106 Results for

Claims Analyst Jobs in Florida

Jobs

New!

Miramar, FL4 days ago

Always reviews numerous real-time alerts and non-realtime, for the prevention and detection of card fraud, ACH fraud, IVR, Personal & Business online banking. Strong analytical, interpretive, and problem solving skills, which will require interpreting large amounts of data and its impact in both operational and financial areas required.

New!

Jacksonville, FL4 days ago

Ability to manage multiple tasks with frequent interruptions Ability to manage projects with competing priorities with attention to detail and a high level of accuracy Ability to work well independently, under pressure, and in a fast paced environment Ability to communicate, interact and work effectively and cooperatively with all people Ability to recognize the importance of safety in the workplace, follow safety rules, practice safe work habits, utilize appropriate safety equipment and report unsafe conditions to the appropriate administrator Customer service and public relations skills Ability to travel (rarely) to other locations for training and to support company initiatives. Enter repair order part, labor and service line details, purchase order details, process warranty claims and invoices to customers, as well as update registration and title details.

Tallahassee, FL30+ days ago

Contractor

7) Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer. c) Strong proficiency in SQL/SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks.

Tampa, FL30+ days ago

$15.28–$19 Per Hour

Our sales and digital teams build lasting relationships, ensuring our client brands get the space they deserve in stores and outperform the competition online, while our merch reps make brands shine in retail locations across the world. Acosta is a part of Acosta Group – a collective of the industry’s most trusted retail, marketing and foodservice agencies reimagining the way people connect with brands at every point in their shopping journey.

Deerfield Beach, Florida25 days ago

$25–$33 Per Hour

Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims.

Lake Mary, FL12 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.

FL30+ days ago

This role performs paralegal level claims and notices workproofs of claim, amendments, payment change and fee noticesunder attorney supervision, with a focus on clean attachments and compliant records. Draft Proofs of Claim (with required attachments), amendments, payment change and fee notices; respond to trustee disbursement issues.

New!

"-", FL6 days ago

Remote

$85,000–$95,000

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition.

Boca Raton, Florida17 days ago

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.

Miami, FL8 days ago

Full-time

Maintains the department’s claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.

Coral Gables, FL30+ days ago

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.

New!

Tampa Bay, FLToday

Great opportunity for an inside Claims Examiner/Adjuster to join a stable homeowners insurance company in the Tampa Bay area. Seeking 5+ years of residential property claims experience managing daily multi-peril claims.

Tampa Bay, FL30+ days ago

Customer and Internal Business Partner Interaction - Communicate with member, healthcare providers and internal business partners to resolve the claim or gather required additional information. This role involves gathering information, evaluating claims for validity, and ensuring that all necessary documentation is complete.

Tampa, FL30+ days ago

Remote

Full-time

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. We're seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases, with the independence to make sound decisions and the expertise to deliver fair, timely outcomes.

Florida30+ days ago

Maitland, Florida18 days ago

$77,500–$87,000 Per Year

Fort Myers, FL25 days ago

Working closely with Legal Nurse Consultants and medical billing experts, the Analyst will apply technical expertise, industry knowledge, and analytical judgment to help clients understand medical billing practices and resolve complex disputes with confidence. Rimkus is seeking a Medical Billing & Coding Analyst to support its forensic healthcare and litigation consulting services to bring clarity and credibility to forensic healthcare and litigation consulting services.

Cooper City, FL30+ days ago

Join our dynamic team as a Clinical Coding Analyst and contribute to the resolution of coding-related denials, ensuring accurate and compliant coding practices that maximize reimbursement and support optimal healthcare delivery.    . For over 20 years, we’ve been a leading middle market revenue cycle management (RCM) vendor, providing comprehensive financial and operational solutions to health systems, physician groups, or specialty medical practices.

New!

Orlando, FL4 days ago

Remote

Full-time

Professional CertificationsNone requiredYears of Professional Experience10 years of professional (an additional 10 years of experience may be substituted for education)Desired experienceExperience working in an Agile environment. Citizenship required for this specific opportunitySecurity Clearance RequirementsMust possess or qualify for a Public Trust (MBI)CRITICAL NOTES: SSG will not make assumptions regarding your qualifications.

Tampa, FL30+ days ago

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. Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Tampa, FL7 days ago

$55–$65 Per Hour

The ideal candidate is highly proficient in SQL and data visualization, experienced with healthcare data, and capable of supporting cross-functional projects through strong technical execution. This role is focused on hands-on data wrangling, quality assurance, and the development of backend data pipelines and outputs that support high-impact oncology analytics projects.

New!

Tallahassee, Florida2 days ago

Partnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment.

Orlando, CA25 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.

