Claims Representative
Pembroke Pines, FL · On-site
Generous Employer contribution for health, dental, and vision insurance * Paid Maternity and ... Process all claims assigned in a timely, efficient, and accurate manner ensuring that all ...
Claims Representative
Pembroke Pines, FL · On-site
Generous Employer contribution for health, dental, and vision insurance * Paid Maternity and ... Process all claims assigned in a timely, efficient, and accurate manner ensuring that all ...
Property Insurance Claims Examiners
$60K - $85K/yr
... claims, starting with contacting the insured at first notice of loss, handling through a fair ... Process assigned policy level transactions within level of authority * Conduct research when needed ...
Property Insurance Claims Examiners
$60K - $85K/yr
... claims, starting with contacting the insured at first notice of loss, handling through a fair ... Process assigned policy level transactions within level of authority * Conduct research when needed ...
Claims Representative
Pembroke Pines, FL · On-site
Generous Employer contribution for health, dental, and vision insurance * Paid Maternity and ... Process all claims assigned in a timely, efficient, and accurate manner ensuring that all ...
Claims Representative
Pembroke Pines, FL · On-site
Generous Employer contribution for health, dental, and vision insurance * Paid Maternity and ... Process all claims assigned in a timely, efficient, and accurate manner ensuring that all ...
Property Insurance Claims Examiners
Pinellas Park, FL · On-site
$60K - $85K/yr
... claims, starting with contacting the insured at first notice of loss, handling through a fair ... Process assigned policy level transactions within level of authority * Conduct research when needed ...
Quick apply
Property Insurance Claims Examiners
Pinellas Park, FL · On-site
$60K - $85K/yr
... claims, starting with contacting the insured at first notice of loss, handling through a fair ... Process assigned policy level transactions within level of authority * Conduct research when needed ...
Claims Examiner I
Tallahassee, FL · On-site
... Health Plan is looking for a full-time Claims Examiner I to join our team in Tallahassee, FL. In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed ...
Claims Examiner I
Tallahassee, FL · On-site
... Health Plan is looking for a full-time Claims Examiner I to join our team in Tallahassee, FL. In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed ...
Claims Examiner I
Tallahassee, FL · On-site
... Health Plan is looking for a full-time Claims Examiner I to join our team in Tallahassee, FL. In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed ...
Claims Examiner I
Tallahassee, FL · On-site
... Health Plan is looking for a full-time Claims Examiner I to join our team in Tallahassee, FL. In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed ...
Denials Management and Claims Resolution
Coral Gables, FL · On-site
$17.25 - $23/hr
... process improvements to enhance claim acceptance rates and reduce reimbursement delays. * Perform ... employee health insurance * Dental Insurance * Vision Insurance * Life Insurance * 401(k) ...
Quick apply
Denials Management and Claims Resolution
Coral Gables, FL · On-site
$17.25 - $23/hr
... process improvements to enhance claim acceptance rates and reduce reimbursement delays. * Perform ... employee health insurance * Dental Insurance * Vision Insurance * Life Insurance * 401(k) ...
This position is responsible for managing and adjusting medical insurance claims under Personal ... In this role you will ensure timely and accurate processing of claims while maintaining compliance ...
This position is responsible for managing and adjusting medical insurance claims under Personal ... In this role you will ensure timely and accurate processing of claims while maintaining compliance ...
Claims Advocate - Risk Services
Midway, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Midway, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Panama City, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Panama City, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Lehigh Acres, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Lehigh Acres, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Viera, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Viera, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Havana, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
Havana, FL · On-site
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Claims Advocate - Risk Services
$70K - $95K/yr
... process support, data management and entry, and Producer communication. Key Responsibilities ... Company-paid health insurance * Paid holidays, vacations, and sick time * 401K with employer match
Health Insurance Claims Processor information
See Florida salary details
$8.98 - $10.48
2% of jobs
$10.48 - $11.99
13% of jobs
$13.41 is the 25th percentile. Wages below this are outliers.
$11.99 - $13.49
11% of jobs
$13.49 - $14.99
14% of jobs
The median wage is $15.55 / hr.
$14.99 - $16.49
29% of jobs
$16.49 - $18
6% of jobs
$18.09 is the 75th percentile. Wages above this are outliers.
$18 - $19.50
9% of jobs
$19.50 - $21
3% of jobs
$21 - $22.50
3% of jobs
$22.50 - $24.01
3% of jobs
$24.01 - $25.51
7% of jobs
$8
$16
$25
How much do health insurance claims processor jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for health insurance claims processor in Florida is $16.69, according to ZipRecruiter salary data. Most workers in this role earn between $13.65 and $19.04 per hour, depending on experience, location, and employer.
