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Claims Processor Jobs in Miami, FL (NOW HIRING)

Stellar Human Resource Services LLC

Claims

Miami, FL

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 ...

Independent Living Systems

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 ...

Independent Living Systems

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 ...

Masa

Claims Team Lead

Fort Lauderdale, FL · On-site

$31.28/hr

What You Bring * 3-5 years of experience in customer service, claims processing, or a related field * 1+ year of team leadership or demonstrated expertise in MASA's claims process * High school ...

1 Legacy, Inc

Manager I Claims

Miami, FL · On-site

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider telephone calls, written inquiries, and appeals. The compilation of all information and documents ...

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All JobsClaims Processor JobsClaims Processor Jobs in Miami, FL

Claims Processor information

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$11

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How much do claims processor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for claims processor in Miami, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 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 the most commonly searched types of Claims Processor jobs in Miami, FL? The most popular types of Claims Processor jobs in Miami, FL are:
What are popular job titles related to Claims Processor jobs in Miami, FL? For Claims Processor jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Miami, FL look for? The top searched job categories for Claims Processor jobs in Miami, FL are:
What cities near Miami, FL are hiring for Claims Processor jobs? Cities near Miami, FL with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Miami, FL as of August 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.

Claims

Stellar Human Resource Services LLC

Miami, FL

Full-time

Re-posted 28 days ago

Job description

Position Summary

The Claims Examiner reports to the Director of Claims. 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 work hand in hand and under the direction of the Public Adjuster who represents the client by serving as a liaison between the client, the insurance company, and other parties that may be involved in the claim.

Major Responsibilities:

  • Communicate regularly by telephone with clients keeping them updated throughout the claims process and collecting documents to substantiate the claim.
  • Communicate frequently by telephone and in writing with insurance adjusters and other representatives of insurance companies to gather and provide information.
  • Communicate with vendors for services needed by clients and obtain invoices, estimates and other documents from vendors.
  • Review documents and correspondence, such as insurance policies, letters from insurance companies, and reports, invoices and proposals from vendors.
  • Prepare formal letters and documents for submission to insurance companies in response to requests for information.
  • Prepare and organize electronic and hard copy files in a concise manner.
  • Assist clients in completing documents requested by insurance companies.

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