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Remote Disability Claims Jobs in Florida (NOW HIRING)

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.

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.

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 ...

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 ...

Technician Claims

Lake Mary, FL ยท On-site +1

$46K - $69K/yr

... Disability (STD operations. Claims Technicians are an essential behind-the-scenes team that helps ... Remote/Hybrid (as applicable) Start Date: Work Hours: 8:00 AM - 4:30 PM EST (some flexibility ...

Technician Claims

Sunrise, FL ยท On-site +1

$46K - $69K/yr

... Disability (STD operations. Claims Technicians are an essential behind-the-scenes team that helps ... Remote/Hybrid (as applicable) Start Date: Work Hours: 8:00 AM - 4:30 PM EST (some flexibility ...

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 ...

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Remote Disability Claims information

What are some common challenges faced when working remotely in a disability claims role?

One common challenge in remote disability claims work is managing complex cases without face-to-face collaboration, which requires strong self-organization and proactive communication with team members. You may also encounter technical issues or need to stay updated on changing regulations and policies without immediate in-person support. Balancing thorough claims investigations with efficiency is key, as is maintaining confidentiality and data security while working from home. Many remote teams use regular video meetings, instant messaging platforms, and shared documentation tools to help overcome these challenges and stay connected.

What are the key skills and qualifications needed to thrive in the Remote Disability Claims position, and why are they important?

To excel in a Remote Disability Claims role, candidates typically need experience in claims processing, knowledge of disability insurance policies, and strong attention to detail, often supported by a background in healthcare, insurance, or related fields. Familiarity with specialized claims management software, secure document handling systems, and sometimes industry certifications such as CPCU or AIC can be advantageous. Standout professionals possess excellent communication skills, empathy, problem-solving abilities, and the ability to work independently while meeting deadlines. These competencies are crucial for accurately evaluating claims, providing quality customer service, and ensuring compliance in a remote work environment.

What is a Remote Disability Claims job?

A Remote Disability Claims job involves reviewing and processing disability claims from applicants to determine their eligibility for benefits. Professionals in this role assess medical records, employment history, and policy guidelines to make informed decisions. They may communicate with claimants, healthcare providers, and insurance companies to gather necessary information. This position is performed entirely online, allowing employees to work from home while ensuring accurate and timely claim resolutions. Strong analytical skills, attention to detail, and knowledge of disability policies are essential for success in this field.

What are the most commonly searched types of Disability Claims jobs in Florida? The most popular types of Disability Claims jobs in Florida are:
What cities in Florida are hiring for Remote Disability Claims jobs? Cities in Florida with the most Remote Disability Claims job openings:
Infographic showing various Remote Disability Claims job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Claims Examiner - Remote

Claims Examiner - Remote

Imagenet

Tampa, FL โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 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.