Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates claims, reviews supporting documentation, and negotiates appropriate settlements. * Responds to ...
Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates claims, reviews supporting documentation, and negotiates appropriate settlements. * Responds to ...
Gainesville, FL FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to ...
Gainesville, FL FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to ...
FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ...
FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ...
Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates claims, reviews supporting documentation, and negotiates appropriate settlements. * Responds to ...
Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates claims, reviews supporting documentation, and negotiates appropriate settlements. * Responds to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...
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 ...
FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ...
FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ...
Gainesville, FL FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to ...
Gainesville, FL FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to ...
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 ...
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 ...
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 ...
Claims Examiner
Miami, FL · On-site
Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...
Claims Examiner
Miami, FL · On-site
Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...
Claims Examiner
Miami, FL · On-site
Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...
Claims Examiner
Miami, FL · On-site
Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...
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 are the key skills and qualifications needed to thrive in insurance claims processing?
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 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.
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.
How to get a job as an insurance claims processor?
To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.
Is insurance claims processing a stressful job?
Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.
What does an insurance claims processing do?
An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.
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:
- Remote Cigna Claims Representative
- Insurance Claims
- Berkshire Hathaway Specialty Insurance
- Entry Level Claims Intake Specialist
- Workers Compensation Claims Representative Trainee
- Urgently Hiring Remote Pet Insurance Claims
- Technical Claims Specialist
- Manager Medicaid Claims Processing
- Commercial Insurance
- Remote Insurance Claims Executive
What cities in Florida are hiring for Insurance Claims Processing jobs?
Cities in Florida with the most Insurance Claims Processing job openings:
Job description
Overview
Bring your claims expertise to a remote team committed to service excellence and operational success.
Work Style: Remote (on-site training available)
Location Requirement: Gainesville, FL
FTE: Full-Time (1.0 FTE)
This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.
Responsibilities
Key Responsibilities
Qualifications
Education
Experience Requirements
Preferred Qualifications:
Bring your claims expertise to a remote team committed to service excellence and operational success.
Work Style: Remote (on-site training available)
Location Requirement: Gainesville, FL
FTE: Full-Time (1.0 FTE)
This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.
Responsibilities
Key Responsibilities
- Manages and evaluates insurance claims to ensure accuracy and timely processing.
- Investigates claims, reviews supporting documentation, and negotiates appropriate settlements.
- Responds to inquiries from claimants, vendors, and related parties in a timely and professional manner.
- Assists clients with proper claim submission and provides guidance throughout the claims process.
- Coordinates with internal teams to facilitate efficient claim resolution and workflow management.
- Maintains detailed and accurate records while ensuring compliance with regulatory and audit requirements.
Qualifications
Education
- High School Diploma/Equivalent
Experience Requirements
- 2+ years of experience in insurance claims processing and support.
- Working knowledge of insurance policies, coverage, and claims adjudication processes.
- Experience investigating, analyzing, and resolving claim-related issues.
- Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.
- Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.
Preferred Qualifications:
- Experience with UB04 Billing - required
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958