ZipRecruiter

Log In

1

Claims Processor Jobs in Miramar, FL (NOW HIRING)

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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 ...

previous pagenext page

Showing results 21-40

All JobsClaims Processor JobsClaims Processor Jobs in Miramar, FL

Claims Processor information

See Miramar, FL salary details

$11

$17

$24

How much do claims processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for claims processor in Miramar, FL is $17.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $19.13 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 Miramar, FL? The most popular types of Claims Processor jobs in Miramar, FL are:
What are popular job titles related to Claims Processor jobs in Miramar, FL? For Claims Processor jobs in Miramar, FL, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Miramar, FL look for? The top searched job categories for Claims Processor jobs in Miramar, FL are:
What cities near Miramar, FL are hiring for Claims Processor jobs? Cities near Miramar, FL with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Miramar, FL as of August 2026, with employment types broken down into 87% Full Time, 6% Part Time, 5% Temporary, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $36,944 per year, or $17.8 per hour.

Claims & Billing Analyst

Independent Living Systems

Miami, FL • On-site

$45K - $61K/yr

Full-time

Re-posted 24 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Claims & Billing Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations

About the Role:

The Claims & Billing Analyst plays a critical role in ensuring the accuracy and efficiency of healthcare billing and claims processing within the organization. This position is responsible for analyzing, reviewing, and resolving complex billing issues to optimize revenue cycle management. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements. By maintaining compliance with healthcare regulations and payer policies, the role helps minimize denials and delays in payment. Ultimately, the Claims & Billing Analyst contributes to the financial health of the organization by ensuring that claims are processed accurately and efficiently.

Minimum Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field.
  • Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management.
  • Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.
  • Proficiency with billing software and electronic health record (EHR) systems.
  • Excellent analytical, problem-solving, and communication skills.
  • Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Master's degree in Healthcare Administration, Business, Finance, or a related field.
  • Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS).
  • Experience working with Medicare, Medicaid, and private insurance claims.
  • Familiarity with healthcare compliance standards such as HIPAA and the Affordable Care Act.
  • Advanced skills in data analysis and reporting tools.
  • Prior experience in a healthcare provider or insurance company environment.

Responsibilities:

  • Review and analyze healthcare claims for accuracy, completeness, and compliance with payer requirements.
  • Investigate and resolve billing discrepancies and denials by coordinating with providers, payers, and internal teams.
  • Prepare and submit claims to insurance companies and follow up on unpaid or rejected claims to ensure timely reimbursement.
  • Maintain detailed records of claims processing activities and generate reports to track performance metrics and identify trends.
  • Stay current with changes in healthcare billing regulations, payer policies, and industry best practices to ensure compliance.


What Independent Living Systems employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply