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Claims Processor Jobs in Miami, FL (NOW HIRING)

Miccosukee Tribe of Indians

Be Seen First

Claims Processor

Miami, FL · On-site

$24 - $27/hr

The Claims Processor is responsible for the accurate and timely processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This ...

ttg Talent Solutions

Medical Claims Processor

Doral, FL

$22 - $23/hr

Medical Claims Processor Location: Doral, FL on-site Schedule: Full-Time | 40 hours per week; schedule may vary based on business needs, including occasional weekends, holidays, and overtime Type of ...

New

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

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 ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

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 ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

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 ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

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 ...

Stellar Human Resource Services LLC

Claims

Miami, FL · On-site

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 ...

Solis Health Plans

Claims Examiner

Doral, FL · On-site

$19 - $23/hr

Establish best practice claims paymentmethodologybased on current CMS claims paymentregulations ... Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to ...

Solis Health Plans

Claims Examiner

Doral, FL · On-site

$19 - $23/hr

Establish best practice claims paymentmethodologybased on current CMS claims paymentregulations ... Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to ...

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 ...

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All JobsClaims Processor JobsClaims Processor Jobs in Miami, FL

Claims Processor information

See Miami, FL salary details

$11

$18

$25

How much do claims processor jobs pay per hour?

As of Aug 29, 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 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.

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.

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.

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.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
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 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.

Claims Processor

Miami, FL • On-site

Miccosukee Tribe of Indians
1 - 5K employees
Learn more about Miccosukee Tribe of Indiansexternal

$24 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

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Job description

The Miccosukee Tribe of Indians of Florida is currently seeking to hire a Claims Processor to work in our Health Department.  The Claims Processor is responsible for the accurate and timely processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This position supports the Health Department’s revenue cycle by helping ensure appropriate reimbursement for services provided, reducing preventable claim denials and payment delays, identifying underpayments, and resolving outstanding claims. The Claims Processor maintains accurate billing and claims records, communicates with payers regarding claims status and reimbursement issues, and supports compliance with applicable HIPPA, CMS, Medicare, Medicaid, and payer specific requirements. This position also provides billing and claims information to support financial reporting, operational planning, and departmental decision-making. Previous experience in this type of role is required. 

Drug Screen & Background check required.

Job Site: Miccosukee Indian Reservation; located 20 miles west of Krome Avenue on SW 8th Street.

Address: 37790 SW 8th Street, Miami, FL 33194