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Insurance Claims Processing Jobs in Boca Raton, FL

The Residence at Dania Beach

Secretary

Dania Beach, FL · Remote

Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements. * Resubmits claims with necessary corrections or supporting documentation ...

NRG MGMT LLC

Collections Specialist

Lake Worth, FL · On-site +1

$16.50 - $22.25/hr

Knowledge, Skills & Abilities Strong understanding of medical billing and collections processes. Knowledge of insurance claims, EOBs, ERAs, denials, appeals, and reimbursement methodologies.

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Insurance Claims Processing information

See Boca Raton, FL salary details

$11

$21

$32

How much do insurance claims processing jobs pay per hour?

As of Aug 15, 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 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 Boca Raton, FL?

For Insurance Claims Processing jobs in Boca Raton, FL, the most frequently searched job titles are:

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

Early Bodily Injury (EBI) Auto Adjuster

United Automobile Insurance Company

Miami, FL • On-site, Remote

$47K - $61K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Company Overview
Founded in 1989, United Automobile Insurance Company (UAIC) is an established and innovative organization dedicated to delivering exceptional service to our policyholders and agents. As one of the largest privately held property and casualty insurance companies in the United States, UAIC has built its success on disciplined underwriting, strategic claims handling, and continuous investment in technology and talent. Our commitment to operational excellence has made us a market leader in every state where we operate.
Position Summary
The Early Bodily Injury (EBI) Adjuster is responsible for investigating, evaluating, negotiating, and resolving low-complexity automobile claims involving non-represented bodily injury claimants and related property damage. This role manages claims from initial investigation through settlement by evaluating coverage, determining liability, assessing damages, and negotiating fair, timely resolutions while delivering exceptional customer service and ensuring compliance with company policies and applicable state regulations.
The ideal candidate possesses strong investigative, analytical, and negotiation skills and thrives in a fast-paced environment while managing a high-volume caseload.
Key Responsibilities
  • Investigate and manage a caseload of non-represented bodily injury and related property damage claims.
  • Review insurance policies, police reports, medical records, repair estimates, photographs, and other supporting documentation to determine coverage, liability, and damages.
  • Evaluate minor bodily injury claims, including soft tissue injuries, and review vehicle damage using industry-standard estimating tools, as applicable.
  • Document claim investigations, evaluations, and decisions accurately and thoroughly.
  • Negotiate fair and timely settlements for bodily injury and property damage claims within assigned authority.
  • Communicate professionally with insureds, claimants, repair facilities, medical providers, and other stakeholders throughout the claims process.
  • Maintain complete, accurate, and timely claim files.
  • Identify and escalate complex claims, coverage issues, suspected fraud, or litigated matters as appropriate.
  • Collaborate with Underwriting, Legal, Special Investigations, and other internal departments to facilitate efficient claim resolution.
  • Ensure compliance with company policies, state regulations, and industry standards while providing exceptional customer service.

Scope
  • Handles non-litigated claims involving non-represented bodily injury claimants and associated property damage.
  • Exercises settlement authority within established guidelines.
  • Works independently while consulting leadership on complex claim matters.
  • Effectively manages multiple priorities in a fast-paced environment.

Required Qualifications
  • 1-3 years of automobile claims adjusting experience handling property damage claims. Prior bodily injury claims experience is required; candidates must demonstrate a willingness to develop expertise in bodily injury claims handling.
  • Active Florida All-Lines Adjuster License.
  • Strong investigative, analytical, organizational, and decision-making skills.
  • Excellent written, verbal, and interpersonal communication skills.
  • Effective negotiation and customer service abilities.
  • Ability to manage a high-volume caseload while meeting productivity and quality expectations.
  • Proficiency with claims management systems and Microsoft Office applications.

Preferred Qualifications
  • Bachelor's degree or an equivalent combination of education and experience.
  • Experience handling early bodily injury claims involving non-represented claimants.
  • Knowledge of medical terminology and automobile repair estimating.
  • Experience with coverage analysis and liability investigations.

Success Profile
The successful candidate is:
  • Detail-oriented with strong documentation practices.
  • Customer-focused and committed to delivering quality service.
  • Confident and effective in negotiating claim settlements.
  • Organized and able to manage competing priorities.
  • Able to exercise sound judgment and make timely decisions.
  • Adaptable, collaborative, and committed to continuous learning.

Performance Expectations
  • Meet established goals for productivity, quality, compliance, customer satisfaction, and claim cycle time.
  • Resolve claims accurately, efficiently, and within assigned settlement authority.
  • Maintain timely customer contact, complete documentation, and organized claim files.
  • Consistently demonstrate sound claims handling practices and adherence to company policies and regulatory requirements.

Benefits
  • 401(k) Retirement Savings Plan with employer match
  • Comprehensive Medical, Prescription Drug, Dental, and Vision Insurance
  • Paid Time Off, Company Holidays, and Leave Programs
  • Flexible Spending Accounts (FSA)
  • Basic Life Insurance and Voluntary Life/AD&D Insurance
  • Short-Term and Long-Term Disability Insurance

UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https://www.e-verify.gov/.
UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

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