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 ...
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 ...
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 ...
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 ...
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 ...
Quick apply
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 ...
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 ...
Quick apply
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 ...
Claims Associate II
Miami, FL · On-site
$17 - $23/hr
This individual will serve as the primary contact to our clients throughout the claims process and help manage the investigation of their claims. The position will work under the direction of the ...
Claims Associate II
Miami, FL · On-site
$17 - $23/hr
This individual will serve as the primary contact to our clients throughout the claims process and help manage the investigation of their claims. The position will work under the direction of the ...
Experience processing UB04 and CMS 1500 claims * Ability to manage multiple tasks and prioritize effectively in fast-paced environment. Preferred Qualifications: * Bachelor's degree in Health ...
Experience processing UB04 and CMS 1500 claims * Ability to manage multiple tasks and prioritize effectively in fast-paced environment. Preferred Qualifications: * Bachelor's degree in Health ...
Duties and Responsibilities Oversee and manage daily activities and functions of the Claims Examiners processing claims for services that are capitated and Fee for Service with the health plan.
Duties and Responsibilities Oversee and manage daily activities and functions of the Claims Examiners processing claims for services that are capitated and Fee for Service with the health plan.
Healthcare Claims and Fee for Service Supervisor
Miami, FL · On-site
$63K - $65K/yr
Duties and Responsibilities • Oversee and manage daily activities and functions of the Claims Examiners processing claims for services that are capitated and Fee for Service with the health plan ...
Healthcare Claims and Fee for Service Supervisor
Miami, FL · On-site
$63K - $65K/yr
Duties and Responsibilities • Oversee and manage daily activities and functions of the Claims Examiners processing claims for services that are capitated and Fee for Service with the health plan ...
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 ...
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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Claims Specialist
Boca Raton, FL · On-site
$22 - $24/hr
Medical
Dental
Vision
Boca Raton, FL (on-site) Pay range: $22 - 24 (Based on Experience) We deliver hands-on, process-driven operational support to behavioral health programs. We're hiring a Claims Specialist to drive ...
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Be Seen First
Claims Specialist
Boca Raton, FL · On-site
$22 - $24/hr
Medical
Dental
Vision
Boca Raton, FL (on-site) Pay range: $22 - 24 (Based on Experience) We deliver hands-on, process-driven operational support to behavioral health programs. We're hiring a Claims Specialist to drive ...
PIP Claims Adjuster (On-site)
Coral Springs, FL · On-site
$50K - $70K/yr
The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are ...
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PIP Claims Adjuster (On-site)
Coral Springs, FL · On-site
$50K - $70K/yr
The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are ...
Examiner, Claims Location: FL
Miami, FL · Remote
$14 - $26.42/hr
... processing errors. Essential Job Duties Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing ...
Examiner, Claims Location: FL
Miami, FL · Remote
$14 - $26.42/hr
... processing errors. Essential Job Duties Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing ...
Claims Representative
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
New
Quick apply
Claims Representative
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
New
Claims Representative
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
New
Claims Representative
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
New
Claims Representative
Pembroke Pines, FL · On-site
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
Claims Representative
Pembroke Pines, FL · On-site
Medical
Dental
Vision
Life
Retirement
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed. * Review information on ...
Processor - Title Documents
Deerfield Beach, FL · On-site
$16/hr
Medical
Dental
Vision
Life
Retirement
PTO
Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk * Knowledge of transactions / paperwork processing Responsibilities and qualifications: * Process ...
Processor - Title Documents
Deerfield Beach, FL · On-site
$16/hr
Medical
Dental
Vision
Life
Retirement
PTO
Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk * Knowledge of transactions / paperwork processing Responsibilities and qualifications: * Process ...
Claims & Billing Analyst
Miami, FL · On-site
$45K - $61K/yr
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 ...
Claims & Billing Analyst
Miami, FL · On-site
$45K - $61K/yr
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 ...
Processor - Title Documents
Deerfield Beach, FL · On-site
$16/hr
Medical
Dental
Vision
Life
Retirement
PTO
Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk * Knowledge of transactions / paperwork processing Responsibilities and qualifications: * Process ...
Processor - Title Documents
Deerfield Beach, FL · On-site
$16/hr
Medical
Dental
Vision
Life
Retirement
PTO
Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk * Knowledge of transactions / paperwork processing Responsibilities and qualifications: * Process ...
Claims Support Specialist
Miami, FL · On-site
This position exists to provide essential support to the claims process to ensure corporate client expectations are consistently met. Responsibilities include communicating with providers and our ...
Claims Support Specialist
Miami, FL · On-site
This position exists to provide essential support to the claims process to ensure corporate client expectations are consistently met. Responsibilities include communicating with providers and our ...
Claims Processor information
See Sunrise, FL salary details
$11.46 - $12.71
2% of jobs
$12.71 - $13.96
6% of jobs
$13.96 - $15.21
9% of jobs
$15.86 is the 25th percentile. Wages below this are outliers.
$15.21 - $16.46
14% of jobs
$16.46 - $17.71
18% of jobs
The median wage is $17.75 / hr.
$17.71 - $18.96
17% of jobs
$19.65 is the 75th percentile. Wages above this are outliers.
$18.96 - $20.21
16% of jobs
$20.21 - $21.47
7% of jobs
$21.47 - $22.72
4% of jobs
$22.72 - $23.97
4% of jobs
$23.97 - $25.22
2% of jobs
$11
$18
$25
How much do claims processor jobs pay per hour?
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?
Is claims processing a stressful job?
What is the difference between Claims Processor vs Claims Examiner?
| Aspect | Claims Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require certification | High school diploma; certification often preferred |
| Work Environment | Office setting, processing claims efficiently | Office setting, reviewing and approving claims |
| Employer & Industry Usage | Insurance companies, healthcare providers | Insurance companies, government agencies |
| Common Search & Comparison | Claims 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?
Do you need a degree to be a claims processor?
What does a claims processor do?

Full-time
Re-posted 3 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.