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Insurance Claims Reviewer Jobs in Florida (NOW HIRING)

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Insurance Claims Reviewer information

What does an insurance claims reviewer do?

An insurance claims reviewer evaluates insurance claims to determine their validity and appropriate payout based on policy coverage and documentation. They analyze claim details, verify information, and ensure compliance with company policies, often using specialized software. This role requires attention to detail and knowledge of insurance policies and regulations.

What cities in Florida are hiring for Insurance Claims Reviewer jobs?

Cities in Florida with the most Insurance Claims Reviewer job openings:

Infographic showing various Insurance Claims Reviewer job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution.

Insurance Claims Support Spec

Gainesville, FL • On-site

UF Health
Health Care and Social Assistance • 10K+ employees
Learn more about UF Healthexternal

Full-time

Posted 25 days ago

Job description

Overview
Bring your claims expertise to a remote team committed to service excellence and operational success.
Work Style: Remote (on-site training available)
Location Requirement: Gainesville, FL
FTE: Full-Time (1.0 FTE)
This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.
Responsibilities
Key Responsibilities
  • Manages and evaluates insurance claims to ensure accuracy and timely processing.
  • Investigates claims, reviews supporting documentation, and negotiates appropriate settlements.
  • Responds to inquiries from claimants, vendors, and related parties in a timely and professional manner.
  • Assists clients with proper claim submission and provides guidance throughout the claims process.
  • Coordinates with internal teams to facilitate efficient claim resolution and workflow management.
  • Maintains detailed and accurate records while ensuring compliance with regulatory and audit requirements.

Qualifications
Education
  • High School Diploma/Equivalent

Experience Requirements
  • 2+ years of experience in insurance claims processing and support.
  • Working knowledge of insurance policies, coverage, and claims adjudication processes.
  • Experience investigating, analyzing, and resolving claim-related issues.
  • Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.
  • Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.

Preferred Qualifications:
  • Experience with UB04 Billing - required

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