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Insurance Claim Review Jobs in Florida (NOW HIRING)

Capital Claims Group

Be Seen First

Claims Support Administrator

Miramar, FL · On-site

$20 - $23/hr

... insurance companies, attorneys, contractors, and vendors * Follow up on outstanding claim documentation * Schedule inspections, meetings, mediations, appraisals, and recorded statements * Review ...

Zelis

Clinical Nurse Reviewer

Saint Petersburg, FL · On-site

Conduct prompt claim review to support internal inventory management to achieve greatest possible ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

Zelis

Clinical Nurse Reviewer

Saint Petersburg, FL · On-site

Conduct prompt claim review to support internal inventory management to achieve greatest possible ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

Zelis

Clinical Nurse Reviewer

Saint Petersburg, FL

Conduct prompt claim review to support internal inventory management to achieve greatest possible ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

Zelis

Inpatient DRG Reviewer

Saint Petersburg, FL · On-site

$79K - $99K/yr

Conduct prompt claim review to support internal inventory management to achieve greatest savings ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

Morgan & Morgan, P.A.

Case Developer

Longwood, FL · On-site

$36K/yr

Review files for potential issues that could affect the clients claim * Review and Prepare RFH ... insurance, 401(k) plan, paid time off and paid holidays. Equal Opportunity Statement Morgan ...

FCCI Insurance Group

Claim Assistant

Sarasota, FL · On-site

$18.58 - $28.62/hr

Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ... For further information, please review the Know Your Rights notice from the Department of Labor.

Zelis

Inpatient DRG Reviewer

Saint Petersburg, FL

Conduct prompt claim review to support internal inventory management to achieve greatest savings ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

FCCI Insurance Group

Claim Assistant

Sarasota, FL · On-site

$18.58 - $28.62/hr

Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Insurance Claim Review information

What is insurance claim review?

Insurance claim review is the process by which insurance companies evaluate claims submitted by policyholders to determine their validity and the extent of coverage. Claims reviewers carefully examine documentation, such as medical records, police reports, or repair estimates, to ensure all policy requirements are met. This process helps prevent fraud, ensures claims are paid accurately, and maintains the integrity of the insurance system. Claim reviewers may also communicate with claimants, request additional information, or work with other professionals to make informed decisions.

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

To thrive as an Insurance Claim Review Specialist, you typically need a strong understanding of insurance policies, claims processes, and relevant regulations, often backed by a degree in business, finance, or a related field. Familiarity with claims management software, document management systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are critical soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate, timely, and fair claim resolutions that uphold company standards and customer satisfaction.

What are some common challenges faced in an insurance claim review role, and how can they be managed effectively?

One of the most common challenges in Insurance Claim Review is managing a high volume of claims while maintaining accuracy and compliance with regulatory standards. Claims can often be complex, requiring careful analysis of policy terms, medical or incident documentation, and communications with policyholders or third parties. Effective time management, attention to detail, and strong communication skills are essential. Collaborating closely with other departments, such as underwriting and legal, can also help resolve ambiguous cases more efficiently. Ongoing training and keeping up with changes in industry regulations further support success in this role.

What is the difference between Insurance Claim Review vs Insurance Adjuster?

AspectInsurance Claim ReviewInsurance Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing claims remotely or on-siteFieldwork, inspecting damages, meeting clients
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding claim review roles, job dutiesAssessing damage, settling claims

Insurance Claim Review professionals focus on evaluating and verifying insurance claims, often working in an office setting. Insurance Adjusters, on the other hand, inspect damages firsthand and negotiate settlements. Both roles require insurance-related certifications but differ in work environment and responsibilities.

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

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

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

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

What cities in Florida are hiring for Insurance Claim Review jobs?

Cities in Florida with the most Insurance Claim Review job openings:

Insurance Claim Review jobs near you
Infographic showing various Insurance Claim Review job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Claims Support Administrator

Capital Claims Group

Miramar, FL • On-site

$20 - $23/hr

Full-time

Dental, Vision, Life, PTO

Re-posted 13 days ago

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Job description

Join One of the Fastest Growing Public Adjusting Firms

Capital Claims Group is a licensed public adjusting firm representing homeowners, business owners, condominium associations, apartment complexes, and commercial property owners throughout multiple states.

We are looking for a highly organized, detail-oriented Claims Support Administrator to become an important part of our growing team. This position supports our claims department by helping move insurance claims efficiently while providing outstanding customer service.

If you enjoy organization, problem solving, communicating with clients, and working in a fast-paced office environment, we would love to meet you.

Responsibilities

  • Assist with daily management of property insurance claims
  • Communicate professionally with homeowners, insurance companies, attorneys, contractors, and vendors
  • Follow up on outstanding claim documentation
  • Schedule inspections, meetings, mediations, appraisals, and recorded statements
  • Review claim files for completeness and accuracy
  • Upload, organize, and maintain electronic claim files
  • Track claim activity and document detailed file notes
  • Request policies, estimates, reports, photographs, and claim documents
  • Monitor deadlines and ensure timely follow-up
  • Support the claims team with administrative tasks and special projects
  • Deliver exceptional customer service throughout the claims process

Qualifications

  • Excellent verbal and written communication skills
  • Strong organizational and time management abilities
  • Ability to manage multiple tasks simultaneously
  • High attention to detail
  • Professional phone etiquette
  • Self-motivated with a positive attitude
  • Ability to work independently and as part of a team
  • Strong computer skills
  • Experience with Microsoft Office and Adobe Acrobat
  • Experience working in insurance, restoration, construction, legal, or administrative support is preferred but not required

Preferred Skills

  • Customer service experience
  • Insurance claims experience
  • Scheduling and calendar management
  • Document management
  • CRM or claims management software experience
  • Problem-solving mindset
  • Ability to prioritize work in a fast-paced environment

What We Offer

  • Full-time, stable position
  • Competitive hourly pay based on experience
  • Paid training
  • Career growth opportunities
  • Supportive team environment
  • Opportunity to work on meaningful claims that help homeowners and businesses recover after property damage

About Capital Claims Group

At Capital Claims Group, we advocate exclusively for policyholders. Our mission is to help property owners navigate the insurance claim process with professionalism, integrity, and expert claim management. We believe great customer service, communication, and documentation are the foundation of every successful claim.

If you're looking for a career where your organizational skills make a real difference in helping people recover after a loss, we'd love to hear from you.

Apply today and become part of a growing team that's making an impact across the country.

Company Description

Capital Claims Group Inc. is a trusted public insurance adjusting firm dedicated to putting our clients first. We specialize in analyzing, evaluating, and negotiating to secure the best possible settlement for our clients insurance claim.