Claims Specialist Jobs in Florida

GEICO

$20.84 - $26.05

Kathleen, FL

Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.

PedIM Healthcare

$16 - $18

Crystal River, FL

PedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. If you're passionate about healthcare finance, have a strong understanding of medical billing practices, and thrive in a fast-paced environment, we want to hear from you.

System One

$100 - $120

Tampa, FL

The ideal candidate will bring strong experience in cost control, WBS / CBS alignment, earned value management, and change management, and must be comfortable stepping in to build, correct, and directly manage project controls processes when contractor capabilities are insufficient. Develop and maintain integrated Work Breakdown Structure (WBS) and Cost Breakdown Structure (CBS) alignment to ensure cost integrity across all project phases.

Aspire Health Partners

ORLANDO, FL

Serving nearly 40,000 clients per year, with locations in six Central Florida counties and currently expanding into Hinesville, Georgia Aspire has delivered state-of-the-art behavioral healthcare and is regularly sought out both statewide and nationally as an expert in the field. With its mission of providing the highest quality of compassionate, comprehensive, and cost effective integrated behavioral healthcare, Aspire, through its more than two dozen campus locations provides a comprehensive continuum of services for children, adolescents, adults, seniors, and families.

STS Technical Services

Fort Lauderdale, FL

This role supports repair station operations by maintaining accurate inventory records, coordinating shipments, processing purchase orders, and ensuring tools and materials are properly stored, preserved, and issued to technicians. This position supports a Part 145 Repair Station environment by ensuring accurate tooling, aircraft parts, and materials are available to hangar floor personnel in a safe, compliant, and efficient manner.

Percepta

Melbourne, FL

Prior Approval Escalation Specialist is responsible for reviewing, researching and providing responses to management on field and legal escalations related to Prior Approval and claims processes. As a ESP Prior Approval Escalation Specialist in Melbourne, Florida, you’ll be a part of creating and delivering amazing customer experiences, while also enjoying the satisfaction of being part of a unique culture.

Southern Scripts

Orlando, FL

Meet regularly with management, project teams, and functional team leaders within pharmacy network provider groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate in network management discussions, and resolve issues. Collaborate with Pharmacy Network Operations, Claims, Clinical Services, Client Services, and Implementation teams to ensure contract terms, rate tables, fees, and network attributes are correctly loaded and maintained in Liviniti systems.

AMBER HALL LAW

$45500 - $52000

Tallahassee, FL

Amber Hall Law is seeking a high-energy, highly organized Intake Specialist to serve as the firm’s first point of contact for new clients and ensure a seamless onboarding experience from the very first call. Documentation Collection: Obtain essential documents from clients—photos, insurance information, accident reports, medical provider details, and any available evidence needed to open the file properly.

Amerant Bank

Miramar, FL

The Construction Administration Specialist is responsible for setting up construction loan budgets post-closing and process Commercial and Residential construction loan draw requests and repayments, ensuring all requirements are in place and in compliance with policies and procedures while delivering optimum customer service. Seven years’ experience in handling construction loan documentation and administration, with excellent knowledge of related issues in construction process including lien law and contractors’ issues and flood regulations, insurance policies and NFIP guidelines.

Jobot

$150000 - $225000

Boca Raton, FL

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role requires a confident litigator with strong courtroom experience, exceptional writing skills, and a demonstrated ability to manage high-stakes cases from inception through trial.

PedIM Healthcare

Lecanto, FL

You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.

Jobot

$60000 - $85000

Sebring, FL

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The successful candidate will have a proven track record of managing, training, and overseeing teams, providing guidance, and effectively managing bad debts and claims.

Frank Winston Crum Insurance

Clearwater, FL

The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. FrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida.

Frank Winston Crum Insurance

Clearwater, FL

The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.

Vaco, LLC

Jacksonville, FL

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

Codemax LLC

$23 - $27

Fort Lauderdale, FL

Experience in medical billing collections or a similar role in a Behavioral Health industry specializing in Substance abuse and Mental Health is strongly preferred. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.

Gallagher

Orlando, Florida

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Ability to perform work on varied customer properties; entails negotiating non-public access areas, climbing, lifting, sitting, standing and walking for extended periods of time.

Gallagher

Lake Mary, Florida

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Overview: The Senior Claims Specialist administers information from clients by phone, email and fax in order to process insurance claims; work with clients, adjusters, and Producers on claims status, problems, and questions.

