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Claims Service Jobs in Florida (NOW HIRING)

Amwins Self-Funded is looking for a Claims Manager to lead and support a dedicated claims team, strengthen day-to-day operations, and help deliver exceptional service to our clients and partners.

POSITION SCOPE AND ORGANIZATIONAL IMPACT Moss' Claims Manager directs and oversees the operations of insurance claims to meet operation, financial, and service requirements. This position will work ...

POSITION SCOPE AND ORGANIZATIONAL IMPACT Moss' Claims Manager directs and oversees the operations of insurance claims to meet operation, financial, and service requirements. This position will work ...

Manage and coordinate any insurance brokers' or insurance adjuster claims services and report status to the department head and others as needed * Manage, coordinate, and distribute all claims ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

Provides professional, courteous service to our clients, carrier representatives, underwriters ... Review of claims with clients/insurers/loss adjusters regularly * Work with clients to ensure ...

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Claims Service information

What is the difference between Claims Service vs Claims Adjuster?

AspectClaims ServiceClaims Adjuster
CredentialsTypically requires insurance-related certifications or licensesRequires similar licenses and certifications, often the same as Claims Service
Work EnvironmentOffice-based, customer service-focused, often in insurance companiesField and office-based, investigating claims and assessing damages
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentPeople comparing customer service roles in insuranceIndividuals evaluating claims investigation and assessment roles

Claims Service and Claims Adjuster roles often overlap in the insurance industry, with both requiring similar certifications and working within insurance companies. Claims Service roles tend to focus more on customer support and policy servicing, while Claims Adjusters are more involved in investigating and assessing claims. Understanding these differences helps job seekers find the right position based on their skills and career goals.

What does a claims service specialist do?

A claims service specialist manages and processes insurance claims by reviewing documentation, assessing coverage, and communicating with clients and adjusters. They ensure claims are handled accurately and efficiently, often using claims management software and adhering to company policies and industry regulations.

What are the most commonly searched types of Claims Service jobs in Florida?

The most popular types of Claims Service jobs in Florida are:

What cities in Florida are hiring for Claims Service jobs?

Cities in Florida with the most Claims Service job openings:

Infographic showing various Claims Service job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Clerk I

Miami Lakes, FL โ€ข On-site

$35K - $40K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 26 days ago


Job description

Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk. 

Responsibilities

  • Answer, screen and transfer inbound phone calls
  • Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.)
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Work claims files to ensure the appropriate eligibility and provider records are matched
  • Updates and maintains database as requested
  • Scan, rename and attach documents
  • Assist on different projects as instructed

Qualifications and Skills

  • High School or equivalent
  • 1+ years of experience in customer service
  • Excellent attention to detail and accuracy
  • Familiarity with insurance and medical terminology
  • Strong communication and interpersonal skills
  • Ability to work independently and as part of a team

Company Description

Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin.

QHM delivers highly personalized health management on each and every case. Our service includes:

Extensive worldwide network of providers
Efficient claims service and custom claims re-pricing
Experienced medical case management
Superior account management and 24 hour member service
Specialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits