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Claims Processor Associate Jobs in Florida (NOW HIRING)

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Associate's degree or higher in Business, Healthcare Administration, or a related field. Scheduled ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Associate's degree or higher in Business, Healthcare Administration, or a related field. Scheduled ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Associate's degree or higher in Business, Healthcare Administration, or a related field. Scheduled ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Associate's degree or higher in Business, Healthcare Administration, or a related field. Scheduled ...

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

High school diploma or equivalent required; associate or bachelor's degree preferred * 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing

SBT

Claims Specialist

Boca Raton, FL · On-site

$22 - $24/hr

Boca Raton, FL (on-site) Pay range: $22 - 24 (Based on Experience) We deliver hands-on, process ... ● Associate's or Bachelor's degree preferred (or equivalent experience) ● Comfort with EMR ...

Fortegra

Claims Coordinator

Jacksonville, FL · On-site

... processes. Minimum Qualifications: * Associate's Degree or equivalent work experience preferred. * Minimum 3 years of relevant experience preferred. * Insurance claims experience preferred. Primary ...

Fortegra

Claims Advisor

Jacksonville, FL · On-site

This position may process various claim types. Qualifications: * High School diploma or equivalent; associate's or bachelor's degree preferred. * Minimum 2-4 years of experience in claims processing ...

LotSolutions, Inc.

Claims Advisor

Jacksonville, FL

This position may process various claim types. Qualifications: * High School diploma or equivalent; associate's or bachelor's degree preferred. * Minimum 2-4 years of experience in claims processing ...

Fortegra

Claims Advisor

Jacksonville, FL · On-site

This position may process various claim types. Qualifications: * High School diploma or equivalent; associate's or bachelor's degree preferred. * Minimum 2-4 years of experience in claims processing ...

HCI GROUP INC

Claims Services Representative

Tampa, FL · On-site

Associate degree in finance, accounting or business administration preferred EXPERIENCE * Minimum 2 years of related accounting payables experience in Claims processing and financial environment ...

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 ... Maintain control of the claims resolution process to minimize current exposure and future risks.

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Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Florida?

The most popular types of Claims Processor jobs in Florida are:

What are popular job titles related to Claims Processor Associate jobs in Florida?

For Claims Processor Associate jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Claims Processor Associate jobs in Florida look for?

The top searched job categories for Claims Processor Associate jobs in Florida are:

What cities in Florida are hiring for Claims Processor Associate jobs?

Cities in Florida with the most Claims Processor Associate job openings:

Claims Processor Associate jobs near you
Infographic showing various Claims Processor Associate job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 25% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Claims Processing Professional

Humana, Inc.

Miramar, FL • On-site

$53K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

168th of 312 rated insurance

Job description

Become a part of our caring community
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.
This is in office position requires you to be on site at our Miramar, FL branch location.
As a Claims Processing Professional, you will:
  • Review and process healthcare claims within established turnaround times.
  • Verify member eligibility, provider information, authorizations, and contractual requirements before processing claims.
  • Determine whether you should approve, deny, adjust, or return claims for additional information.
  • Resolve claim discrepancies by gathering and evaluating supporting documentation.
  • Process both electronic and paper claims while maintaining productivity, quality, and accuracy standards.
  • Use multiple internal systems to review claims, document findings, and complete claim processing.
  • Maintain compliance with HIPAA regulations, organizational policies, and all applicable state and federal guidelines.
  • Collaborate with internal departments to resolve claim issues and support claim adjudication.
  • Adapt to evolving business processes, system enhancements and regulatory changes.
  • Meet productivity, quality, and performance expectations.

Use your skills to make an impact
Required Qualifications
  • Minimum of 1 year of healthcare claims processing experience.
  • Knowledge of healthcare claims processing practices and medical insurance terminology.
  • Work across multiple computer systems.
  • Prioritize multiple tasks and work independently.
  • Commitment to HIPAA compliance.

Preferred Qualifications
  • Experience processing medical, home health, or managed care claims.
  • Knowledge of CPT, ICD-10, and HCPCS coding.
  • Experience working with provider contracts, authorizations, or eligibility verification.
  • Bilingual (English/Spanish).
  • Associate's degree or higher in Business, Healthcare Administration, or a related field.

Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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