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

Capital Health Plan

Claims Examiner I

Tallahassee, FL · On-site

In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed accurately according to departmental policies, provider agreements, and member benefits. WHAT'S IN ...

Florida Jobs

INSURANCE SPECIALIST III

Tallahassee, FL · On-site

$44K/yr

Ability to investigate liability insurance claims. * Knowledge of good investigative techniques and knowledge of case law. * Ability to review and process provider bills. * Ability to use a 10-key ...

Capital Health Plan

Claims Examiner I

Tallahassee, FL · On-site

In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed accurately according to departmental policies, provider agreements, and member benefits.WHAT'S IN ...

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

Insurance Claims Processing information

See Quincy, FL salary details

$10

$19

$29

How much do insurance claims processing jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for insurance claims processing in Quincy, FL is $19.26, according to ZipRecruiter salary data. Most workers in this role earn between $15.77 and $21.97 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 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 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.

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 or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

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 does an insurance claims processing 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 claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Quincy, FL?

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

What cities near Quincy, FL are hiring for Insurance Claims Processing jobs?

Cities near Quincy, FL with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Quincy, FL as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,071 per year, or $19.3 per hour.

Claims Examiner I

Capital Health Plan

Tallahassee, FL

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 4 days ago

Job description

Capital Health Plan is looking for a full-time Claims Examiner I to join our team in Tallahassee, FL. In this full-time role, you will help ensure insurance claims are reviewed, evaluated, and processed accurately according to departmental policies, provider agreements, and member benefits.


WHAT'S IN IT FOR YOU?

This is a full-time position working Monday through Friday from 8:00 AM to 5:00 PM. Team members must also be willing to work evenings, weekends, and overtime as directed.

All that you need is:

  • High school diploma or equivalent or one to three months of related experience and/or training or an equivalent combination of education and experience
  • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals
  • Ability to write routine reports and correspondence
  • Ability to communicate effectively with customers and employees
  • Basic math skills and ability to compute rates, ratios, and percentages and interpret bar graphs
  • Ability to carry out detailed written or verbal instructions
  • Ability to solve problems involving a few concrete variables in standardized situations
  • Knowledge of, or ability to learn, industry-standard procedure and diagnosis codes
  • Knowledge of, or ability to learn, medical terminology
  • Skilled in the use of, or ability to learn, Microsoft Outlook, Word, and Excel
  • Working knowledge of, or ability to learn, Adobe Acrobat software
  • Ability to meet and maintain state, federal, and CHP guidelines and standards for timeliness and accuracy of claims processing
  • Ability to read, understand, and interpret claim editing documentation and healthcare regulatory information
  • Ability to occasionally lift and/or move up to 25 pounds

HOW DO WE CARE FOR OUR TEAM?

We offer this Claims Examiner I position competitive pay. We also offer our team great benefits!


OUR GENEROUS BENEFITS

  • Health coverage and dental insurance
  • Health and dependent care spending accounts
  • Short and long-term disability
  • Major disability time off (MDTO)
  • Retirement plan
  • Life and AD&D insurance
  • Voluntary life and AD&D insurance
  • Paid time off (PTO)
  • Employee assistance program
  • SmartDollar

WHAT CAN YOU EXPECT AS OUR CLAIMS EXAMINER I?

As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to determine Capital Health Plan's liability and adjudicate claims in accordance with departmental policies and provider agreements. Your day will include reviewing claims for errors or missing information, evaluating claims for payment based on provider agreements and member benefits, and issuing appropriate denial notifications when necessary. You will follow up on pending claims, work with other departments to resolve outstanding issues, maintain processing statistics, and notify the Claims Supervisor when pending claims exceed established limits. You will also perform data validation on scanned and OCR claims, enter information from paper claims, and refer questionable claims for further review. Success in this role will be measured by your ability to meet standards for production, accuracy, and customer service while progressing to more complex claims within six months.


A LITTLE BIT MORE ABOUT US

We are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care. Our employees are essential to our continued success, and their passion, motivation, and commitment drive our reputation for excellence and member satisfaction.

Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. We are dedicated to fostering a professional, respectful, and inclusive workplace where employees are valued, supported in their growth, and empowered to make a meaningful impact.


BE OUR NEW CLAIMS EXAMINER I!

Apply today using our mobile-friendly application and take the next step!

CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.


Must have the ability to pass a background check and drug screening test.

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About Capital Health Plan

Sourced by ZipRecruiter

In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Tallahassee, FL, US

Year founded

1982

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