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Claims Processor Associate Jobs in Florida (NOW HIRING)

Claims Specialist

Tampa, FL ยท On-site

$57K - $69K/yr

... the process of getting our customers back on the road. * Problem Resolution: Resolve customer ... This applies to all applicants and associates. GEICO also provides a work environment in which each ...

Claims Specialist

Lakeland, FL ยท On-site

$1.5K/wk

... the process of getting our customers back on the road. * Problem Resolution: Resolve customer ... This applies to all applicants and associates. GEICO also provides a work environment in which each ...

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Warranty Associate

Davie, FL ยท On-site

$19 - $25/hr

The Warranty Associate will play a key role in managing warranty claims, coordinating outbound ... Accurately review and process warranty claims in a timely and professional manner. * Coordinate ...

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Claims Processor Associate information

What is the role of a claims processor?

A claims processor is responsible for reviewing, verifying, and processing insurance claims to determine their validity and appropriate payout. They analyze claim documentation, ensure compliance with policies, and use claims management software to facilitate accurate and timely payments.

Is claims processing a stressful job?

Claims processing can be a stressful job due to the need for accuracy, attention to detail, and meeting deadlines. It often involves handling complex cases and working under pressure, but workload and stress levels vary depending on the employer and individual experience. Developing strong organizational skills and familiarity with claims management software can help manage stress.

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 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.

What is the role of a claims associate?

A claims processor associate reviews and evaluates insurance claims to determine coverage and payout amounts. They verify information, process claims efficiently using claims management software, and ensure compliance with company policies and industry regulations.

What skills do you need to be a claims processor?

A claims processor needs strong attention to detail, excellent organizational skills, and the ability to analyze and interpret data accurately. Proficiency with computer software such as claims management systems and good communication skills are also important for effectively handling claims and coordinating with clients and providers.

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 the most commonly searched types of Claims Processor jobs in Florida? The most popular types of Claims Processor 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:
Litigated Claims Specialist (General Liability)

Litigated Claims Specialist (General Liability)

Zurich Insurance Group

Maitland, FL โ€ข On-site

Full-time

Re-posted 20 days ago


Job description

Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move. Our hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value.
This role provides a high degree of flexibility, with occasional in-office attendance as business needs require, and can be based out of Zurich North America offices in Maitland, FL; Addison, TX; Schaumburg, IL; Rocky Hill, CT; Atlanta, GA; Omaha, NE; Parsippany, NJ; or Gold River, CA. It's an excellent opportunity to advance your career with a respected global insurer while maintaining balance and flexibility in how you work.
What You Will Do:
With moderate direction, you will manage multi-party commercial lines claims involving moderate to high exposure and complexity within assigned authority levels. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.
Basic Qualifications:
  • Bachelor's Degree and 3 or more years of experience in the Claims or Insurance area
    OR
  • Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of experience in Claims or Insurance area
    OR
  • Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance area
    OR
  • High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area
    AND
  • Must obtain and maintain required adjuster license(s)
  • Knowledge of insurance regulations, markets and products
  • Microsoft Office experience

Preferred Qualifications:
  • 5 plus years of experience handling Commercial General Liability (CGL) claims
  • Demonstrated experience managing construction-related general liability claims, including bodily injury and property damage under wrap-up policies preferred
  • Experience with OCIP/CCIP wrap-up programs preferred
  • Strong litigation management experience
  • Currently hold an active adjusters license
  • Effective verbal and written communication skills
  • Strong analytical, critical thinking, and problem-solving skills
  • Solid time management, prioritization, and multi-tasking skills
  • Experience collaborating in a team environment and building cross functional working relationships.
  • Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims.
  • Ability to develop and execute a negotiation strategy and plan for resolution.
  • Ability to identify subtleties in customer/client and/or business partner interactions.
  • Ability to present information necessary to propose a claim resolution to stakeholders.

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $59,900.00 - $98,200.00, with short-term incentive bonus eligibility set at 10%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]
Why Zurich?
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500ยฎ.
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code ยง 1033.
Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Maitland, AM - Addison, AM - Atlanta, AM - Gold River, AM - Omaha, AM - Parsippany, AM - Rocky Hill, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID