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Insurance Claims Processing Jobs in Boca Raton, FL

The GEO Group

CLAIMS SPECIALIST

Boca Raton, FL · On-site

$26.44/hr

... Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... process. * Assists and participates in claims file audits. * Assists and monitors the Modified Duty ...

The GEO Group

CLAIMS SPECIALIST

Boca Raton, FL

$26.44 - $28.84/hr

... insurance carriers on workers' compensation. * Coordinates and monitors the activity of vendor ... process. * Assists and participates in claims file audits. * Assists and monitors the Modified Duty ...

The GEO Group

CLAIMS SPECIALIST

Boca Raton, FL · On-site

$26.44 - $28.84/hr

... insurance carriers on workers' compensation. * Coordinates and monitors the activity of vendor ... process. * Assists and participates in claims file audits. * Assists and monitors the Modified Duty ...

VITAS Healthcare

Medical Claims Examiner 2

Miramar, FL · Hybrid

Qualified candidates must have a minimum of two years experience as a claim processor in the health insurance environment preferred. * Working knowledge of medical terminology, claims processing ...

VITAS Healthcare

Medical Claims Examiner 2

Miramar, FL · On-site

Qualified candidates must have a minimum of two years experience as a claim processor in the health insurance environment preferred. * Working knowledge of medical terminology, claims processing ...

ICBD

Claims Resolution Specialist

Fort Lauderdale, FL

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

ICBD

Claims Resolution Specialist

Lauderdale Lakes, FL · On-site

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

HUB

Property Claims Leader

Fort Lauderdale, FL

$150K - $160K/yr

HUB International Limited ("HUB") is one of the largest global insurance and employee benefits ... Development and implementation of procedures, processes, and reporting practices * Handling of high ...

HUB

Property Claims Leader

Boca Raton, FL

$150K - $160K/yr

HUB International Limited ("HUB") is one of the largest global insurance and employee benefits ... Development and implementation of procedures, processes, and reporting practices * Handling of high ...

ICBD

Claims Resolution Specialist

Hollywood, FL

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

ICBD

Claims Resolution Specialist

Fort Lauderdale, FL · On-site

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

ICBD

Claims Resolution Specialist

Deerfield Beach, FL · On-site

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

ICBD

Claims Resolution Specialist

Fort Lauderdale, FL · On-site

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Boca Raton, FL

Insurance Claims Processing information

See Boca Raton, FL salary details

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How much do insurance claims processing jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for insurance claims processing in Boca Raton, FL is $21.20, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $24.18 per hour, depending on experience, location, and employer.

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 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 job categories do people searching Insurance Claims Processing jobs in Boca Raton, FL look for? The top searched job categories for Insurance Claims Processing jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Insurance Claims Processing jobs? Cities near Boca Raton, FL with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you

Claims Specialist- In Office Role

Quadrant Health Group

Boca Raton, FL • On-site

$18 - $24/hr

Full-time

Posted 13 days ago

Job description

Quadrant Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs.

We are looking for a Claims Specialist in Boca Raton, FL. This is an in office role

Compensation: $18- $24/hour (Based on experience) Full-time


Why Join Quadrant Billing Solutions?

  • Rapid career growth in a mission-driven, niche billing company.
  • Collaborate with clinical and billing experts who understand behavioral health.
  • Join a tight-knit, supportive team culture.
  • Gain opportunities for leadership advancement as the company scales.


Join our dynamic team at Quadrant Health Group! Quadrant Billing Solutions, a proud member of the Quadrant Health Group. QBS delivers hands-on, process-driven operational support to behavioral health programs. We’re hiring a Claims Specialist to drive accurate claim submission, denial resolution, and consistent payer follow-through across our facilities.

This role is for someone who can manage claims with precision: clean submission, fast follow-up, strong payer communication, and zero dropped tasks. You will be responsible for ensuring claims move efficiently from billing to payment with clear documentation and consistent resolution. This role is built for someone who values clean processes, urgency, and closing out claim issues completely, anything less won’t fit here.

What You’ll Do

● Submit clean claims daily and monitor payer responses.

● Follow up consistently to ensure claims move through the system without delay.

● Investigate denials and rejections, correct errors, and submit appeals when needed.

● Communicate directly with payers to obtain claim status updates and reference numbers.

● Maintain clear, audit-ready documentation in EMR and tracking tools.

● Partner with billing leadership to reduce AR days and improve payment turnaround.

● Identify denial trends and recommend workflow improvements.

Requirements

Experience

● 2–4+ years in medical claims processing or revenue cycle operations.

● Behavioral health experience preferred (SUD/MH a plus).

● Strong understanding of payer claim workflows and denial resolution.

● Proven ability to manage multiple claims with urgency and accuracy.


Education / Training

● Associate’s or Bachelor’s degree preferred (or equivalent experience).

● Comfort with EMR systems, clearinghouses, and structured trackers.

● Experience with appeals and payer portals is a plus.

Character Traits

● Denial-driven problem solver: Enjoys digging into payer issues and resolving claim obstacles quickly.

● Persistent follow-through operator: Stays on claims until final payment is secured, no loose ends.

● Detail-obsessed executor: Catches small errors before they become reimbursement delays.

● Strong payer communicator: Confident, professional, and effective on insurance calls.


Who This Role Is NOT For:

● People who avoid payer follow-up or denial work.

● Anyone who struggles with organization or task ownership.

● People who tolerate unresolved claims sitting untouched.



About Quadrant Billing Solutions:

At Quadrant Billing Solutions, we believe in fostering a culture of compassion, innovation, and excellence. We are dedicated to empowering individuals to achieve their optimal health and well-being. Our team is comprised of highly skilled professionals who are passionate about making a difference in the lives of those we serve. Join us and be part of a team that values your contributions and supports your professional growth.

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