popular job titles related to Claims Processing jobs in Florida? For Claims Processing jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Claims Processing jobs in Florida look for? The top searched job categories for Claims Processing jobs in Florida are:
What cities in Florida are hiring for Claims Processing jobs? Cities in Florida with the most Claims Processing job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 15 days ago
Integrity Marketing Group rating
8.1
Based on 30 frontline employees who took The Breakroom Quiz
10th of 42 rated marketing agency
Job description
Health Insurance Claims Adjuster
Insurance Administrative Solutions
Clearwater, FL
About Insurance Administrative Solutions
Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States.
Job Summary: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines.
Primary Responsibilities other duties may be assigned as necessary:
Primary Skills & Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Benefits Available
About Integrity
Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.
Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.
Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.
Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
Insurance Administrative Solutions
Clearwater, FL
About Insurance Administrative Solutions
Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States.
Job Summary: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines.
Primary Responsibilities other duties may be assigned as necessary:
- Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
- Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions.
- Interpret contract benefits in accordance with specific claim processing guidelines.
- Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.
- Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly.
- Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.
- Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
- Maintain external contact with providers/agents/policyholders.
Primary Skills & Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- A high school diploma or GED equivalent
- Minimum of 1 year proven health insurance claims adjudication experience.
- Insurance background preferred; previous Medical/prescription claims preferred.
- Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required.
- Familiarity with medical terminology, procedures and diagnosis codes preferred.
- Ability to read and interpret EOB's claim history, and excellent research skills.
- Familiarity with Microsoft Office products; familiarity with Qiclink software a plus.
- Ability to calculate deductible and co-insurance amounts.
- Ability to adapt and respond to different types of people and tasks.
- Excellent communication and documentation skills.
- Ability to multi-task, prioritize, and manage time effectively and efficiently.
- Reliable transportation and the ability to be punctual and dependable.
Benefits Available
- Medical/Dental/Vision Insurance
- 401(k) Retirement Plan
- Paid Holidays
- PTO
- Community Service PTO
- FSA/HSA
- Life Insurance
- Short-Term and Long-Term Disability
About Integrity
Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.
Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.
Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.
Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
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