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Insurance Claims Processing Jobs in Florida (NOW HIRING)

Claims Technician

Miami, FL ยท Hybrid

$24 - $35.75/hr

... Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft ... Applications, Prioritization, Problem Solving, Risk Assessments, Time Management How to Apply: To ...

Claims Specialist

Tampa, FL ยท Hybrid

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

... in a claims processing/adjudication environment * Hands-on experience with EZCap (strongly preferred) * Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem ...

... in a claims processing/adjudication environment * Hands-on experience with EZCap (strongly preferred) * Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

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, 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 does an insurance claims processor 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 specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What cities in Florida are hiring for Insurance Claims Processing jobs? Cities in Florida with the most Insurance Claims Processing job openings:
Infographic showing various Insurance Claims Processing job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution.

Claims Technician

QBE

Miami, FL โ€ข Hybrid

$24 - $35.75/hr

Full-time

Life, Retirement, PTO

Re-posted yesterday


Job description

Primary DetailsTime Type: Full timeWorker Type: Employee

The Opportunity:

The purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintained

  • Location:Miami, FL - New Orleans, LA - Atlanta, GA, Houston, TX - Chicago, IL

  • Hourly rate for this role is:$24.00 - 35.75, depending on experience.

Your new role

  • Manages new claims enquiries, reviewing policy records and creating new claims.

  • Develop effective relationships with internal and external stakeholders.

  • Provides technical advice and guidance in areas of expertise.

  • Respond to requests for claims advice and Management Information/reporting.

  • Undertakes additional administration duties related to claims processing.

  • Develop a good working knowledge of claims systems.

  • Handles a portfolio of delegated authority claims.

  • Contributes to the claims handling plans.

  • Develop an understanding of relevant internal policies, processes and procedures.

  • Acts as a point of reference to guide and advise others.

Work Experience:

Preferred Work Experience includes:

  • Experience in Commercial insurance services in a similar role.

  • Customer service experience

Qualifications:

Preferred Qualifications include:

  • Tertiary degree or equivalent combination of education and work experience.

  • Bilingual English/Spanish (must have)

Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance.We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.

QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:

  • Hybrid Working - a mix of working from home and in the office

  • 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis

  • Competitive 401(k) program with company match up to 8%

  • Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice

  • Tuition Reimbursement for professional certifications, and continuing education

  • Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community

To learn more, click here: Benefits | QBE US.

Why QBE?What if you could have a positive impact - at work and in the world?

At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.

Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.

Join us now, so you can be part of our success - and we can be part of yours!

https://www.linkedin.com/company/qbe-north-america/

QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search for and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.

Equal Employment Opportunity:

QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.

This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.

Supplementary information

Skills:

Claims Administration, Communication, Critical Thinking, Customer Service, Data Entry, Detail-Oriented, Document Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft Applications, Prioritization, Problem Solving, Risk Assessments, Time Management

How to Apply:

To submit your application, click "Apply" and follow the step by step process.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.