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Insurance Benefits Claims Processor Jobs in Boca Raton, FL

Robert Half

Claims Associate

Fort Lauderdale, FL · On-site

$18.05 - $20.90/hr

This position supports the medical claims process from initial intake through review and ... Ability to read and interpret primary explanation of benefits forms and related insurance ...

VITAS Healthcare

Employee Benefits Manager

Miramar, FL · On-site

Acts as management back up for 401(k), and pension benefit claims and administration. Processes ... Reviews medical claims questioned by employees, insurance companies or other personnel. Resolves ...

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All JobsInsurance Benefits Claims Processor JobsInsurance Benefits Claims Processor Jobs in Boca Raton, FL

Insurance Benefits Claims Processor information

See Boca Raton, FL salary details

$11

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$32

How much do insurance benefits claims processor jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for insurance benefits claims processor in Boca Raton, FL is $21.20, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $24.18 per hour, depending on experience, location, and employer.

What is the difference between Insurance Benefits Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Benefits Claims ProcessorInsurance Claims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice setting, processing claims dataField and office, investigating claims
Industry UsageUsed across insurance companies for processing claimsUsed for evaluating and settling claims
Primary FocusProcessing and verifying insurance benefits claimsAssessing damages and determining claim validity

Insurance Benefits Claims Processors primarily handle the administrative side of claims, focusing on data entry and verification. Insurance Claims Adjusters evaluate claims on-site or remotely, investigating damages and making settlement decisions. Both roles are essential in the insurance industry but differ in responsibilities and work environment.

What does an insurance benefits claims processor do?

An Insurance Benefits Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify information, determine coverage eligibility, and ensure that all documentation meets company and regulatory standards. Their work helps ensure that valid claims are paid promptly and accurately, while also identifying any errors or fraudulent activity. Claims processors often communicate with policyholders, healthcare providers, and other parties to gather necessary information or clarify details related to a claim.

What are some common challenges faced by insurance benefits claims processors and how can they be addressed?

Insurance Benefits Claims Processors often encounter challenges such as managing high volumes of claims, interpreting complex policy details, and ensuring compliance with regulatory requirements. Staying organized, using workflow management tools, and maintaining strong attention to detail can help address these issues. Regular communication with team members and ongoing training on policy updates also play a key role in overcoming these challenges. Collaboration with other departments, such as underwriting and customer service, is essential for resolving discrepancies and providing accurate claim resolutions.

What are the key skills and qualifications needed to thrive as an insurance benefits claims processor, and why are they important?

To thrive as an Insurance Benefits Claims Processor, you need strong attention to detail, analytical abilities, and a solid understanding of insurance policies, often supported by a high school diploma or relevant certification. Familiarity with claims management software, data entry systems, and standard office applications is typically required. Excellent communication, organizational skills, and problem-solving abilities help professionals excel when interacting with clients and resolving complex claims. These skills ensure accurate and timely claims processing, customer satisfaction, and compliance with industry regulations.
What job categories do people searching Insurance Benefits Claims Processor jobs in Boca Raton, FL look for? The top searched job categories for Insurance Benefits Claims Processor jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Insurance Benefits Claims Processor jobs? Cities near Boca Raton, FL with the most Insurance Benefits Claims Processor job openings:
Insurance Benefits Claims Processor jobs near you

Bilingual (English/Spanish) Claims Processor

THE LAW OFFICES OF KANNER AND PINTALUGA PA

Boca Raton, FL • On-site

$17 - $21.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Job description

Founded in 2003, Kanner & Pintaluga is a NLJ500 and Mid-Market Pro 50 law firm that has recovered over $1 billion for property damage and personal injury clients nationwide. With nearly 100 lawyers and more than 30 offices throughout the Central and Southeastern United States, our primary goal is to achieve the most favorable outcome for our clients, who have the absolute right to receive the maximum compensation for their damages.

POSITION SUMMARY:

The Claims Processor is responsible for handling insurance claims, obtaining and verifying information, corresponding with insurance agents and beneficiaries, and promptly sending Letters of Representation for the case to begin its process.

ESSENTIAL JOB FUNCTIONS:

  • Open claims with insurance companies.
  • Handle incoming and outgoing calls as well as faxes.
  • Perform general data entry tasks.
  • Verify the information for accuracy.
  • Perform other related duties as assigned.

EXPERIENCE/REQUIREMENTS:

  • Full-time, 8:00 am to 5:00 pm, M-F.
  • High school/GED diploma required.
  • Bilingual (English/Spanish) required.
  • Strong customer service skills and experience.
  • Proficient with Microsoft Office programs (Word, Excel, and Outlook).
  • Ability to manage a heavy workload in a fast-paced environment.
  • Ability to communicate with clients and co-workers effectively and efficiently.
  • Possess excellent organizational skills and the ability to multitask and prioritize workload.

FIRM BENEFITS

The Firm offers a competitive benefits package for our full-time employees and their families. Here is a summary of our benefits (the list is not all-inclusive):

  • Competitive Wage
  • Paid Time Off, Holiday, Bereavement, and Sick Time
  • 401K Retirement Savings Plan with Firm match
  • Group Medical/Dental/Vision Plans
  • Employer-Covered Supplemental Benefits
  • Voluntary Supplemental Benefits
  • Annual Performance Reviews

Equal Opportunity Statement

Kanner & Pintaluga is an Equal Opportunity Employer. Kanner & Pintaluga retains the right to change, assign, or reassign duties and responsibilities to this position at any time — in its sole discretion. Employment is at will.

E-Verify

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.