Zurich NA

Maitland, FL

Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.

ARC Group

Oakland Park, FLORIDA

ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Claims Adjustor Qualifications:3+ years of previous bodily injury insurance experience, investigations or other related fields with liability, and property damage, and commercial auto (preferred).

ARC Group

Oakland Park, FLORIDA

ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. Negotiation and Settlement: Negotiate settlements with claimants, attorneys, and other involved parties in a fair and cost-effective manner.

CCMSI

$87500 - $90000

Maitland, Florida

A significant portion of the workload will involve claims arising from products related to plumbing systems, kitchen fixtures, and related components, requiring a strong understanding of product liability exposures, failure analysis, and potential subrogation/tender opportunities. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

ICBD

$58240 - $64480

Hallandale Beach, FL

With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America) .

Falck Global Assistance

Lake Mary, FL

Falck Global Assistance (FGA) encompasses a complete travel risk management solution and assuring safe working conditions, both medically and security-wise, for a wide range of international businesses with employees travelling or stationed abroad. FGA provides bespoke travel, health and risk management products, delivering expert driven and digitalized services focused on securing excellent end-user satisfaction with a human touch.

Health Business Solutions LLC

Cooper City, FL

This position works under general supervision, according to established procedures; decides how and when to complete tasks, and reports major activities through periodic meetings and written reports. The Claims Analyst is responsible for analyzing, appealing, and resolving denied or underpaid medical insurance claims to ensure accurate reimbursement for healthcare services.

State Farm

$59059.65 - $90000

Orlando, FL

Competitive candidates should reside within one of the listed zip codes and will service this same territory: (Position 1) - 32824 32837 34741 34743 34744 34746 34758 34769 34771 34772 34773 32789 32792 32801 32802 32803 32804 32805 32806 32809 32814 32819 32839 32856 32130 32724 32728 32738 32739 32744 32764 32807 32812 32816 32817 32822 32825 32826 32827 32828 32832 32834 32872/ (Position 2) - 32701 32703 32704 32707 32708 32712 32714 32730 32732 32750 32751 32762 32765 32766 32776 32798 32713 32719 32720 32725 32746 32747 32763 32771 32773 32779. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Veuu

Tampa, FL

Partner with internal teams (billing, coding, finance, compliance) and external partners, clients, providers and payers to resolve payment variances, drive process improvements, and ensure seamless claim resolution. The Reconciliations Manager will collaborate with internal and external stakeholders to optimize claim resolution processes, drive efficiency, and provide strategic insights to improve overall claims management.

Humana

$223800 - $313100

Tallahassee, FL

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Allied Universal

Miami, Florida

Service Pros Auto Glass

Gainesville, FL

Service Pros Auto Glass is hiring friendly, motivated people to work inside our partnered auto dealerships. Start earning quickly in a role with simple duties, strong support, and excellent weekly pay.

Premier Administrative Solutions

Clearwater, Florida

While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. Initiates and completes claim investigations when indicated including pre-existing conditions, accidents, medical necessity and appropriateness, eligibility and coordination of benefits.

AmTrust Financial Services, Inc.

$53300 - $67000

Maitland, Florida

Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Overview: AmTrust Financial Services is growing fast and looking for a Claims Examiner I to join our Workers’ Compensation team.

Revel Staffing

Tampa, FL

You’ll learn the full claim lifecycle—from charge entry through payment posting and denials—while working with experienced mentors. Join a fast-moving revenue cycle team supporting clinicians by converting services rendered into accurate claims and ensuring timely reimbursement.

DOCTORS HEALTHCARE PLANS, INC.

Coral Gables, FL

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).

DOCTORS HEALTHCARE PLANS, INC.

Coral Gables, FL

Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary. Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.

AmTrust Financial Services, Inc.

Maitland, Florida

Overview: AmTrust is a major player in the commercial P&C market and the third largest workers' compensation provider in the U.S. Our small business insurance product suite continues to expand with Cyber, BOP, Employment Practices Liability Insurance (EPLI), Package and other core coverages and capabilities, including more middle-market and large accounts. Exposed to facets like Underwriting, Loss Control, Managed Care, and SIU, Claims opens diverse career paths with technical and leadership growth—perfect for making an impact and building a lasting career.

