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Insurance Company Physician Jobs in Boca Raton, FL

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Insurance Company Physician information

See Boca Raton, FL salary details

$92.5K

$206.3K

$332.1K

How much do insurance company physician jobs pay per year?

As of Sep 7, 2026, the average yearly pay for insurance company physician in Boca Raton, FL is $206,348.00, according to ZipRecruiter salary data. Most workers in this role earn between $180,300.00 and $232,000.00 per year, depending on experience, location, and employer.

What does an insurance company physician do?

An Insurance Company Physician, also known as a medical director or consulting physician, evaluates medical claims, reviews patient records, and helps determine the medical necessity of treatments for insurance purposes. They provide guidance on coverage decisions, help develop health policies, and may consult on complex cases. These physicians do not usually provide direct patient care but play a key role in ensuring insurance claims are handled fairly and in accordance with medical standards.

What are the key skills and qualifications needed to thrive as an insurance company physician?

To thrive as an Insurance Company Physician, you need a medical degree, board certification, and strong knowledge of clinical practice guidelines, insurance policies, and risk assessment. Familiarity with claims management systems, electronic health records, and medical coding is typically required. Excellent analytical skills, attention to detail, and effective communication are vital for evaluating cases and conveying complex information to non-medical stakeholders. These skills are crucial for ensuring accurate claim evaluations, minimizing risk, and supporting informed decision-making within insurance operations.

How does an insurance company physician typically collaborate with claims adjusters and underwriters?

Insurance Company Physicians regularly partner with claims adjusters and underwriters to assess medical evidence and evaluate the validity of health-related claims. They review medical records, provide expert opinions on diagnoses and treatments, and sometimes speak directly with treating physicians for clarification. This collaboration is essential for determining eligibility, guiding case resolutions, and ensuring that decisions align with industry guidelines and company policies. Strong communication and the ability to translate complex medical information into actionable insights are key aspects of the role.

What is the difference between Insurance Company Physician vs Medical Director?

AspectInsurance Company PhysicianMedical Director
CredentialsMedical degree, state medical license, often board-certifiedMedical degree, license, board certification, leadership experience
Work EnvironmentInsurance company offices, telemedicine, review centersCorporate offices, overseeing medical staff, strategic planning
Employer & IndustryInsurance companies, healthcare industryInsurance companies, healthcare industry
Primary ResponsibilitiesReviewing claims, evaluating medical records, providing expert opinionsManaging medical staff, policy development, quality assurance

While both roles require medical credentials and are within the insurance industry, the Insurance Company Physician primarily focuses on claims review and medical evaluations, whereas the Medical Director oversees medical policies and manages medical teams. Understanding these differences helps professionals choose the right career path within the insurance healthcare sector.

What are popular job titles related to Insurance Company Physician jobs in Boca Raton, FL?

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

What job categories do people searching Insurance Company Physician jobs in Boca Raton, FL look for?

The top searched job categories for Insurance Company Physician jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Insurance Company Physician jobs?

Cities near Boca Raton, FL with the most Insurance Company Physician job openings:

Infographic showing various Insurance Company Physician job openings in Boca Raton, FL as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $206,348 per year, or $99.2 per hour.

Physician Advisor Needed in Florida for a Full-Time Position

CompHealth

Fort Lauderdale, FL โ€ข On-site

Other

Posted 2 days ago

New


Job description

Posted today
Permanent
Florida
Quick Facts
  • Monday - Friday schedule promoting strong work-life balance
  • Hospital-employed position with administrative and clinical leadership responsibilities
  • Collaborate with case management and physicians to address barriers to discharge
  • Experience with peer review and insurance company interactions required
  • Knowledge of InterQual, Milliman, or similar utilization guidelines preferred
  • M.D. or D.O. required; MBA, MPH, or MHA preferred
  • Five or more years of Physician Advisor experience in an acute care environment required
  • Florida medical license required; ABQAURP certification preferred

CompHealth logo

About CompHealth

Sourced by ZipRecruiter

CompHealth is a national leader in healthcare staffing, serving providers in more than 100 specialties. With available positions in all fifty states, we can help you find an opportunity in the area and type of facility that best fits your needs.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Midvale, UT, US

Year founded

1979