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Virtual Insurance Claims Jobs in Florida (NOW HIRING)

Trawick International Inc

Claims Examiner

Miami, FL · On-site

This is a permanent work from home position that includes a virtual five week paid training program ... Read and interpret insurance policy language and adjudicate claims accordingly * Respond to written ...

Elevance Health

Claims Representative I

Lake Mary, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Elevance Health

Claims Representative I

Tampa, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Elevance Health

Claims Representative I

Miami, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Elevance Health

Claims Representative I

Tampa, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Elevance Health

Claims Representative I

Miami, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Elevance Health

Claims Representative I

Miami, FL · On-site

$16.23 - $24.36/hr

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

Oshi Health

Accounts Receivable Specialist

Miami, FL · Remote

$19.25 - $25.50/hr

Respond professionally and empathetically to patient inquiries regarding insurance claims, billing ... Experience in telehealth or virtual care. * Experience with payer contract reimbursement analysis ...

Elevance Health

Credit & Collections Specialist

Lake Mary, FL · Hybrid

$16.25 - $21.75/hr

... health insurance claims. **Hours: 11:00am -8:00pm EST M-F ** How you'll make a difference ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...

Elevance Health

Credit & Collections Specialist

Lake Mary, FL · Hybrid

$16.25 - $21.75/hr

... health insurance claims. **Hours: 11:00am -8:00pm EST M-F ** How you'll make a difference ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...

Elevance Health

Credit & Collections Specialist

Lake Mary, FL · On-site

$16.25 - $21.75/hr

... health insurance claims. **Hours: 11:00am -8:00pm EST M-F ** How you'll make a difference ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...

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Showing results 21-40

All JobsInsurance Claims JobsVirtual Insurance Claims JobsVirtual Insurance Claims Jobs in Florida

Virtual Insurance Claims information

See Florida salary details

$9

$17

$32

How much do virtual insurance claims jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for virtual insurance claims in Florida is $17.56, according to ZipRecruiter salary data. Most workers in this role earn between $13.12 and $19.23 per hour, depending on experience, location, and employer.

What are common challenges faced in a virtual insurance claims role and how can they be managed?

Professionals in Virtual Insurance Claims often encounter challenges such as effectively assessing damages remotely, managing high volumes of digital documentation, and maintaining clear communication with clients without in-person interaction. To succeed, it’s important to be proficient with claims management software, stay organized, and develop strong virtual communication skills. Collaborating closely with adjusters, appraisers, and clients through video calls and secure platforms also helps ensure accuracy and customer satisfaction.

What is the difference between Virtual Insurance Claims vs Insurance Adjusters?

AspectVirtual Insurance ClaimsInsurance Adjusters
CredentialsTypically requires claims processing certifications, insurance knowledgeRequires state licensing, adjuster certifications
Work EnvironmentRemote, online claims processingOn-site or field inspections, office settings
Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent firms
Job FocusReviewing and processing insurance claims remotelyInvestigating, inspecting, and settling claims in person or remotely

Virtual Insurance Claims professionals primarily handle claims processing remotely, focusing on reviewing and managing insurance claims online. Insurance Adjusters often conduct in-person inspections and investigations. Both roles require insurance knowledge, but adjusters need licensing and field experience, while virtual claims roles emphasize remote processing skills.

What skills and qualifications are needed to thrive as a virtual insurance claims specialist?

To thrive as a Virtual Insurance Claims Specialist, you need a strong understanding of insurance policies, claims processes, and analytical skills, often supported by a relevant degree or experience in insurance. Familiarity with claims management software, digital documentation tools, and sometimes certifications such as AIC (Associate in Claims) are typically important. Excellent communication, attention to detail, and problem-solving abilities help you stand out in this remote role. These skills are crucial for accurately processing claims, preventing fraud, and ensuring a positive customer experience in a virtual environment.

What is a virtual insurance claims specialist?

