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Remote Disability Claims Examiner Jobs in Florida

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.

Assuranceamerica

Casualty Claims Examiner

Tampa, FL · Remote

The Casualty Claims Examiner will work alongside claims management, providing direction and ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Osaic

Branch Office Examiner

Saint Petersburg, FL · On-site +1

$65K - $75K/yr

REMOTE Compliance Risk Opportunity in Financial Services Branch Office Examiner Location(s): Open ... a disability), genetic information, race, religion or belief, sexual orientation, skin color ...

Davies

Liability Assoc. Claims Adjuster

Jacksonville, FL · On-site +1

$62K - $67K/yr

Remote, FL Reporting To: Cheri Sather Compensation: $62,000 - $67,000 / year Description Our Story ... Paid holidays * Life insurance and short‑term and long‑term disability coverage Benefit ...

Iatinsurancegroup

Senior Surety Claims Counsel

Orlando, FL · On-site +1

$97K - $213K/yr

... remote arrangements for the ideal candidate. Responsibilities: * Interacts with attorneys for ... origin, disability, or status as a protected veteran. We maintain a drug-free workplace and ...

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All JobsDisability Claims Examiner JobsRemote Disability Claims Examiner JobsRemote Disability Claims Examiner Jobs in Florida

Remote Disability Claims Examiner information

What does a remote disability claims examiner do?

A Remote Disability Claims Examiner evaluates disability insurance claims to determine eligibility for benefits. They review medical records, employment history, and other relevant documents while working from a remote location. The examiner communicates with claimants, healthcare providers, and sometimes employers to gather necessary information. Their primary responsibility is to ensure that claims are processed accurately, fairly, and in compliance with legal and company guidelines.

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

To thrive as a Remote Disability Claims Examiner, you need a solid understanding of insurance policies, medical terminology, and claims adjudication, typically backed by a relevant degree or prior claims experience. Familiarity with claims management software, electronic documentation tools, and regulatory compliance systems is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills for this role. These skills and qualities are crucial for accurately evaluating claims, ensuring regulatory compliance, and delivering fair outcomes while working independently from a remote setting.

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

Remote Disability Claims Examiners often encounter challenges such as evaluating complex medical documentation, communicating with claimants or healthcare providers virtually, and meeting tight deadlines. Staying organized with digital case management tools and maintaining clear, proactive communication can help manage these challenges. Additionally, regularly collaborating with team members and participating in ongoing training sessions can enhance accuracy and ensure consistency in decision-making, even in a remote work environment.

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

AspectRemote Disability Claims ExaminerRemote Disability Claims Adjuster
Required CredentialsTypically requires a healthcare or insurance-related certification, such as nursing or claims certificationOften requires insurance adjuster licensing and relevant certifications
Work EnvironmentPrimarily office-based, working with medical records and reports remotelyRemote or office-based, assessing claims and interacting with policyholders
Employer & Industry UsageUsed mainly by insurance companies, government agencies, and third-party administratorsCommonly employed by insurance carriers, third-party administrators, and claims management firms

While both roles involve evaluating insurance claims remotely, the Remote Disability Claims Examiner focuses on medical and disability documentation, often requiring healthcare credentials. In contrast, the Remote Disability Claims Adjuster handles broader claims assessments, including policy interpretation and settlement, often requiring insurance licensing. Understanding these differences helps job seekers identify the right role based on their background and career goals.

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

The most popular types of Disability Claims Examiner jobs in Florida are:

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

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

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

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

What cities in Florida are hiring for Remote Disability Claims Examiner jobs?

Cities in Florida with the most Remote Disability Claims Examiner job openings:

Remote Disability Claims Examiner jobs near you
Infographic showing various Remote Disability Claims Examiner job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Key responsibilities

  • Review, investigate, and process medical claims and provider dispute requests in accordance with guidelines, agreements, and policies.

  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.

  • Communicate with internal resources and stakeholders to resolve claim discrepancies, request additional information, or clarify issues.

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

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.


Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.


Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.


Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.

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