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Insurance Claim Examiner Jobs in Florida (NOW HIRING)

Crawford and Company

Team Manager - Liability

Tampa, FL · On-site

$58K - $107K/yr

Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures ... In-depth knowledge of insurance coverages, practices and negotiating skills. * Familiarity with ...

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

Our solutions span the insurance senior market sector, focusing on long-term care and Medicare ... Analyze claim documentation including invoices, care plans, and provider credentials * Apply ...

Assuranceamerica

Casualty Claims Examiner

Tampa, FL · Remote

The Casualty Claims Examiner will work alongside claims management, providing direction and ... claim department's performance on meeting regulatory standards. Job Responsibilities Review home ...

Pearle Vision

Optometric Technician

Gainesville, FL · On-site

$14.75 - $18.25/hr

Preparing patients for examinations * Administering tests prior to the eye exam * Assisting Digital ... Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and ...

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All JobsInsurance Claim Examiner JobsInsurance Claim Examiner Jobs in Florida

Insurance Claim Examiner information

What does an insurance claim examiner do?

An Insurance Claim Examiner reviews insurance claims to determine their validity and ensures that claims are processed accurately according to policy terms. They investigate claims by gathering information, assessing documentation, and sometimes consulting with medical or legal experts. Their goal is to confirm that claims are legitimate and to determine the appropriate payout or denial. Examiners also help prevent fraud and ensure compliance with laws and company guidelines. They play a critical role in balancing customer service with protecting the financial interests of the insurance company.

What are the key skills and qualifications needed to thrive as an insurance claim examiner?

To thrive as an Insurance Claim Examiner, you need a solid understanding of insurance policies, claims procedures, and investigative techniques, usually supported by a bachelor's degree in a related field. Familiarity with claims management software, regulatory compliance systems, and industry certifications like AIC (Associate in Claims) are typically required. Attention to detail, strong analytical thinking, and effective communication are standout soft skills for this role. These competencies enable accurate claim assessments, minimize fraud, and maintain trust with policyholders and stakeholders.

What are some common challenges faced by insurance claim examiners, and how can they be managed on the job?

Insurance Claim Examiners often encounter challenges such as handling complex claims, managing tight deadlines, and ensuring compliance with ever-changing regulations. To manage these, examiners typically rely on strong organizational skills, attention to detail, and ongoing professional development to stay updated on industry standards. Collaboration with adjusters, legal teams, and policyholders is also key to resolving issues efficiently and fairly, while maintaining clear communication helps prevent misunderstandings and delays.

How much do insurance claim examiners make in the US?

Insurance claim examiners in the US typically earn a median annual salary of around $45,000 to $70,000, depending on experience, location, and employer. Entry-level examiners may start lower, while experienced professionals or those with specialized skills can earn higher wages, often working in office environments with standard full-time hours.

How to become an insurance claim examiner?

To become an insurance claim examiner, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or specialized training. Relevant skills include attention to detail, communication, and knowledge of insurance policies; obtaining certifications such as the Certified Claims Professional (CCP) can enhance job prospects. Experience in insurance or customer service is often preferred, and examiners usually work in office environments with standard business hours.

Is being an insurance claim examiner hard?

Insurance claim examiners analyze insurance claims to determine coverage and payout amounts, which can involve detailed review of policies, reports, and documentation. The job requires strong attention to detail, analytical skills, and knowledge of insurance policies, and it can be challenging during high-volume periods or complex claims.

What are popular job titles related to Insurance Claim Examiner jobs in Florida?

For Insurance Claim Examiner jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Insurance Claim Examiner jobs in Florida look for?

The top searched job categories for Insurance Claim Examiner jobs in Florida are:

Insurance Claim Examiner jobs near you
Infographic showing various Insurance Claim Examiner job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Team Manager - Liability

Crawford and Company

Tampa, FL • On-site

$58K - $107K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description


Lead. Inspire. Succeed.
We're hiring a Team Manager - Liability (Remote) to help drive exceptional claims operations and build a winning team from anywhere!
In this leadership role, you'll:
✅ Oversee liability claims investigations
✅ Coach and inspire a high-performing team
✅ Ensure quality, compliance, and operational excellence
✅ Support Service Center management alongside Claims leadership
We're looking for a motivated, strategic leader who thrives in a fast-paced environment and is passionate about helping others succeed.
Ready to make an impact? Apply now and lead the future of claims management!
Responsibilities
  • Establishes and communicates performance standards and objectives and conducts performance appraisals. Administers corrective action with regards to any performance deficiencies in line with human resource policies and procedures. Recommends/approves salary adjustments, promotions, transfers and dismissals. Administers all company human resource policies and procedures, communicates to staff, and ensures compliance both for staff and self. Counsels team members on educational and job opportunities which will enhance their career development; keeps staff informed of current trends, changes or new developments in the department and company with periodic meetings.
  • Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures all directives are executed appropriately. Ensures workloads are balanced and in line with defined staffing models. Makes recommendations to improve productivity and ensure timely closures.
  • Reviews files daily to provide instruction for further requirements needed based on best practice standards. Assists with reserve recommendations and approvals. Coaches personnel on investigations, damage/medical evaluations, trains on reserving evaluations and settlement techniques. Ensures staff adheres to both internal and external compliance standards and protocols for large loss reporting guidelines. Attends and prepares staff for claim reviews with clients, carriers and brokers.
  • Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction. Performs other related work as required or requested.
  • Works within the Risk Tech Claim System and all ancillary systems. Organizes workflows of the Risk Tech Claim System and all ancillary systems to provide maximum productivity. May assist in the training of new and existing staff in the operation and use of the Risk Tech claim system and other various systems.

Qualifications
  • Bachelor's degree or equivalent experience required
  • Five or more years of progressive experience as a Claim Examiner, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment and discretion.
  • Previous supervisory experience desirable
  • Excellent verbal and written communication skills.
  • Analytical ability.
  • Good mathematical aptitude.
  • Good organizational and interpersonal skills.
  • Ability to effectively manage, supervise, and develop employees.
  • Thorough knowledge of services being delivered by branch office.
  • In-depth knowledge of insurance coverages, practices and negotiating skills.
  • Familiarity with legal, medical and technical disciplines.
  • Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)
  • Where applicable, has passed state licensing requirements for line(s) of insurance handled.
  • Settlement Authority: As noted in internal, client and or carrier guidelines.

#LI-ET1
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:
  • Competitive base pay
- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
  • Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
  • We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
*The above information highlights some of the benefits currently available to eligible full-time employees.
  • Training programs that promote continuous learning and career progression while enhancing job performance.
  • Sustainability programs that give back to the communities in which we live and work.
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

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