Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Interpret contract benefits in accordance with specific claims processing guidelines. Primary ... Insurance background preferred; previous Medical/prescription claims preferred. * Experience with ...
Insurance Claims Representative
Tampa, FL · On-site
Correct insurance information on rejected insurance claims and resubmit for processing Candidate should be: * Familiar with and able to utilize various Electronic Claims software * Performs duties ...
Insurance Claims Representative
Tampa, FL · On-site
Correct insurance information on rejected insurance claims and resubmit for processing Candidate should be: * Familiar with and able to utilize various Electronic Claims software * Performs duties ...
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
Insurance Claims Business Analyst
Miami, FL · On-site
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
Insurance Claims Business Analyst
Miami, FL · On-site
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
Claims - Claims Examiner
Pensacola, FL · On-site
High school diploma or equivalent required; associate or bachelor's degree preferred * 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing
Claims - Claims Examiner
Pensacola, FL · On-site
High school diploma or equivalent required; associate or bachelor's degree preferred * 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing
PIP Claims Adjuster (On-site)
Coral Springs, FL · On-site
$50K - $70K/yr
The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are ...
Quick apply
PIP Claims Adjuster (On-site)
Coral Springs, FL · On-site
$50K - $70K/yr
The candidate has a strong background in insurance claims processing, excellent communication skills, and the ability to handle complex situations with empathy and professionalism. Adjusters are ...
Serve as the primary contact for student athletes regarding injury-related insurance claims. * Provide clear guidance on claims processes, coverage, and next steps. * Communicate regularly with ...
Serve as the primary contact for student athletes regarding injury-related insurance claims. * Provide clear guidance on claims processes, coverage, and next steps. * Communicate regularly with ...
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
Provideclear guidance on claims processes, coverage, and next steps. * Communicate regularly with athletic trainers and athletics staff to ensure timely reporting and coordination. Insurance ...
Sales, Customer Service & Claims
Tampa, FL · On-site
Support claims processing, policy servicing, or sales activities depending on the role (e.g., Auto ... Minimum of 3 years of relevant experience in customer service, sales, or insurance claims * Strong ...
Sales, Customer Service & Claims
Tampa, FL · On-site
Support claims processing, policy servicing, or sales activities depending on the role (e.g., Auto ... Minimum of 3 years of relevant experience in customer service, sales, or insurance claims * Strong ...
Claims & Billing Analyst
Miami, FL · On-site
$45K - $61K/yr
Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management. * Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.
Claims & Billing Analyst
Miami, FL · On-site
$45K - $61K/yr
Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management. * Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.
Claims Processor
$14 - $17/hr
Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ... of commercial insurance primary & secondary payors. Strong data entry skills. Additional ...
Claims Processor
$14 - $17/hr
Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ... of commercial insurance primary & secondary payors. Strong data entry skills. Additional ...
Claims Adjudicator
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
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Claims Adjudicator
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
Insurance Claims Processing information
What is insurance claims processing?
Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.
What jobs pay $2000 a day?
In insurance claims processing, high-paying roles such as senior claims managers or specialized adjusters can earn around $2,000 per day, especially with extensive experience, certifications, and in high-value claim environments. These roles often require advanced knowledge of insurance policies, strong analytical skills, and sometimes leadership responsibilities.
How do I become a claims processor?
To become a claims processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with experience in customer service or insurance. Relevant skills include attention to detail, communication, and familiarity with claims processing software; obtaining industry certifications such as the Certified Claims Professional (CCP) can also enhance job prospects.
What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?
In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.
Is a claims processor job in demand?
Claims processing is a stable occupation within the insurance industry, with consistent demand due to the ongoing need for claims management in health, auto, and property insurance sectors. Employment opportunities often require attention to detail and familiarity with claims software, and the job outlook is expected to grow alongside the insurance industry overall.
What is the difference between Insurance Claims Processing vs Insurance Adjuster?
| Aspect | Insurance Claims Processing | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a high school diploma or equivalent; certifications like CPCU or AIC are common | Requires a high school diploma; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, processing claims via computer systems | Field and office work, inspecting damages and interviewing claimants |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Primary Focus | Reviewing and processing insurance claims efficiently | Assessing damages and determining claim validity and payout |
While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.
What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?
To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Florida? For Insurance Claims Processing jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Florida look for? The top searched job categories for Insurance Claims Processing jobs in Florida are:
What cities in Florida are hiring for Insurance Claims Processing jobs? Cities in Florida with the most Insurance Claims Processing job openings:
Full-time
Posted 7 days ago
Job description
Position Summary:Â The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis.
Essential Tasks:
- Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory
- Service and be the point of contact for assigned threshold accounts.
- Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc.
- Handle and work with carrier and client on professional coverages, including D&O and EPL.
- Ability to troubleshoot and consult clients on all P&C lines, including disputes or denials by the carrier.
- Review, document and acknowledge Pre- Litigation request or demands.
- Must be able to understand report, monitor and be able to consult clients on any Litigation Claims brought to Suit.
- Proficient in excel with the capability to produce charts and presentations.
- Perform claims reviews and loss analysis for assigned threshold accounts.
- Must be comfortable in presentations to prospects and existing clients.
- Travel as needed to support existing clients as well as company growth goals.
- Ability to work both in a team environment and independently with minimal supervision
- Must have excellent time management skills with the ability to multi task and calendar client service plans
- Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
- Performs all other related duties as assigned
Core Competencies:
- Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
- Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
- Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
- Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
- Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
- Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
- Dependability: Acknowledgment of the importance of being present and punctual.
- Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
- Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
- Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment
Experience and Education:
- Bachelor’s Degree and at least 5 years of experience in the related field
- 3+ years of claims processing experience
- Insurance Claims terminology
- Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices
- Ability to organize, prioritize and communicate effectively while meeting deadlines and production goals
- Must have commonly-used knowledge of claims examination concepts, practices and rules and claims workflows. This position utilizes experience and judgment to plan, accomplish goals and effectively solve problems with a variety of scenarios
- Advanced training in claims processes preferred
Licensing and Credentials:
- Adjusters License
- Previous litigation and insurance claims experience preferred
Systems:
- Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
- Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable
Physical Requirements:
- Ability to lift 25 pounds
- Repeated use of sight to read documents and computer screens
- Repeated use of hearing and speech to communicate on telephone and in person
- Repetitive hand movements, such as keyboarding, writing, 10-key
- Walking, bending, sitting, reaching and stretching in all directions
Notice to Recruiters and Staffing Agencies:Â To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.