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Claims Processor Jobs in Wesley Chapel, FL (NOW HIRING)

Claims Processor

Tampa, FL ยท On-site

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

Senior Claims Adjuster - Large Loss

Tampa, FL ยท Remote

$62K - $80K/yr

Deliver exceptional customer service while setting clear expectations throughout the claims process * Negotiate and settle claims in accordance with company guidelines and industry best practices

Assure coverage for each loss and all policy provisions before processing payments * Investigate ... Utilize all claims tools provided to properly evaluate liability and extent of damages * Evaluate ...

New

Assure coverage for each loss and all policy provisions before processing payments * Investigate ... Utilize all claims tools provided to properly evaluate liability and extent of damages * Evaluate ...

New

Assure coverage for each loss and all policy provisions before processing payments * Investigate ... Utilize all claims tools provided to properly evaluate liability and extent of damages * Evaluate ...

New

Assure coverage for each loss and all policy provisions before processing payments * Investigate ... Utilize all claims tools provided to properly evaluate liability and extent of damages * Evaluate ...

New

Assure coverage for each loss and all policy provisions before processing payments * Investigate ... Utilize all claims tools provided to properly evaluate liability and extent of damages * Evaluate ...

New

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Claims Processor information

See Wesley Chapel, FL salary details

$10

$16

$23

How much do claims processor jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims processor in Wesley Chapel, FL is $16.68, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $17.98 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.

What are the most commonly searched types of Claims Processor jobs in Wesley Chapel, FL?

The most popular types of Claims Processor jobs in Wesley Chapel, FL are:

What are popular job titles related to Claims Processor jobs in Wesley Chapel, FL?

For Claims Processor jobs in Wesley Chapel, FL, the most frequently searched job titles are:

What job categories do people searching Claims Processor jobs in Wesley Chapel, FL look for?

The top searched job categories for Claims Processor jobs in Wesley Chapel, FL are:

What cities near Wesley Chapel, FL are hiring for Claims Processor jobs?

Cities near Wesley Chapel, FL with the most Claims Processor job openings:

Infographic showing various Claims Processor job openings in Wesley Chapel, FL as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 78% Physical, 5% Hybrid, and 17% Remote job distribution, with an average salary of $34,688 per year, or $16.7 per hour.

$14 - $17/hr

Full-time

Medical, Dental, Vision

Re-posted 16 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Minimum 2 year medical claims processing experience

Knowledge of health benefit plans and health benefit terminology

Knowledge of medical terminology

Understand CPT, IDC9 and HCPCS coding

Experience with dental and vision claims preferred, but not necessary

Ability to utilize a claims processing system (Aldera)

Ability to read an Explanation of Benefit and apply Coordination of Benefits

Proficiency in Microsoft Excel and Word

Good communication skills, both written and oral


Qualifications

Working knowledge of CPT-4, ICD-9 & medical terminology required. (Dental & Vision highly preferred!)

Working knowledge of commercial insurance primary & secondary payors.

Strong data entry skills. ย 

Additional Information

Hours:

Monday - Friday 8:30am to 5:00pm


Compensation:

$14-$17/hr.


Start Date:

ASAP


Interested in being considered?ย 

If you are interested in applying to this position, please contact Tyler Adler ย and click the Green I'm Interested Button to email your resume.ย 



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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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