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Claims Processor Jobs in Gainesville, FL (NOW HIRING)

MCI Careers

TEST JOB (DO NOT APPLY)

Bronson, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development ...

Walgreens

Specialty Billing Technician

Gainesville, FL · On-site

$20.25 - $26/hr

Process and file all SDL (submit direct link) claims in accordance with company policy. * Processing of prescription exceptions including prior authorizations, triaging of referrals to other ...

Varsity Tutors

Insurance License Tutor

Gainesville, FL · Remote

$28 - $40/hr

Guides students through analyzing policy provisions, determining appropriate coverage types, calculating premiums, understanding claims processes, and applying state insurance regulations. Emphasizes ...

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Showing results 21-40

All JobsClaims Processor JobsClaims Processor Jobs in Gainesville, FL

Claims Processor information

See Gainesville, FL salary details

$10

$17

$23

How much do claims processor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for claims processor in Gainesville, FL is $17.36, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $18.75 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

Do you need a degree to be a claims processor?

A claims processor typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, communication, and familiarity with claims processing software, and some positions may offer on-the-job training or certification programs.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
More about Claims Processor jobs
What are popular job titles related to Claims Processor jobs in Gainesville, FL? For Claims Processor jobs in Gainesville, FL, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Gainesville, FL look for? The top searched job categories for Claims Processor jobs in Gainesville, FL are:
What cities near Gainesville, FL are hiring for Claims Processor jobs? Cities near Gainesville, FL with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Gainesville, FL as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $36,116 per year, or $17.4 per hour.

Claim Recovery Agent (Subrogation Adjuster)

Phoenix Loss control

Gainesville, FL • On-site

$100K/yr

Full-time, Contractor

Re-posted 11 days ago

Job description

Job Type: Contract

Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone

Compensation: Commission only based on successful recovery of claims

Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours


COMPANY OVERVIEW

Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. 

POSITION SUMMARY

Claim Recovery Agents are responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing recovery of the repair costs.


Duties

  • Review and analyze claim information, identify liable party, and take action to move claims toward successful resolution
  • Gather costing and prepare invoices for select clients
  • Correspond with liable party/insurance carrier both verbally and in writing
  • Negotiate settlements
  • Resolve conflicts and escalate urgent issues

Requirements

  • Strong computer skills and knowledge of Microsoft Office
  • Ability to work independently, manage goals and deadlines, have good attention to detail
  • Adaptability, logical thinking and conscientiousness
  • Excellent communication skills (both verbal and written)
  • Strong conflict resolution and negotiation skills
  • High-speed internet access, personal computer, phone line dedicated to work contacts

Position Advantages

  • Uncapped Compensation Potential: Top Performers who excel at the role have the ability to earn an annual compensation of more than $100,000
  • Flexible Work Schedule: Remote with the ability to choose your own hours/days of work

This is a contract position. There are no benefits offered with this position.