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Insurance Claims Jobs in Florida (NOW HIRING)

TMobile

Health Insurance Claims Adjuster

Clearwater, FL · On-site

Health Insurance Claims Adjuster Insurance Administrative Solutions Clearwater, FL About Insurance Administrative Solutions Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company ...

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Insurance Claims information

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$9

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$32

How much do insurance claims jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for insurance claims in Florida is $17.56, according to ZipRecruiter salary data. Most workers in this role earn between $13.12 and $19.23 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an insurance claims specialist?

To thrive as an Insurance Claims Specialist, you need a strong understanding of insurance policies, claims processing, and investigative techniques, typically supported by a relevant degree or industry certification such as AIC. Familiarity with claims management software, document management systems, and regulatory compliance tools is essential. Exceptional attention to detail, strong communication skills, and empathy help you effectively assess claims and interact with policyholders. These skills ensure accurate claim evaluation, efficient processing, and high customer satisfaction in a regulated industry.

What is the difference between Insurance Claims vs Insurance Adjuster?

AspectInsurance ClaimsInsurance Adjuster
Primary RoleSubmitting and managing insurance claimsInvestigating and evaluating insurance claims
Required CredentialsBasic knowledge of insurance policies, often no formal certification neededAdjuster license, certifications like AIC or CPCU often required
Work EnvironmentOffice, remote, or on-site at claim locationsFieldwork, on-site inspections, office work
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

While both roles are integral to the insurance industry, Insurance Claims professionals focus on submitting and managing claims, whereas Insurance Adjusters investigate and evaluate claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are some common challenges encountered in an insurance claims role, and how can they be managed effectively?

Professionals in insurance claims often face challenges such as managing high caseloads, handling complex or disputed claims, and meeting strict regulatory requirements. Effective time management and strong organizational skills can help balance multiple cases, while clear communication and empathy are essential when working with clients during stressful situations. Staying up to date with industry regulations and seeking support from more experienced team members can also help address difficult cases and ensure compliant, fair outcomes.

What are insurance claims?

Insurance claims are formal requests made by policyholders to their insurance company for coverage or compensation for a covered loss or policy event. After an incident like an accident, damage, or theft, the policyholder submits a claim, and the insurer reviews it to determine whether the event is covered under the policy. If approved, the insurance company will pay out the agreed-upon amount to the policyholder or a third party. The process may involve submitting documentation, working with adjusters, and sometimes negotiating settlements. Timely and accurate filing is important to ensure claims are processed efficiently.

Is insurance claims a stressful job?

Insurance claims jobs can be stressful due to the need to handle complex cases, meet deadlines, and manage customer expectations. The role often requires strong organizational skills and attention to detail, and workload can vary depending on the employer and claim volume.

Is it hard to become an insurance claims adjuster?

Becoming an insurance claims adjuster typically requires completing a state licensing exam, which involves understanding insurance policies, laws, and claims procedures. The process can vary by state but generally involves some training, passing an exam, and gaining experience, making it moderately challenging for new entrants.

How hard is it to work in insurance claims?

Working in insurance claims can be moderately challenging, requiring strong attention to detail, communication skills, and knowledge of insurance policies and procedures. The role often involves handling complex cases, meeting deadlines, and using claims management software, which can be demanding but manageable with proper training and experience.
What are the most commonly searched types of Insurance Claims jobs in Florida? The most popular types of Insurance Claims jobs in Florida are:
What are popular job titles related to Insurance Claims jobs in Florida? For Insurance Claims jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Insurance Claims jobs in Florida look for? The top searched job categories for Insurance Claims jobs in Florida are:
What cities in Florida are hiring for Insurance Claims jobs? Cities in Florida with the most Insurance Claims job openings:
Insurance Claims jobs near you
Infographic showing various Insurance Claims job openings in Florida as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $36,531 per year, or $17.6 per hour.

Insurance Claims Representative

Blackstone Medical Services

Tampa, FL

Full-time

Re-posted 28 days ago

Job description

Here we Grow Again! Join us for another record breaking year!

We are seeking Insurance Claims Representatives.

Duties include:

  • Following up on outstanding insurance claims.
  • Appealing denials and working with the insurance company to get claims paid.
  • Working accounts receivable to get any unpaid balances paid up.
  • Coordinating with the finance area to make the benefit verification more accurate and efficient.
  • Receive and post payments to patient accounts daily.
  • Performing necessary follow-up to ensure timely resolution of appeals, re-billing's, obtaining updated insurance information.
  • Apply knowledge of third party payer guidelines in reviewing denied claims
  • Correct insurance information on rejected insurance claims and resubmit for processing

Candidate should be:

  • Familiar with and able to utilize various Electronic Claims software
  • Performs duties related to departmental collections including follow-up on outstanding accounts.
  • Follow up on all outstanding accounts via telephone or portal
  • Willing to help others

About Blackstone Medical Services:
The largest Home Sleep Testing company in the country!
Blackstone Medical Services is a rapidly growing diagnostic technology company looking for team members who enjoy working in a productive environment while helping patients improve the quality of their health.
Blackstone Medical provides a new sleep medicine technology (In-Home Diagnostic Sleep Testing) which is growing in demand as awareness increases among healthcare providers and patients.
www.blackstonemedicalservices.com
Company address: 550 N Reo Street, Suite 250, Tampa FL 33609

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