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Remote Fsa Claims Processor Jobs in Florida (NOW HIRING)

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

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 ... Execute process improvements, provides feedback on the process and leads organizational process ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Manager, Claims Operations (Subrogation)

Tampa, FL · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Executes process improvements, provides feedback on the process and leads organizational process ...

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.

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Remote Fsa Claims Processor information

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.
What are the most commonly searched types of Fsa Claims Processor jobs in Florida? The most popular types of Fsa Claims Processor jobs in Florida are:
What are popular job titles related to Remote Fsa Claims Processor jobs in Florida? For Remote Fsa Claims Processor jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Fsa Claims Processor jobs in Florida look for? The top searched job categories for Remote Fsa Claims Processor jobs in Florida are:
What cities in Florida are hiring for Remote Fsa Claims Processor jobs? Cities in Florida with the most Remote Fsa Claims Processor job openings:
Remote Fsa Claims Processor jobs near you
Infographic showing various Remote Fsa Claims Processor 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.

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 hours 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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