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Remote Claims Processing Jobs in Florida (NOW HIRING)

ARC Group

Claims Adjustor (BI)

Oakland Park, FL · Remote

CLAIMS ADJUSTER (remote) ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL. This is a 90 day contract to start and ...

USAA

Director, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$143K - $257K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

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USAA

Director, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$143K - $257K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

New

Crisp Recruit

Claims Agent

Miami, FL · On-site +1

Can you navigate complex VA claims and appeals processes efficiently? Are you ready to make a real ... This is a remote, full-time role with a preference for candidates in Florida. The schedule is ...

USAA

Director, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$143K - $257K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

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Remote Claims Processing information

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

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

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are the most commonly searched types of Claims Processing jobs in Florida? The most popular types of Claims Processing jobs in Florida are:
What are popular job titles related to Remote Claims Processing jobs in Florida? For Remote Claims Processing jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Florida look for? The top searched job categories for Remote Claims Processing jobs in Florida are:
What cities in Florida are hiring for Remote Claims Processing jobs? Cities in Florida with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Florida as of June 2026, with employment types broken down into 60% Full Time, 34% Part Time, and 6% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution.

Training and Quality Manager - Healthcare Operations

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

Training and Quality Manager- HealthcareOperations

Lead Quality. Elevate Training. Transform Performance.


WorkSetup:Remote
Department:Operations -ContactCenter &Claims
ReportsTo: Director of Claims & Contact Center / VPofOperations

Role Overview


Great operations are built on great training and strong quality standards.


We are looking for a Training and Quality Manager who can design, implement, and lead enterprise-level QA and training programs supporting healthcare operations across Contact Center and Claims Adjudication teams. This role works closely with client QA and training leaders to ensure calibration, alignment, and compliance with contractual quality standards.


Unlike traditional QA leadership roles, this position requires a hands-on operator mindset. The successful candidate must be willing to step directly into the operation when needed - facilitating training sessions, performing QA audits, supporting nesting teams, and even handling claims or calls to understand operational challenges firsthand.


If you believe the best leaders lead from the front, this role will be a great fit.



Key Responsibilities

  • Lead quality assurance and training programs supporting healthcare operations.
  • Develop andmaintainstandardized onboarding and certification programs for claims and/or contact center teams.
  • Conduct QA audits, sidebyside coaching, and training sessions to improve operational performance.
  • Support underperforming teams through targeted training and QA interventions.
  • Establish andmaintainQA scorecards and ensure consistent scoring standards.
  • Participate in internal and client-facing calibration sessions to align quality expectations.
  • Analyze QA trends andidentifyroot causes for errors, performance gaps, and training needs.
  • Partner with Operations leaders to implement improvement initiatives.
  • Track and report QA performance, training completion, and certification results.
  • Ensure training and QA processescomply withHIPAA and client-specific requirements.


Qualifications

  • Minimum 5-7 years of experience in healthcare operations, particularly claims adjudication.
  • At least 2-3 years in a QA, training, or quality leadership role.
  • Strong knowledge of healthcare claims processing (Professional and/or Institutional).
  • Experience conducting QA audits andfacilitatingtraining or coaching sessions.
  • Ability to analyze quality trends and implement corrective training initiatives.
  • Strong communicationskills and ability to collaborate with operations leaders and stakeholders.


Core Competencies

  • Operational knowledge of healthcare claims
  • Quality assurancemethodology
  • Training facilitation and coaching
  • Data-driven decision making
  • Cross-functional collaboration
  • Process improvement mindset


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Take the Lead on Something New?
Don't miss this opportunity to shape a new client launch-click "Apply Now" and get started.


COMPANY OVERVIEW:


Imagenet LLCis a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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