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Remote Claims Jobs in Florida (NOW HIRING)

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours:Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours: Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: The Claims Quality Auditor plays a key role in ensuring the accuracy, compliance ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance ...

Imagenet

Healthcare Claims Team Lead - Remote

Tampa, FL · On-site +1

Remote Reporting to: Claims Supervisor About the Role We are seeking a highly driven Healthcare Claims Team Lead to play a critical role in launching and supporting a new client engagement. This ...

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · Remote

$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 ...

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 ...

The Hartford

Technician Claims

Lake Mary, FL · On-site +1

$46K - $69K/yr

Technician Claims - CH10FN We're determined to make a difference and are proud to be an insurance ... Remote/Hybrid (as applicable) Start Date: Work Hours: 8:00 AM - 4:30 PM EST (some flexibility ...

The Hartford

Technician Claims

Sunrise, FL · On-site +1

$46K - $69K/yr

Technician Claims - CH10FN We're determined to make a difference and are proud to be an insurance ... Remote/Hybrid (as applicable) Start Date: Work Hours: 8:00 AM - 4:30 PM EST (some flexibility ...

USAA

Manager, Claims Operations - Property Claims

Tampa, FL · On-site +1

$103K - $186K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Manages and is accountable for property, and other claims operations member service employees who ...

USAA

Manager, Claims Operations - Property Claims

Tampa, FL · On-site +1

$103K - $186K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Manages and is accountable for property, and other claims operations member service employees who ...

USAA

Manager, Claims Operations - Property Claims

Tampa, FL · On-site +1

$103K - $186K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Manages and is accountable for property, and other claims operations member service employees who ...

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All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in Florida

Remote Claims information

See Florida salary details

$22.8K

$48.3K

$67.3K

How much do remote claims jobs pay per year?

As of Jul 26, 2026, the average yearly pay for remote claims in Florida is $48,282.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $56,400.00 per year, depending on experience, location, and employer.

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

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

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

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

What are remote claims jobs?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

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

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

What are the most commonly searched types of Claims jobs in Florida? The most popular types of Claims jobs in Florida are:
What are popular job titles related to Remote Claims jobs in Florida? For Remote Claims jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Claims jobs in Florida look for? The top searched job categories for Remote Claims jobs in Florida are:
What cities in Florida are hiring for Remote Claims jobs? Cities in Florida with the most Remote Claims job openings:
Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Florida as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $48,282 per year, or $23.2 per hour.
Claims Examiner - Remote

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


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 Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is 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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