Virtual insurance claims are claims that are processed and managed remotely, often using digital tools such as mobile apps, video calls, or online platforms. Instead of meeting an adjuster in person, policyholders can submit documentation and communicate with claims representatives online. This approach streamlines the claims process, reduces the need for in-person visits, and can speed up claim resolution times. Virtual claims are increasingly popular for auto, property, and health insurance due to their convenience and efficiency.
What are the most commonly searched types of Insurance Claims jobs in Florida? The most popular types of Insurance Claims jobs in Florida are:
What are popular job titles related to Virtual Insurance Claims jobs in Florida? For Virtual Insurance Claims jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Virtual Insurance Claims jobs in Florida look for? The top searched job categories for Virtual Insurance Claims jobs in Florida are:
What cities in Florida are hiring for Virtual Insurance Claims jobs? Cities in Florida with the most Virtual Insurance Claims job openings:
Virtual Insurance Claims jobs near you
Infographic showing various Virtual Insurance Claims job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, 4% Hybrid, and 13% Remote job distribution, with an average salary of $36,531 per year, or $17.6 per hour.

Claims Examiner

Trawick International Inc

Miami, FL • On-site

Full-time

Medical, Retirement, PTO

Re-posted 29 days ago

Job description

Job Title: Claims Examiner

Department: Claims

Reports to: Claims Supervisor

Date:


Job Summary

Are you looking for a career where you can apply your experience and passion for providing world class service to help our customers find solutions to their questions, if the answer is yes, then you found the perfect fit!

SureGo Administrative Services is looking for someone who is self-motivated, enthusiastic, thoughtful, and patient. Our Claims Examiners must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.

This is a permanent work from home position that includes a virtual five week paid training program, which will successfully prepare you for handling incoming calls from our customers. At this time, we are accepting applications from individuals who reside in the United States only.


Key Responsibilities

  • Diligently review reports to ensure that no errors have been made in the appraisal process.
  • Determine whether payouts are reasonable.
  • Approve, reject or refer a claim to a specialist.
  • Meet with claimants and settle disputes.
  • Ensure compliance with regulatory standards, company policy and guidelines.
  • Provide assistance to claims adjusters to manage the volume of cases.



  • Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions
  • Read and interpret insurance policy language and adjudicate claims accordingly
  • Respond to written communications from policy holders as needed with professionalism and knowledge based guidance
  • Provide professional customer service to our internal and external customers

Qualifications

  • Must have 1+ year of experience processing medical claims
  • Familiarity with medical records, health charts, aftercare summaries and related medical documentation necessary and related to the processing of medical claims
  • Current knowledge of medical coding sets HCPCS, CPT, ICD 10[GS1]
  • Understanding of Medical terminology required
  • Excellent verbal, written, and interpersonal communication skills
  • Ability to prioritize and manage multiple tasks at once
  • Ability to work independently with minimum guidance
  • Strong data entry skills and attention to detail
  • Minimum of High School Diploma or equivalent


Working Conditions

  • Remote position.
  • Private, secure, solo, distraction free workspace where you can work independently and take incoming calls during your shift.
  • Computer equipment will be provided and shipped to you prior to your start date.
  • Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that: (you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps).


Benefits


  • Monday-Friday, work from home schedule. Flex schedule with start times between 6AM-10AM
  • 12 paid Holidays each year after 90 days
  • Medical Insurance Benefits and PTO accrual after 90 days
  • 401K investment options


Be part of a team committed to a culture of Respect, Ownership, Innovation and Integrity


We offer exceptional professional growth opportunities; a casual, friendly work environment; and competitive wage and benefits


SureGo Administrative Services LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, veteran status, citizenship status, sexual orientation, gender identity, or any other status protected by law.

[GS1]I know that ICD-9 is old-school and different from ICD-10, but I think maybe that knowledge might still be helpful and applicable in the role. Maybe worth listing? Like a "minimum of ICD-9"?