Claims Auditor Lead
Miami, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Miami, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
... in a virtual setting as well as the opportunity to be together in person. Our hybrid work ... Insurance Adjusters License in states where applicable required. Experience Requirements Minimum ...
... in a virtual setting as well as the opportunity to be together in person. Our hybrid work ... Insurance Adjusters License in states where applicable required. Experience Requirements Minimum ...
... in a virtual setting as well as the opportunity to be together in person. Our hybrid work ... Insurance Adjusters License in states where applicable required. Experience Requirements Minimum ...
... in a virtual setting as well as the opportunity to be together in person. Our hybrid work ... Insurance Adjusters License in states where applicable required. Experience Requirements Minimum ...
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Workers Compensation Claims Trainee - Southeast
Orlando, FL · Remote
$60K/yr
Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience * Fully ... insurance knowledge, claims operations, and state-specific workers' compensation regulations.
Workers Compensation Claims Trainee - Southeast
Orlando, FL · Remote
$60K/yr
Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience * Fully ... insurance knowledge, claims operations, and state-specific workers' compensation regulations.
Claims Auditor Lead
Lake Mary, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Lake Mary, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Tampa, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Tampa, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Miami, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Claims Auditor Lead
Miami, FL · Hybrid
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable ... or insurance sector); or any combination of education and experience which would provide an ...
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $60K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $60K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $70K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $70K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $70K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Auto Claims Desk Adjuster Hybrid - Lake Mary, FL
Orlando, FL · On-site
$46K - $70K/yr
... Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be ... Able to think critically, use resources and seek answers when needed in virtual environment
Act as a key point of contact for risk management and insurance claims for catastrophic events ... Everforth Apex uses a virtual recruiter as part of the application process. Click for more details.
Act as a key point of contact for risk management and insurance claims for catastrophic events ... Everforth Apex uses a virtual recruiter as part of the application process. Click for more details.
Medical Billing & Patient Care Coordinator (Part-Time)
Tallahassee, FL · On-site
$19 - $24.75/hr
... and monitor medical insurance claims - Verify insurance eligibility, benefits, and coverage ... virtual care - Review referrals, pre-certifications, and eligibility information - Maintain ...
Medical Billing & Patient Care Coordinator (Part-Time)
Tallahassee, FL · On-site
$19 - $24.75/hr
... and monitor medical insurance claims - Verify insurance eligibility, benefits, and coverage ... virtual care - Review referrals, pre-certifications, and eligibility information - Maintain ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · Hybrid
$19 - $25.25/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · Hybrid
$19 - $25.25/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Sales Representative
Tampa, FL · On-site
$80K - $250K/yr
... insurance claims, referrals). * Supplement with self-generated leads via networking, social media, and community outreach (optional but rewarded). * Conduct virtual consultations via Zoom, phone, and ...
Quick apply
Sales Representative
Tampa, FL · On-site
$80K - $250K/yr
... insurance claims, referrals). * Supplement with self-generated leads via networking, social media, and community outreach (optional but rewarded). * Conduct virtual consultations via Zoom, phone, and ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · On-site
$17.75 - $22.50/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · On-site
$17.75 - $22.50/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · Hybrid
$17.75 - $22.50/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Credit and Collection Specialist - Patient Accounts
Lake Mary, FL · Hybrid
$17.75 - $22.50/hr
... due health insurance claims. How you'll make a difference: * Follows established guidelines ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Technical Claim Manager-Personal Umbrella (Bodily Injury Liability/Auto/Premises, hybrid)
Tampa, FL · Hybrid
$95K - $136K/yr
About Us We're not like other insurance companies. From our specialty products to our business ... Are you an experienced claims professional with deep expertise in liability and umbrella/excess ...
Technical Claim Manager-Personal Umbrella (Bodily Injury Liability/Auto/Premises, hybrid)
Tampa, FL · Hybrid
$95K - $136K/yr
About Us We're not like other insurance companies. From our specialty products to our business ... Are you an experienced claims professional with deep expertise in liability and umbrella/excess ...
Sr. Claim Representative/Claim Consultant
Lake Mary, FL · On-site +1
$62K - $127K/yr
... Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that ... Capable of working and collaborating with virtual team members. * Ensure the use of best practices ...
Sr. Claim Representative/Claim Consultant
Lake Mary, FL · On-site +1
$62K - $127K/yr
... Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that ... Capable of working and collaborating with virtual team members. * Ensure the use of best practices ...
Virtual Insurance Claims information
See Florida salary details
$9.52 - $11.58
8% of jobs
$12.95 is the 25th percentile. Wages below this are outliers.
$11.58 - $13.64
25% of jobs
The median wage is $15.20 / hr.
$13.64 - $15.69
22% of jobs
$15.69 - $17.75
15% of jobs
$18.69 is the 75th percentile. Wages above this are outliers.
$17.75 - $19.81
11% of jobs
$19.81 - $21.87
5% of jobs
$21.87 - $23.92
3% of jobs
$23.92 - $25.98
3% of jobs
$25.98 - $28.04
3% of jobs
$28.04 - $30.10
3% of jobs
$30.10 - $32.16
1% of jobs
$9
$17
$32
How much do virtual insurance claims jobs pay per hour?
As of Sep 3, 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 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 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 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?
| Aspect | Virtual Insurance Claims | Insurance Adjusters |
|---|---|---|
| Credentials | Typically requires claims processing certifications, insurance knowledge | Requires state licensing, adjuster certifications |
| Work Environment | Remote, online claims processing | On-site or field inspections, office settings |
| Industry Usage | Insurance companies, third-party claims services | Insurance companies, independent firms |
| Job Focus | Reviewing and processing insurance claims remotely | Investigating, 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 are the most commonly searched types of Insurance Claims jobs in Florida?
The most popular types of 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:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 13 days ago
Elevance Health rating
7.5
Based on 354 frontline employees who took The Breakroom Quiz
217th of 315 rated insurance
Job description
Claims Auditor Lead
Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.
The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations. Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy. Serves as the subject matter expert for the unit.
Primary duties may include, but are not limited to:
Responsible for all team training including but not limited to new hires, cross training, new product and system enhancements.
Conducts audits for new hires and/or any team member learning a new skill.
Reviews, interprets and maintains records of quality and productivity for entire team.
Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized correctly.
Utilizes inventory management strategies to monitor priorities and ensure timely turnaround of all claims.
Responsible for creating, updating and maintaining departmental policy and claims auditor procedure manuals for accuracy.
Independently analyzes and makes decisions on complex claim audit issues.
Serves as subject matter expert on policy, workflow and technical questions.
Interfaces with all levels of support including but not limited to production support, medical management, provider /vendor contracting and other audit teams.
Partners with Management on complex claims reviews and resolution.
Responsible for reviewing and resolving shared mailbox issues.
Interprets contracts, prepares monthly reports, and attends meetings as subject matter expert when requested.
Manages projects as assigned and may work across different platforms or lines of business.
Reviews and responds to external audit requests.
Performs audit reviews of and may adjudicate complex high dollar claims by completing an end to end audit with final approval authority.
Minimum Requirements:
Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.
Preferred Requirements:
Proficiency in Microsoft Office Suite is highly preferred.
Commercial Claims experience is highly preferred
CI&W and WGS experience is highly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
What Elevance Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Elevance Health
Sourced by ZipRecruiter
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Indianapolis, IN, US
Year founded
2004