What does a health insurance claims processor do?
A Health Insurance Claims Processor reviews and evaluates insurance claims submitted by policyholders or healthcare providers. They verify the accuracy of the information, ensure that the claims comply with policy terms, and determine the amount payable for each claim. Claims processors may also correspond with providers or claimants for additional documentation, resolve discrepancies, and help prevent fraudulent claims. Their work ensures that claims are processed efficiently and payments are made accurately according to insurance policies.
What are the key skills and qualifications needed to thrive as a health insurance claims processor?
To thrive as a Health Insurance Claims Processor, you need attention to detail, knowledge of insurance policies and medical terminology, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic health record (EHR) systems, and basic coding (ICD-10, CPT) is standard in this role. Strong organizational skills, problem-solving abilities, and effective communication help you manage claims efficiently and resolve discrepancies. These competencies ensure accurate processing, minimize errors, and support timely reimbursement within the healthcare system.
What are some common challenges health insurance claims processors face, and how can they effectively manage them?
Health Insurance Claims Processors often encounter challenges such as interpreting complex policy language, managing high volumes of claims, and ensuring compliance with changing regulations. To effectively manage these challenges, processors benefit from developing strong attention to detail, staying up to date with industry guidelines, and utilizing time management strategies. Collaboration with other departments such as customer service and medical coding teams is also key to resolving discrepancies and ensuring accurate claim outcomes.
What is the difference between Health Insurance Claims Processor vs Medical Billing Specialist?
| Aspect | Health Insurance Claims Processor | Medical Billing Specialist |
|---|---|---|
| Credentials | High school diploma; certifications like Certified Claims Professional (CCP) | High school diploma; certifications like Certified Medical Billing Specialist (CMBS) |
| Work Environment | Insurance companies, healthcare providers, claims departments | Medical offices, billing companies, healthcare facilities |
| Primary Responsibilities | Review and process insurance claims, ensure accuracy, follow up on denials | Prepare and submit medical bills, verify insurance coverage, manage patient accounts |
While both roles involve handling healthcare financial transactions, the Health Insurance Claims Processor primarily focuses on reviewing and processing insurance claims submitted by providers, whereas the Medical Billing Specialist manages the billing process from patient registration to payment collection. Both roles require knowledge of insurance policies and coding, but their daily tasks and work environments differ slightly.
How to become a health insurance claims processor?
To become a health insurance claims processor, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and knowledge of insurance policies. Some employers prefer candidates with postsecondary education or certifications in health insurance or medical billing, and on-the-job training is common. Proficiency with claims processing software and understanding of healthcare terminology are also beneficial.
Is a health insurance claims processor job in demand?
The demand for health insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as insurance companies seek skilled workers familiar with claims processing software and regulations. Job opportunities are often available in healthcare organizations, insurance companies, and third-party administrators.
What are popular job titles related to Health Insurance Claims Processor jobs in Florida?
For Health Insurance Claims Processor jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Health Insurance Claims Processor jobs in Florida look for?
The top searched job categories for Health Insurance Claims Processor jobs in Florida are:
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 22 days ago
Job description
Embark on a Journey That Makes a Difference.
At Redion, every day is an opportunity to help people explore the world with confidence. We're not just in the business of protection�we're in the business of adventure and peace of mind. Whether it's a backpacker trekking through the Andes, a family cruising the Mediterranean, or a solo traveler chasing the Northern Lights, we're there to ensure their journey is safe and supported. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Set Sail on a Career Path to Success.
Our teams value curiosity and collaboration while priding ourselves on fostering a welcoming and inclusive atmosphere for our employees. Elevate your journey through our internal programs, including:
Passport to Perks Includes:
Your Role on the Expedition:
This position is responsible for analyzing and processing insurance claims to determine the extent of the insurance carrier's liability in a manner that supports the mission, values, and standards of the Company. Primary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. Weekends may be required. This position reports to the Claims Supervisor.
Chart Your Course:
Claims Processing and Coordination
Customer Service
Teamwork and Department Support
Your Ticket to Success:
Required Qualifications:
Preferred Qualifications:
Position Coordinates:
This is a hybrid role based out of our Pembroke Pines, FL office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week.
Time for Take-off:
While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need.
One team. Every destination.
