ZipRecruiter

Log In

1

Insurance Claim Review Jobs in Florida (NOW HIRING)

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.

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.

University of Miami

Research Pharmacy Tech, Per Diem

Miami, FL · On-site

$16.75 - $20.25/hr

To learn how to apply for a faculty or staff position, please review this tip sheet. The Pharmacy ... Prepares and processes medical insurance claim forms and handles insurance claim records. * Adheres ...

University of Miami

Research Pharmacy Tech, Per Diem

Miami, FL · On-site

$16.75 - $20.25/hr

To learn how to apply for a faculty or staff position, please review this tip sheet ( . The ... Prepares and processes medical insurance claim forms and handles insurance claim records. * Adheres ...

CCMSI

Claim Assistant

Maitland, FL

$18 - $19/hr

... they review and manage claims. This position plays a key part in keeping claim files accurate ... This is an excellent opportunity for someone interested in the insurance or claims field who ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

... they review and manage claims. This position plays a key part in keeping claim files accurate ... This is an excellent opportunity for someone interested in the insurance or claims field who ...

Allied Universal

SIU Investigator - Tampa Bay Area

Tampa, FL · On-site

$21 - $27/hr

... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Create and maintain detailed documentation for investigations, file reviews, audits, training tasks ...

previous pagenext page

Showing results 21-40

All JobsInsurance Claim Review JobsInsurance Claim Review Jobs in Florida

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.

Program Manager/Training Lead

Contact Government Services, LLC

Tampa, FL • On-site

$180K - $200K/yr

Full-time

Re-posted 28 days ago

Job description

Program Manager/Training Lead
Employment Type: Full Time
Department: Project Management

Here at CGS, we are seeking a Program Manger/Training Lead to assist with the design, development, and delivery of training for internal and external audiences for a government client.

CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.

Skills and attributes for success:
- Review draft Training Plans and collaborate with the transformation readiness team to finalize. 
-Design, develop, and deliver substantive and role-based training as defined in the VCF Transformation Training Plan, and summarized above. The system integrator will provide test scenarios and myVCF system screenshots to inform the training materials.
- Design, develop, and co-deliver VCF Substantive training for VCF staff on end-to-end claims lifecycle processes. Substantive training includes curriculum and standardized materials related to policies and procedures for claim review, claim administration, quality control, and payment. The content for these training modules will be provided by VCF subject matter experts. These same experts will co-deliver the training with the support of this vendor training team. This training, which will be delivered as instructor led, in-person, and virtually, will be delivered to approximately 10-75 VCF staff members, depending on the subject matter of the training.
-  Design and create user-friendly, professional quality graphics and communication media for How-To Guides, website content, and other communications vehicles necessary to inform and educate the public, law firms, and VCF staff about VCF Transformation and the related process and system changes.
-  In partnership with the VCF team and the system integrator, provide support to staff to ease the transition and ensure a successful rollout of the transformed claim review and operational processes. The selected vendor will work with the VCF Transformation Readiness Team to determine the overall training schedule and timeline
- Design and develop myVCF system training using training materials delivered by the myVCF System Integrator.
- Design and develop communication materials for internal and external audiences. Support the design and development of internal and external communications as directed by the VCF. This includes development of PowerPoints, handouts, and supporting the planning and execution of focus groups.
- Submit for approval by VCF all communications and training materials and track the materials through the approval process to ensure that they are appropriately prioritized, and any necessary adjustments are made.

Qualifications: 
-  Ability to design and develop comprehensive training approach, curriculum, and materials, including manuals, tutorials, and e-learning modules
-  Minimum of 5 years’ experience developing training for clients 
-  Strong leadership skills to manage and guide the training team, coordinate overall schedule and activities with the VCF Transformation Readiness Team Lead, and communicate updates to VCF leadership
-  Ability to manage multiple concurrent training workstreams, ensuring quality, on-time deliverables
-  Bachelor’s degree in a relevant field required
- Minimum of 7 years’ experience managing training and communications teams and schedules to achieve successful outcomes
-  Experience with Salesforce preferred
-  Must have experience using Adobe Captivate for training development
- Ability to obtain a Public Trust clearance.
- Must be a United States citizen.

Our commitment
Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems.

For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.

We care about our employees. Therefore, we offer a comprehensive benefits package.
- Health, Dental, and Vision
- Life Insurance
- 401k
- Flexible Spending Account (Health, Dependent Care, and Commuter)
- Paid Time Off and Observance of State/Federal Holidays

Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Join our team and become part of government innovation!

Explore additional job opportunities with CGS on our Job Board:
https://cgsfederal.com/join-our-team/

For more information about CGS please visit: https://www.cgsfederal.com or contact:
Email: info@cgsfederal.com

#CJ

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.