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Insurance Claims Processing Jobs in Florida (NOW HIRING)

Ascension

Claims Processing Assistant

Jacksonville, FL · On-site

$17.25 - $22/hr

Review and prepare insurance claims for third-party payers and responsible parties, ensuring ... or hiring process. Our legitimate email communications will always come from an @ascension.org ...

Wellcove

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

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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 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 does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage eligibility and the amount payable. They verify information, process documentation, and communicate decisions to policyholders, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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 in insurance or related fields. Relevant skills include attention to detail, communication, and familiarity with claims processing software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require certification such as the Certified Claims Professional (CCP).

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 is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing 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?

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:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution.

Insurance Claims Specialist | Patient Financial Services - Durbin Park

UF Health

Saint Johns, FL • On-site

Full-time

Posted 15 days ago

Job description

Overview

Work alongside an engaged onsite team focused on claims resolution, compliance, and customer service excellence.

???? Work Style: Onsite 
???? Location: St Johns, FL 
???? FTE: Full-Time (1.0 FTE)
⏰ Schedule: Monday – Friday, 8:00 AM – 4:30 PM

Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from claimants and related parties. Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to supporting audit and regulatory requirements.


Responsibilities

Key Responsibilities

• Manages and evaluates insurance claims for accuracy and timely processing.
• Investigates claims and negotiates settlements.
• Responds to inquiries from claimants and related parties.
• Assists clients in submitting claims correctly.
• Coordinates with internal teams to facilitate claim resolution.
• Maintains detailed records and verifies claim compliance. 


Qualifications

Education

• High School Diploma/Equivalent

Experience Requirements

• 2+ years of experience in insurance claims processing, claims administration, or claims support.
• Knowledge of insurance policies, claims adjudication, and claims processing procedures.
• Experience investigating, analyzing, and resolving insurance claim issues.
• Strong written and verbal communication skills with a customer service focus.
• Ability to maintain accurate records, ensure claim compliance, and manage multiple priorities.

 
 
 
 

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