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Insurance Claims Processing Jobs in Miami, FL (NOW HIRING)

Independent Living Systems

Claims & Billing Analyst

Miami, FL · On-site

$45K - $61K/yr

Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management. * Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.

Stellar Human Resource Services LLC

Claims

Miami, FL · On-site

... insurance company, and other parties that may be involved in the claim. Major Responsibilities: * Communicate regularly by telephone with clients keeping them updated throughout the claims process ...

Larkin Community Hospital

HMO Coordinator

Miami, FL · On-site

Strong knowledge of HMO structures, healthcare regulations, and insurance claims processes. * Proficiency in using healthcare management software and Microsoft Office Suite. * Excellent communication ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

Minimum of 2-4 years of claims processing experience in a managed care or health insurance environment. * Strong knowledge of Medicare and DSNP claims processing guidelines , including benefit ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

Minimum of 2-4 years of claims processing experience in a managed care or health insurance environment. * Strong knowledge of Medicare and DSNP claims processing guidelines , including benefit ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Miami, FL

Insurance Claims Processing information

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$11

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$32

How much do insurance claims processing jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for insurance claims processing in Miami, FL is $21.36, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $24.38 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 Miami, FL? For Insurance Claims Processing jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Miami, FL look for? The top searched job categories for Insurance Claims Processing jobs in Miami, FL are:
What cities near Miami, FL are hiring for Insurance Claims Processing jobs? Cities near Miami, FL with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Miami, FL as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $44,438 per year, or $21.4 per hour.

Director of Risk, Insurance & Claims

King Ocean Inc.

Miami, FL • On-site

$120 - $160/hr

Other

Posted 5 days ago

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Director of Risk, Insurance & Claims

Full-Time Sweetwater, FL, US

30+ days ago Requisition ID: 1406

Director, Risk Management, Insurance and Claims

Location: Miami, FL (On-site)

Company Overview

We are a leading container shipping company based in Miami, Florida, specializing in ocean transportation services across the Caribbean, Central America, South America, and the Bahamas. With dedicated terminals at Port Everglades and a commitment to reliable, efficient cargo delivery, we serve a diverse range of clients in international trade. Our operations include full container load (FCL), less than container load (LCL), refrigerated cargo, warehousing, and comprehensive logistics solutions.

Job Summary

We are seeking an experienced Director, Risk Management, Insurance and Claims to lead our claims processing and risk mitigation efforts. This executive-level role will oversee all aspects of cargo and ship claims, insurance programs, and legal coordination to minimize financial exposure and ensure operational resilience. The ideal candidate brings deep expertise in maritime insurance, claims handling, and risk management within the shipping industry.

Key Responsibilities
  • Manage the end-to-end processing of all cargo claims, including damage, loss, delay, and related disputes.
  • Oversee claims related to vessels, ships, and operational incidents.
  • Direct the company's comprehensive insurance portfolio.
  • Negotiate with insurers, brokers, and underwriters to secure optimal coverage.
  • Develop and implement risk management strategies to identify, assess, and mitigate operational, financial, and legal risks.
  • Collaborate closely with external attorneys on litigation, arbitration, and all legal cases arising from claims or incidents.
  • Lead investigations into claims and incidents, ensuring compliance with international maritime regulations (e.g., Hague-Visby Rules, U.S. COGSA).
  • Prepare reports for executive leadership on claims trends, risk exposure, and financial impacts.
  • Build and lead a high-performing claims and risk team, fostering a culture of excellence.
Qualifications
  • Bachelor's degree in Risk Management, Insurance, Law, Maritime Studies, Business Administration, or a related field; advanced degree (e.g., JD, MBA) or professional certifications (e.g., ARM, CPCU, Chartered Insurance Institute) highly preferred.
  • 10+ years of progressive experience in claims and risk management, with at least 5 years in a senior leadership role within the maritime, shipping, or logistics industry.
  • Proven expertise in handling cargo claims.
  • Demonstrated experience managing a broad operational insurance portfolio, including P&I Clubs, Hull & Machinery (H&M), Protection & Indemnity (P&I), Marine Cargo Insurance, Warehouse Legal Liability / Warehouseman's Liability, Commercial Auto / Fleet Insurance, Container / Equipment Insurance, Terminal Operators Liability, General Liability (with Marine Extensions), Bailee Liability, Errors & Omissions (E&O), Professional Liability, Cyber Liability, and Crime & Fidelity.
  • Strong knowledge of maritime law, international conventions, and U.S. regulations relevant to ocean shipping.
  • Experience working with P&I clubs, marine insurers, and legal counsel on complex claims and disputes.
  • Excellent negotiation, analytical, and problem-solving skills.
  • Demonstrated ability to manage insurance renewals and reduce overall risk exposure.
  • Exceptional communication skills, with the ability to present to executive teams and external stakeholders.
What We Offer
  • Competitive executive compensation package, including base salary and benefits.
  • Opportunity to play a pivotal role in a dynamic, growth-oriented shipping company.
  • Long-term stability and direct access to ownership in a privately held organization.

(conidential applications encouraged). We are an

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