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Claims Processor Jobs in Miami, FL (NOW HIRING)

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures. * Accurately adjudicate new day claims , ensuring proper application of ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures. * Accurately adjudicate new day claims , ensuring proper application of ...

Trawick International Inc

Claims Examiner

Miami, FL · On-site

Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions * Read and interpret insurance policy language and adjudicate ...

Trawick International Inc

Claims Examiner

Miami, FL · On-site

Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions * Read and interpret insurance policy language and adjudicate ...

Hiscox

Portfolio Claims Handler

Miami, FL

The assignment includes all aspects of the claims and litigation process and requires coordination with external and internal business partners, including outside experts, legal counsel, underwriting ...

Alivi

On-site Medical Claims Examiner

Miami, FL · On-site

Analyzes, processes, researches, adjusts, and adjudicates claims with the use of accurate procedure/revenue and ICD-10 Codes, under the correct provider contract and member benefits. * Responds to ...

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All JobsClaims Processor JobsClaims Processor Jobs in Miami, FL

Claims Processor information

See Miami, FL salary details

$11

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$25

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 Adjuster - Bilingual (Spanish)

Responsive Auto Insurance Company

Plantation, FL • On-site

$60K - $75K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 28 days ago

Job description

Location: Plantation, Florida
Department: Claims
Schedule: Monday to Friday; flexibility for additional hours as needed.
Salary: Commensurate based on experience and qualifications
About Responsive
Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence.
Why Join Responsive?
At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including:
  • Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care.
  • Retirement Savings: 401(k) with company match.
  • Wellness Programs: Mental health support and wellness initiatives.
  • Career Development: Training and growth opportunities in a collaborative environment.

What You'll Do
As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include:
  • Investigating, evaluating, and resolving insurance claims.
  • Reviewing policies to verify coverage and address coverage issues.
  • Managing customer interactions with professionalism and accuracy.
  • Responding to demands, requests, and questions with clear, well-documented communication.
  • Collaborating with attorneys, medical providers, and other stakeholders.
  • Maintaining detailed and timely records.
  • Ensuring compliance with federal, state, and company regulations.

Requirements
What We're Looking For
  • Education: Bachelor's degree OR high school diploma with 2+ years of relevant experience.
  • Licensing: Active Florida 6-20 All Lines Adjuster License.
  • Language Skills: Fluent in Spanish and English (written and verbal proficiency required).
  • Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office.
  • Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail.
  • Mindset: Self-motivated, team-oriented, and adaptable.

Our Culture
Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to:
  • Adapt: Embrace change and continuously improve.
  • Collaborate: Work transparently and respectfully with others.
  • Engage: Show curiosity and a commitment to serving customers and teammates.
  • Be Data-Driven: Leverage insights to drive decisions and improvements.

Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace.
Salary Description
Pay range - $60,000 - $75,000; negotiable

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