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Remote Claims Reviewer Jobs in Florida (NOW HIRING)

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · On-site +1

$67K - $70K/yr

... join their remote Claims Force team. As a Full-Service Reviewer, you will be responsible for reviewing estimates across a broad range of restoration service types -including mitigation ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

CCMSI

Commercial Auto Claims Supervisor

Maitland, FL · Remote

Maitland, FL (Hybrid preferred, remote eligible) Schedule: 8:00 am-4:30 pm ET, M-F Salary Range ... Review, assign, and oversee claim activity to ensure compliance with Corporate Claim Standards and ...

CCMSI

Commercial Auto Claims Supervisor

Maitland, FL · Remote

Maitland, FL (Hybrid preferred, remote eligible) Schedule: 8:00 am-4:30 pm ET, M-F Salary Range ... Review, assign, and oversee claim activity to ensure compliance with Corporate Claim Standards and ...

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All JobsClaims Reviewer JobsRemote Claims Reviewer JobsRemote Claims Reviewer Jobs in Florida

Remote Claims Reviewer information

What is a remote claims reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

What are the key skills and qualifications needed to thrive as a remote claims reviewer?

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

How do remote claims reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

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

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

What are the most commonly searched types of Claims Reviewer jobs in Florida?

The most popular types of Claims Reviewer jobs in Florida are:

What are popular job titles related to Remote Claims Reviewer jobs in Florida?

For Remote Claims Reviewer jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Claims Reviewer jobs in Florida look for?

The top searched job categories for Remote Claims Reviewer jobs in Florida are:

What cities in Florida are hiring for Remote Claims Reviewer jobs?

Cities in Florida with the most Remote Claims Reviewer job openings:

Remote Claims Reviewer jobs near you
Infographic showing various Remote Claims Reviewer job openings in Florida as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Full-Service Restoration Reviewer

Bosun

Jacksonville, FL • On-site, Remote

$67K - $70K/yr

Full-time

Medical, Dental, Vision, PTO

Re-posted 1 hour ago

Job description

Full-Service Reviewer (QA Analyst)

On behalf of a leading national restoration company with over 300 franchise locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to join their remote Claims Force team.

As a Full-Service Reviewer, you will be responsible for reviewing estimates across a broad range of restoration service types -including mitigation, reconstruction, contents, and more - ensuring accuracy, compliance, and alignment with carrier and company standards. This position is ideal for experienced reviewers or estimators ready to step into a critical quality control role.

Key Responsibilities - Full-Service Reviewer

  • Conduct comprehensive estimate reviews for services including water mitigation, mold remediation, reconstruction, contents, board-up, abatement, biohazard, and fire damage.

  • Evaluate estimate documentation in Xactimate, XactAnalysis, Claims Connect, Validate, CMS, and related systems.

  • Ensure compliance with carrier requirements, internal standards, and industry best practices.

  • Provide professional and constructive feedback to franchise teams to improve estimating consistency and accuracy.

  • Communicate with both franchise locations and carrier representatives through various digital platforms.

  • Monitor trends and performance indicators to help identify training opportunities or process improvements.

  • Support surge needs during catastrophe events or times of increased volume.

Competencies - Knowledge, Skills & Abilities

  • Advanced knowledge of Xactimate and insurance estimating software (XactAnalysis, Claims Connect, etc.)

  • Proven ability to handle complex estimate reviews across multiple service lines

  • Detail-oriented and analytical mindset

  • Excellent written and verbal communication skills

  • Confident in providing direct feedback and coaching to field teams

  • Strong organizational and time management skills

  • Comfortable with technology tools including Microsoft Outlook, Teams, SharePoint, Excel, and OneDrive

  • Demonstrated ability to adapt to evolving standards and priorities

Required Qualifications

  • High School Diploma or GED

  • Three or more years of experience in restoration estimating or estimate review (mitigation, reconstruction, and contents experience required)

  • Bachelor's degree or equivalent experience preferred

  • Ability to pass a background check and maintain confidentiality

Job Details

  • Schedule: Tuesday-Saturday | Start time between 7:00 AM - 9:00 AM

  • Benefits: Internet reimbursement, PTO, sick days, medical, dental, vision

Why Join as a Full-Service Reviewer?

You'll join a strong, collaborative remote team that values detail, growth, and professionalism. This is not a contract or temporary role - it's a full-time position with long-term growth potential and the opportunity to play a pivotal role in quality assurance for a trusted industry leader. Whether you've worked as a mitigation estimator, reconstruction PM, or contents specialist, your deep expertise will be fully utilized here.

Posting Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, sex, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military and veteran status, marital status, pregnancy, gender, gender expression, gender identity, sexual orientation, or any other characteristic protected by local law, regulation, or ordinance.

Employment Type: FULL_TIME

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