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Insurance Claims Processing Jobs in Florida (NOW HIRING)

CorVel Enterprise Claims, Inc.

Claims Specialist

Tampa, FL · 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 ...

Fortegra

Claims Coordinator

Jacksonville, FL · On-site

Insurance claims experience preferred. Primary Job Functions: * Assist adjusters in the processing and troubleshooting of claims. * Complete vendor setup, check processing and other payment-related ...

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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 Billing Specialist

The Latchlink

Orlando, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Position Summary

We are seeking a detail-oriented and highly independent Billing Specialist to support our revenue cycle operations. This role is responsible for ensuring accurate claim submission, insurance follow-up, coding support, and accounts receivable management. The ideal candidate is confident, proactive, and capable of working autonomously while collaborating effectively with both clinical and administrative teams.

Key Responsibilities

  • Submit, track, and monitor insurance claims to ensure timely reimbursement.
  • Follow up with insurance carriers regarding claim status, denials, and payment issues.
  • Perform accounts receivable (A/R) follow-up activities to reduce outstanding balances.
  • Assist with coding accuracy and support claim compliance requirements.
  • Identify, analyze, and report on denial trends and reimbursement challenges.
  • Maintain accurate and organized billing documentation and records.
  • Support revenue cycle reporting and performance initiatives.
  • Collaborate with providers, clinical staff, and administrative teams to resolve billing issues.
  • Participate in special projects and process improvement initiatives as needed.


QualificationsRequired

  • High school diploma or equivalent.
  • Knowledge of insurance claims processing and reimbursement procedures.
  • Strong attention to detail and analytical problem-solving skills.
  • Excellent organizational, communication, and time management skills.


Preferred

  • Previous medical billing experience.
  • Experience working within an Electronic Health Record (EHR) and/or Practice Management system.
  • Familiarity with standard medical coding practices.
  • Experience using Availity or other insurance payer portals.
  • Experience supporting multiple providers and locations.


Technical Skills

  • EHR and Practice Management software experience.
  • Insurance claims submission and follow-up.
  • Accounts receivable management.
  • Standard medical coding knowledge.
  • Insurance portal navigation and utilization (Availity experience preferred).


What We\'re Looking For

The successful candidate will be:

  • Highly independent and comfortable managing responsibilities with minimal supervision.
  • Confident and competent in billing and revenue cycle processes.
  • Strong in time management, with the ability to meet deadlines, including submitting claims within established turnaround times.
  • A collaborative team player who communicates effectively across departments.
  • Self-motivated, ambitious, and driven to achieve results.
  • Adaptable and willing to assist with evolving processes, system enhancements, and special projects.

Why Join Us?

This position offers significant autonomy and the opportunity to make a meaningful impact on the organization\'s financial performance. You\'ll work alongside a supportive team while taking ownership of critical revenue cycle functions that contribute directly to organizational success.


Our Values

Radical Accountability — We own our outcomes, we welcome feedback, and when someone shows us a better way, we lean in.

Competitive Greatness — The women on this team have goals and they are hungry to grow. We want people who feel the same way.

Mom First — The mom is the boss. Always. We show up with curiosity, compassion, and zero ego.


How to Apply

Send us a short video (3 to 5 minutes) answering these four questions:

  • Who are you and what is your experience as an Insurance Billing Specialist
  • Why you think you are the best fit for the role

Email: careers@thelatchlink.com Subject line: "Insurance Billing Specialist"

Applications that do not follow this process will not be considered. Following directions is the first thing we look at.


Benefit eligible after 90 days:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Health savings account
  • Paid time off
  • Retirement plan
  • Vision insurance


Apply