Redion is proudly part of the Generali Group and our products utilize a number of corporate and product brands. The brands for our North American team include the following:
Explore new horizons � apply today!
Don't meet every single requirement? At Redion, we are dedicated to building a diverse, inclusive and enriching workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
California Residents - Privacy Notice for California Residents Seeking Employment with Redion is available here: CCPA Privacy Policy | Redion
The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company's Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.
At Redion, every day is an opportunity to help people explore the world with confidence. We're not just in the business of protection�we're in the business of adventure and peace of mind. Whether it's a backpacker trekking through the Andes, a family cruising the Mediterranean, or a solo traveler chasing the Northern Lights, we're there to ensure their journey is safe and supported. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Set Sail on a Career Path to Success.
Our teams value curiosity and collaboration while priding ourselves on fostering a welcoming and inclusive atmosphere for our employees. Elevate your journey through our internal programs, including:
- Diversity, Equity, and Inclusion (DEI) Committee
- Career pathing and Individual Development Plans
- Internal training and intern opportunities
- Women in Business Mentorship Program
- Employee awards and recognition
- Education and professional development assistance program
Passport to Perks Includes:
- Generous Employer contribution for health, dental, and vision insurance
- Paid Maternity and Paternity Leave
- Scholarship Program for Employee Dependents
- Company match on 401k
- Employee Assistance Program (EAP)
- Company paid short-term and long-term disability insurance
- Company paid life insurance
- Voluntary Pet Insurance
- Voluntary Legal Benefit
- Discounts on travel insurance
- Time off policies including vacation days, sick days, personal days, holidays and volunteer days (VTO)
Your Role on the Expedition:
This position is responsible for analyzing and processing insurance claims to determine the extent of the insurance carrier's liability in a manner that supports the mission, values, and standards of the Company. Primary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. Weekends may be required. This position reports to the Claims Supervisor.
Chart Your Course:
Claims Processing and Coordination
- 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 claim forms, Physician Statements, and other documentation to ascertain completeness and validity of claims.
- Correspond with insureds, physicians, agents, and other appropriate parties to obtain proper documentation and to finalize claims.
- Maintain proper reserves on each claim file.
- Ensure that proper file documentation is collected and maintained, including all records of correspondence and telephone conversations.
- Investigate claims and direct the activities of outside adjusters and investigators.
- Issue denial of benefits letters when appropriate.
- Process attorney represented claims files.
- Review and respond to Department of Insurance complaint letters.
- Respond to written and phone inquiries regarding claims status.
- Issue payments in a timely and accurate manner.
- Ensure that current Federal and State insurance claims regulations, laws, and best practices are being employed consistently for all jurisdictions.
Customer Service
- Answer questions and respond to inquiries from internal and external customers regarding coverage issues and general policy information.
Teamwork and Department Support
- Assist in the mentoring and training of other employees as directed.
- Perform other duties or special projects as assigned by the management team.
Your Ticket to Success:
Required Qualifications:
- High School Diploma or Equivalent (GED) required.
- Exceptional communication, problem-solving, and organizational skills.
- Strong reading, writing, comprehension, and proofreading skills.
- Knowledge of standard concepts, practices, regulations, and laws within insurance field preferred.
- Bilingual English/Spanish language fluency � verbal, reading, and writing skills, is a plus.
- Previous claims and customer service experience are highly preferred.
Preferred Qualifications:
Position Coordinates:
This is a hybrid role based out of our Pembroke Pines, FL office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week.
Time for Take-off:
While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need.
One team. Every destination.
Redion is proudly part of the Generali Group and our products utilize a number of corporate and product brands. The brands for our North American team include the following:
- Redion Insurance Services, Inc.: US travel insurance brand for retail, tour operator, cruise and lodging partners. Learn more here .
- Redion US Holdings: The primary Corporate brand in the United States for our travel insurance, travel assistance, and beneficiary companion products. Learn more here .
- Redion Medical Management, Inc.: the industry standard for global medical cost containment and medical risk management solutions. Learn more here .
- Iris, Powered by Generali: identity and digital protection solution. Learn more here .
Explore new horizons � apply today!
Don't meet every single requirement? At Redion, we are dedicated to building a diverse, inclusive and enriching workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
California Residents - Privacy Notice for California Residents Seeking Employment with Redion is available here: CCPA Privacy Policy | Redion
The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company's Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.
About Generali Global Assistance
Sourced by ZipRecruiter
Industry
Personal services and insurance services
Company size
501 - 1,000 Employees
Headquarters location
Hollywood, FL, US