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Contract Health Insurance Jobs in Florida (NOW HIRING)

agents1st

Life and Health Insurance Agent

Boca Raton, FL · On-site

$2.0K/wk

We are looking for independent Licensed Insurance L&H agents looking to call our targeted leads ... Simplified Issue Universal Life Whole life All agent contracts are direct to carrier. All renewals ...

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Contract Health Insurance information

What is contract health insurance?

Contract health insurance refers to a type of health coverage provided based on a contractual agreement, often for a specific period or project. It is commonly used by independent contractors, freelancers, or temporary workers who do not receive employer-sponsored health benefits. These plans can be purchased individually and typically cover essential medical services, though coverage options and costs may vary. It's important to review the terms of the contract to ensure the plan meets your healthcare needs, including network providers and out-of-pocket expenses.

What are the key skills and qualifications needed to thrive as a contract health insurance specialist?

To thrive as a Contract Health Insurance Specialist, you need a thorough understanding of health insurance policies, regulatory compliance, and contract negotiation, often supported by a relevant degree or certification in health insurance or healthcare administration. Familiarity with claims management software, policy administration systems, and healthcare regulations like HIPAA is typically required. Attention to detail, strong communication, and problem-solving skills help professionals excel in client interactions and complex documentation. These skills ensure accurate policy management, regulatory compliance, and effective service delivery in the dynamic health insurance industry.

What are some common challenges faced by professionals working in contract health insurance roles, and how can they be managed?

Professionals in contract health insurance often face challenges such as adapting to rapidly changing regulations, managing a diverse client portfolio, and meeting tight deadlines for policy renewals or claims processing. To manage these challenges, staying updated on industry standards, utilizing robust organizational tools, and maintaining clear communication with clients and internal teams are crucial. Additionally, strong problem-solving skills and continuous professional development can help professionals excel and deliver quality service in this fast-paced environment.

What is the difference between Contract Health Insurance vs Contract Nurse?

AspectContract Health InsuranceContract Nurse
Required CredentialsHealth insurance licenses, certifications in insurance sales or administrationRN license, nursing certifications
Work EnvironmentOffice settings, insurance companies, remoteHospitals, clinics, healthcare facilities
Employer & IndustryInsurance providers, healthcare administrationHospitals, healthcare agencies
Common Search IntentInsurance policies, coverage options, job rolesNursing assignments, healthcare staffing

Contract Health Insurance professionals focus on insurance policies and administration, often working in office environments, while Contract Nurses provide direct patient care in healthcare settings. Both roles require specialized credentials and serve different functions within the healthcare industry.

What are the most commonly searched types of Health Insurance jobs in Florida?

The most popular types of Health Insurance jobs in Florida are:

What are popular job titles related to Contract Health Insurance jobs in Florida?

For Contract Health Insurance jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Contract Health Insurance jobs in Florida look for?

The top searched job categories for Contract Health Insurance jobs in Florida are:

What cities in Florida are hiring for Contract Health Insurance jobs?

Cities in Florida with the most Contract Health Insurance job openings:

Contract Health Insurance jobs near you
Infographic showing various Contract Health Insurance job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Health Insurance Claims Adjuster

Clearwater, FL • On-site

Integritymarketing
See more jobs at Integritymarketingexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Health Insurance Claims Adjuster

Insurance Administrative Solutions

Clearwater, FL

About Insurance Administrative Solutions

Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States.

Job Summary: Analyze medical claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines.

Primary Responsibilities other duties may be assigned as necessary:

  • Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.

  • Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions.

  • Interpret contract benefits in accordance with specific claim processing guidelines.

  • Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.

  • Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly.

  • Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.

  • Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.

  • Maintain external contact with providers/agents/policyholders.

Primary Skills & Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • A high school diploma or GED equivalent

  • Minimum of 1 year proven health insurance claims adjudication experience.

  • Insurance background preferred; previous Medical/prescription claims preferred.

  • Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required.

  • Familiarity with medical terminology, procedures and diagnosis codes preferred.

  • Ability to read and interpret EOB's claim history, and excellent research skills.

  • Familiarity with Microsoft Office products; familiarity with Qiclink software a plus.

  • Ability to calculate deductible and co-insurance amounts.

  • Ability to adapt and respond to different types of people and tasks.

  • Excellent communication and documentation skills.

  • Ability to multi-task, prioritize, and manage time effectively and efficiently.

  • Reliable transportation and the ability to be punctual and dependable.

Benefits Available

  • We value flexibility and recognize the importance of worklife balance. This role will begin as fully onsite to support learning and team integration. As proficiency is demonstrated, hybrid work opportunities may be introduced, dependent on business needs and department practices.

  • Medical/Dental/Vision Insurance

  • 401(k) Retirement Plan

  • Paid Holidays

  • PTO

  • Community Service PTO

  • FSA/HSA

  • Life Insurance

  • Short-Term and Long-Term Disability

About Integrity

Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.

Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

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