AmTrust Financial Services, Inc.

$77500 - $87000

Maitland, Florida

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.

Unified Women's Healthcare

undefined, Florida

CHILDREN'S ORTHOPAEDIC AND SCOLIOSIS SURGERY ASSOC

St Petersburg, FL

Success Factors: Success in this role is defined by: KPIs: Maintain an average Days in A/R of 35 or less, resolve credit balances monthly, manage claims effectively, review rejected claims within 5 days, and address preventable denials with appropriate edit scrubs. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives.

Mindful Behavioral Healthcare

Kissimmee, FL

The MEDICAL BILLING SPECIALIST performs clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Performs various collection actions, including contacting patients by phone, and correcting and resubmitting claims to third-party payers.

Herc Rentals

$55000 - $65000

Bonita Springs, FL

If you are currently an employee of Herc Rentals, please apply using this link: _Herc Employee Career Portal (https://performancemanager4.successfactors.com/sf/careers/jobsearch?bplte_company=hercrental&_s.crb=1vzawZHP23EM4ncylkxJuws98oCREXt5QR31bzyGQAI%253d)_. The Product Support Specialist will need to recognize if failures fit into a manufactures warranty period/policy or if it is a failure that the manufacture may consider for additional assistance beyond the stated warranty period or policy.

Butterfly Effects

Deerfield Beach, FL

You'll manage assigned escalated accounts, research and resolve denied or underpaid claims, and maintain compliance with payer guidelines and HIPAA regulations. This role plays a vital part in ensuring accurate, timely collection and resolution of outstanding payer balances while providing exceptional service to our families across the country.

Prosper Infusion

Westchase, FL

Responsible for handling all correspondence related to an insurance or patient accounts, contacting insurance carriers and patients as needed to secure maximum payment. Prosper Infusion is a national home infusion company located in Tampa, FL that is seeking a Medical Accounts Receivable Specialist.

Valgorithm

Fort Lauderdale, FL

Independently manage assigned intake, documentation, and verification workflows • Support denial prevention by ensuring clean, compliant front-end documentation • Coordinate closely with billing on root causes tied to documentation or eligibility • Maintain accurate tracking and timely follow-up on outstanding items . • Submit and track claims under supervision to understand downstream impacts • Review common denial and adjustment reasons tied to intake and documentation gaps • Achieve 90% claim accuracy on supported workflows .

Blue Star Partners LLC

$23 - $25

Orlando, FL

This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements. Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment.

Prosperity Placement Solutions

Jacksonville, FL

This role is ideal for a billing professional who understands payer rules, claim submission, denial management, accounts receivable (AR), and imaging reimbursement processes. We are seeking an experienced Medical Billing Specialist with a strong background in MRI billing, diagnostic imaging billing, and commercial insurance claims.

Jax Spine & Pain Centers

Jacksonville, Florida

The Billing specialist will also have a proper phone etiquette, computer skills and the ability to multi-task and work well independently and as a team member in a fast-paced environment; collaborating effectively with all departments and cultivating a nurturing atmosphere of courtesy, compassion, respect, empathy, dignity and optimism. Now serving multiple locations, our board certified physician’s along with our professional staff value hands-on compassionate care, from the consultation through treatment.

Valgorithm

Fort Lauderdale, FL

The Senior DME Operations & Revenue Integrity Specialist owns front-end documentation compliance, insurance verification, and revenue readiness for Medicare and commercial claims. We are building a highly controlled, audit-ready Medicare DME operation and are seeking our first senior operations hire.

Suncoast Credit Union

$21 - $28

Tampa, Florida

Performs a variety of administrative tasks in support of Suncoast Credit Union insurance products; including but not limited to, Collateral and Mortgage Protection Insurance tracking and force placement, Credit Life, Credit Disability Insurance, GAP, Mechanical Repair Coverage (MRC), Escrowed Insurance Payments, Letter of Guarantee and other added-value insurance products. • Effectively communicates with members, employees, insurance carriers and other parties involved via telephone, email or regular mail on any questions or inquires as they pertain to existing loan(s) or enrollment in added-value insurance products.

ENT and Allergy Associates of Florida

Boca Raton, FL

Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of office equipment as required of the position or directed by the Manager. Patient care is our top concern, and because we can provide both diagnosis and rehabilitative services, our patients know they can depend on our team for all their needs.