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Remote Claims Associate Jobs in Florida (NOW HIRING)

Wellcove

Claims - Examiner, Claims

Pensacola, FL · On-site

We are able to do this because of our dedicated associates, innovative solutions, and ... Able to provide a dedicated remote work location free from background noises, interruptions, and ...

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Remote Claims Associate information

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$10

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$22

How much do remote claims associate jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for remote claims associate in Florida is $15.68, according to ZipRecruiter salary data. Most workers in this role earn between $12.74 and $17.26 per hour, depending on experience, location, and employer.

How does a Remote Claims Associate typically collaborate with other team members while working from home?

As a Remote Claims Associate, you'll regularly communicate with team members, supervisors, and other departments through digital channels like email, instant messaging, and video conferencing. Collaboration often involves sharing updates on claim statuses, seeking guidance on complex cases, and participating in virtual team meetings. Many organizations use workflow management platforms and secure document-sharing tools to ensure seamless coordination and maintain data security. Building strong virtual communication skills is important to stay connected and contribute effectively to team goals.

What are the key skills and qualifications needed to thrive as a Remote Claims Associate, and why are they important?

To excel as a Remote Claims Associate, you typically need knowledge of insurance processes, attention to detail, and a high school diploma or relevant experience. Familiarity with claims management software, CRM systems, and sometimes specific certifications like AIC (Associate in Claims) are highly beneficial. Strong organizational skills, effective communication, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, customer satisfaction, and efficient remote workflow management.

What is a Remote Claims Associate?

A Remote Claims Associate is a professional who reviews, processes, and manages insurance claims from a remote location, typically working from home. They evaluate claim details, verify information, and communicate with policyholders, service providers, and other stakeholders to ensure claims are handled accurately and efficiently. This role often requires strong attention to detail, good communication skills, and proficiency with digital tools and claims management software. Remote Claims Associates may work for insurance companies, third-party administrators, or other organizations handling claims. The position allows for flexibility in work location while maintaining high standards of customer service and accuracy.
What are the most commonly searched types of Remote Claims jobs in Florida? The most popular types of Remote Claims jobs in Florida are:
What are popular job titles related to Remote Claims Associate jobs in Florida? For Remote Claims Associate jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Claims Associate jobs in Florida look for? The top searched job categories for Remote Claims Associate jobs in Florida are:
What cities in Florida are hiring for Remote Claims Associate jobs? Cities in Florida with the most Remote Claims Associate job openings:
Remote Claims Associate jobs near you

Claims - Examiner, Claims

Wellcove

Pensacola, FL • On-site

Full-time

Posted 22 days ago

Job description

Who We Are
Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.
Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.
Job Summary
Manage and handle all Outbound calls and adjudicate claims.
Duties/Responsibilities:
  • Adjudicating HP/AD claims
  • Handling all Outbound calls
  • Should be able to prioritize work and adjudicate claims as per turnaround time
  • Job involves working independently on researching, reviewing, summarizing, and recommending a course of action on claims where an appeal or a grievance has been filed for a denied / under payment
  • Should have strong English comprehension, mathematics & medical science knowledge to comprehend medical reports
  • To ensure claims are adjudicated as per the client/company guidelines. Provide continual evaluation of processes and procedures.
  • To respond to and resolves claims received via emails.
  • Candidate should be able to correctly calculate claim amounts for the customers
  • Complying with company regulations regarding HIPAA, confidentiality, and private health information

Standard Company Requirements:
  • Collaborative team spirit.
  • Accountable and able to work remotely and independently.
  • Able to pass background screening and drug tests pre and post hire - includes THC
  • Verification of high school, GED, or college diploma upon request.
  • Timely responses from three professional references.
  • Able to provide a dedicated remote work location free from background noises, interruptions, and desk clutter.
  • Able to provide an ongoing reliable internet connection and access to a smart phone for Multi Factor Authentication and communication purposes.

Required Skills/Abilities:
  • Should have knowledge of medical terminology, human anatomy with basic math knowledge of calculating simple interest, compound interest.
  • Should have excellent problem-solving skills with an eye for detail, to be able to do root cause analysis of complex claims
  • Should have a positive approach and open to learning process dynamics
  • Ready to handle work pressure and ensure deliverables within timelines

Education and Experience:
  • Experience in handling US HIP claims
  • Should have knowledge of ICD 10, CPT, Surgery procedures, Revenue codes, medical terminology, medical documents, Inpatient vs Outpatient claims etc.
  • Should have some experience in reading and comprehending medical documents

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

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