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Remote Claims Processor Jobs in Miami, FL (NOW HIRING)

USAA

SIU Major Case Manager (Medical Provider)

Miami, FL · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Ensure compliance with laws and regulations relating to claims handling and unfair claims practices ...

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Remote Claims Processor information

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$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote claims processor in Miami, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs
What are popular job titles related to Remote Claims Processor jobs in Miami, FL? For Remote Claims Processor jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Miami, FL look for? The top searched job categories for Remote Claims Processor jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Claims Processor jobs? Cities near Miami, FL with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Miami, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.

First Party Subrogation Adjuster

United Automobile Insurance Company

Miami, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

COMPANY OVERVIEW:
Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a 1st Party Subrogation Adjuster to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business.
SCOPE:
The First Party Subrogation Adjuster is responsible for investigating, evaluating, and pursuing recovery opportunities on first-party property damage claims. This role focuses on maximizing recoveries by identifying responsible third parties, building strong liability cases, negotiating settlements, and referring appropriate claims for litigation when warranted. The adjuster will conduct thorough investigations, gather supporting evidence, and ensure all subrogation opportunities are fully developed and pursued.
This position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within the Southeast region.
Essential Duties and Responsibilities
  • Review first-party property damage claims to determine subrogation potential.
  • Evaluate policy coverage and confirm eligibility for subrogation recovery.
  • Conduct thorough investigations to establish liability against at-fault parties.
  • Analyze police reports, witness statements, photographs, recorded statements, repair estimates, and other claim documentation.
  • Obtain additional evidence necessary to strengthen subrogation demands, including:
    • Insured and witness statements
    • Surveillance or security video
    • Photographs
    • Accident reports
    • Vehicle inspections
    • Any other documentation supporting liability and damages
  • Prepare and present comprehensive subrogation demands to adverse carriers or responsible parties.
  • Negotiate settlements to maximize recoveries while maintaining compliance with company guidelines.
  • Identify claims with litigation potential by evaluating liability, damages, collectability, and available evidence.
  • Review files to determine whether litigation is appropriate and refer qualifying claims for legal action.
  • Assess collectability of claims and recommend appropriate recovery strategies.
  • Work closely with attorneys, vendors, investigators, and internal departments throughout the recovery process.
  • Maintain accurate and detailed claim documentation in the claim management system.
  • Manage diary activities to ensure timely follow-up and compliance with department standards.
  • Meet departmental productivity, quality, and recovery goals.
  • Continuously identify opportunities to improve recovery outcomes and contribute ideas that increase department performance and overall recoveries.
EDUCATION:
  • Bachelor's degree in insurance, risk management, or a related field (preferred).
  • Minimum of 2 years of experience as an adjuster.
  • Adjuster's License.

SKILLS & EXPERIENCE:
  • Strong knowledge of insurance policies, regulations, and procedures.
  • Strong analytical and problem-solving skills.
  • Bilingual preferred (English/Spanish).
  • Excellent communication and negotiation abilities.
  • Attention to detail and organizational skills.
  • Proficient in Word, Excel, Windows-based applications and internet usage.
  • Ability to work independently, make sound judgments and handle multiple claims simultaneously.

BENEFITS:
  • 401(k) Retirement Savings Plan with employer match.
  • Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance
  • Paid Time Off, Holidays, and Leave programs.
  • Flexible spending accounts
  • Basic Life Insurance and Voluntary Life/ADD
  • Short Term and Long-Term Disability

UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

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