13 Results for

Claims Analyst Jobs in Orlando, FL

Jobs

Polk City, FL7 days ago

$23.41–$29.41

We are looking for Personal Injury Protection (PIP) Claims Examiners in our Lakeland, FL office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company.

Lake Mary, FL7 days ago

$50–$70

4+ years of experience as an IT Business Analyst on Guidewire ClaimCenter projects, including claims lifecycle, integrations, out-of-the-box functionality, product model, business rules, and incident troubleshooting. Create Software Requirements Specifications (SRS), use cases, technical requirements, wireframes, system flow diagrams, and other documentation for Guidewire configurations and custom software development projects.

Maitland, Florida13 days ago

$77,500–$87,000 Per Year

Overview: The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.

Orlando, CA20 days ago

Remote

This role is responsible for ensuring accurate claims adjudication by building and maintaining system rules, benefit plans, and operational parameters in alignment with business and regulatory requirements. We are seeking an experienced Facets Configuration Analyst to support the configuration, maintenance, and optimization of the Facets platform.

Orlando, FL30+ days ago

This critical role will work closely with executive leadership, business stakeholders, and data engineering teams to deliver impactful analytical solutions that drive operational efficiency, strategic decision-making, and enterprise growth. As a Senior Data Analyst, you will design scalable reporting frameworks, develop dashboards and reports, and perform advanced data analysis using tools like SQL Server, Power BI, and Python.

New!

Lake Mary, FL6 days ago

Contractor

ESSENTIAL FUNCTIONS Demonstrates advanced knowledge of pricing and membership agreements Ability to review complex legal agreements and identify needed action items Analyze supplier contract bid awards to determine appropriate system hierarchical position to ensure accurate customer access Manage most complex supplier and customer pricing agreements Review and analyze supplier and customer contracts to ensure Company is compliant with agreements Determine appropriate member access to contract pricing based on required customer criteria Manages a portfolio of assigned suppliers and customers to ensure updates to pricing and member access are accurate; takes action to resolve discrepancies Works cross functionally to ensure Strategic and Intercompany pricing needs are met; takes corrective action as needed Assists in the SME review of partner agreements to ensure proposed language is in the best interest of the business Works cross functionally to ensure timely and accurate implementation of new and amended agreements related to contract pricing and membership Analyzes pricing and membership data to identify trends and gaps; actions as needed Reviews escalated issues and takes appropriate action to resolve Coordinates new team member training and evaluates member progress Reviews Credit and Debit requests for validity and accuracy Reviews teams submitted reports to ensure any needed corrective action was taken Partners with business intelligence team to create and maintain team reports Assigns incoming requests to team work queue to appropriate representative Identifies opportunities for process and/or system enhancements Works collaboratively on projects to identify solutions and process improvements Researches escalated supplier and customer pricing and membership claims and takes corrective action within established timelines Provides training and ongoing support to team members; shares knowledge and best practices Works collaboratively on projects to identify solution and process improvements Education: Associates or higher degree preferred GED/HS required 3+ years of experience in a B2B manufacturing/distribution environment Skills: B2B experience Strong experience analyzing data and problem solving skills Modern ERP Software (SAP and/or Oracle) experience required Pricing and membership eligibility experience Intermediate Microsoft Office products; some experience with complex Excel formulas Excellent verbal and written communication skills with the ability to interact professionally with diverse groups. Ability to manage timelines and meet vendor specific deadlines Ability to multitask in a fast paced environment where accuracy is imperative Non- Negotiable Skills: - Modern ERP Software (SAP and/or Oracle) experience required - Intermediate Microsoft Office products; some experience with complex Excel formulas - 3+ years of experience in a B2B manufacturing/distribution environment City: Lake Mary Schedule: Start Date: 05/25/2026 End Date: 11/20/2026 Hours Per Week: 40.00 Hours Per Day: 8.00 Days Per Week: 5.00

Orlando, FL30+ days ago

Full-time

We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Serve as a liaison with the third-party leave administrator and Occupational Health and Safety Officer to coordinate work accommodations for workers compensation cases, ensuring alignment with organizational policies and under the general direction and guidance of the Leave Administration Manager.

Winter Park, FL30+ days ago

Built on its long and proven track record of real estate development, the firm's investment approach is centered around its in-house general contracting expertise, enabling direct control of cost and delivery timeframe. Hillpointe is a fully integrated real estate development and investment management firm focused on developing market-rate workforce housing across the Sun Belt.

Orlando, CA20 days ago

Remote

This role will be responsible for configuring and maintaining system rules, benefit plans, and operational parameters to ensure accurate claims adjudication and efficient system performance. We are seeking a Facets Configuration Analyst to support a large-scale Facets migration project within the healthcare payer environment.

Orlando, Florida22 days ago

Join Allied Universal as an unarmed patrol officer at a dynamic government aviation location, where you will conduct routine patrols, maintain a visible presence to help deter security-related incidents, and support travelers, visitors, and staff with outstanding customer service and communication. Provide customer service to visitors, passengers, and staff by carrying out security-related procedures, site-specific policies, and/or emergency response activities at a government aviation location.

Orlando, FL7 days ago

Remote

Full-time

Evaluate and commend the optimal AWS-native data storage and query architecture for the XML object store data, assessing options such as Simple Storage Service (S3) + Athena, Aurora, DynamoDB, Redshift, and OpenSearch based on query patterns, reporting needs, cost, and scalability. Professional CertificationsNone required however AWS Certification(s) are a plusYears of Professional Experiencen/aDesired experienceElectronic Data Interchange X.12 (EDI) Medical ClaimsX.12, Medical Claims (837, 835, 277CA, etc), Health Level (HL7), Fast Healthcare Interoperability Resources (FHIR).

New!

Orlando, FL6 days ago

Remote

Full-time

Professional CertificationsAdvanced certifications in testing or quality assurance (e.g., International Software Testing Qualifications Board (ISTQB), Certified Software Testing Engineer (CSTE), Certified Software Quality Analyst (CSQA))Years of Professional Experience10 or more years of total work experience. A familiarity with cloud-based testing platforms (e.g., Amazon Web Services (AWS) and Azure)Formal EducationBachelor’s Degree in Computer Science, Information Technology, Engineering, or a related field and 10 or more years of experience.

Lake Mary, Florida30+ days ago

$110,000–$140,000

Position Overview:We are seeking a seasoned Special Projects Engineering Manager to lead and oversee complex software development and technology initiatives within a life insurance company environment, with a strong focus on systems built on the IBM iSeries (AS/400) platform. Since 1979, United Systems and Software, Inc. (USSI) has specialized in Insurance Administration Software solutions for IBM iSeries eServers® and has been a pioneer in leading edge Systems and Professional Services.

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Claims Analyst Jobs in Orlando, FL

Jobs

Personal Injury ExaminerGEICO

Claims Center BAKforce Inc.

Lead Claim Examiner IAmTrust Financial Services, Inc.

Facets Configuration AnalystShyft6

Sr. Data AnalystiMPact Business Group

Contract AnalystIntegrated Resources, Inc

Leave of Absence AnalystNemours

Benefits AnalystHillpointe

Facets Configuration Analyst (Systems Integration)Shyft6

Security Officer Unarmed Patrol AnalystAllied Universal

Senior Systems Engineer (AWS Data Engineer)Syms Strategic Group, LLC (SSG)

Software Developer in Test (SDET)Syms Strategic Group, LLC (SSG)

Special Projects IBM Engineering Manager - Life Insurance (In House)United Systems and Software, Inc.

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