Gainesville, Florida25 days ago

Remote

Prepares and delivers detailed performance reports to support leadership decision-making and contributes to strategies that enhance revenue cycle efficiency and improve overall collections. Collaborates with billing, coding, finance, and clinical teams to ensure accurate claim submission, monitor accounts receivable, and resolve billing discrepancies.

Jacksonville, 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. The position also uses knowledge of the revenue cycle to analyze, report and work reimbursement issues with various internal departments and external entities at all levels to create reliable methods for future resolution.

FL19 days ago

$28–$31 Per Hour
Contractor

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Carriers are not liable for delayed or undelivered messages.

Boca Raton, FL27 days ago

And we’re on our way to building something bigger: a category where energy isn’t just consumed, it’s lived—where performance meets personality, brand becomes community, and every can crack sparks a statement. If gravity doesn’t stop you and “impossible” sounds more like “dare you,” you’re ROCKSTAR®— a born rebel, raising the bar with mind-body energy and zero compromise.

Sunrise, FL30+ days ago

These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Gainesville, Florida18 days ago

Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs. Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations.

Jacksonville, Florida27 days ago

Reporting to the Enterprise Denial Nurse Manager, this role supports key revenue cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access. Collaborates with cross-functional teams to identify denial trends, improve processes, and support enterprise-wide initiatives that enhance revenue cycle performance and compliance.

Tampa, FL30+ days ago

Remote

$61,851–$81,180 Per Year

Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network by supporting run-state, repeatable issues of moderate complexity. This role involves regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries.

Tampa, Florida10 days ago

Ability to present ideas and information in a clear, concise, organized and diplomatic manner; gather information from multiple parties to ensure all perspectives are heard and considered; listen to others to respond effectively to ideas, thoughts and questions; express information and ideas effectively in settings including aligned or un-aligned feedback to obtain desired results. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, and South Carolina.

Tampa, Florida10 days ago

Ability to present ideas and information in a clear, concise manner; gather information from multiple parties to ensure all perspectives are heard and considered; listen to others to respond effectively to ideas, thoughts and questions; express information and ideas effectively in settings including aligned or un-aligned feedback to obtain desired results. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, and South Carolina.

Tampa, Florida10 days ago

The Senior Pricing Analyst participates in pricing and underwriting analysis to maintain rate adequacy; provides summaries of revisions to the company’s insurance products, evaluating pricing and underwriting components; coordinates timely price filing approvals with the Office of Insurance regulation; and addresses price revision opportunities in line with business appetite. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, and South Carolina.

Lauderdale Lakes, FL30+ days ago

$55,000–$70,000

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) . 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.

Juno Beach, FL30+ days ago

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. This job is responsible for assisting in the maintenance of tax records and the preparation of all or specifically assigned tax returns, corporate income tax returns, separate company corporate income tax and partnership tax returns and related reports.

Tampa, FL30+ days ago

Remote

Full-time

Technical Skills: Knowledge of the healthcare industry; expertise with data modeling & data mining; experience with data architecture, design & development, with DB2 and MS SQL DBMS, one or more OLAP/Reporting tools (Cognos and Microsoft Analysis Services, ETL tools (Cognos Data Manager or MS SQL EIS); experience with Tableau; strong knowledge of Excel, Access, and query language/software. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Tampa, FL30+ days ago

Remote

Full-time

Collaborate with multiple business partners including but not limited to Contracting Administration, Corporate Compliance, Claims Administration, and Legal to create strategies for contract templates while being proactive in preventing non-compliance. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

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.

Tampa, FL30+ days ago

Full-time

Designs, generates, and evaluate reports, queries, data, and procedures on systems, including scheduling and distribution of forms and mailings for daily, weekly, monthly, annual, or other periodic processes. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Lakeland, FL12 days ago

$25–$28 Per Hour

Must know regulations and the Bank Secrecy Act: US Patriot Act, Office of Foreign Assets and Controls, Anti-Money Laundering, Right to Financial Privacy, Bank Bribery Act, E, CC, GG, V. Investigate and validate fraud claims by reviewing account activity, contacting involved parties, and collecting necessary documentation within regulatory timeframes.

Lake Mary, FL11 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

Tampa, FL30+ days ago

Full-time

Major Responsibilities: Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined. A minimum of 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.

Tyndall AFB, FL30+ days ago

Utilizes advanced spreadsheet modeling, regression analysis, and International Performance Measurement and Verification Protocol (IPMVP)-based methodologies to evaluate reported energy savings, baseline adjustments, and cost avoidance claims. Review annual M&V reports submitted by Energy Service Companies (ESCOs) for ESPC/UESC projects, verifying accuracy and compliance with DOE FEMP guidelines and DAF policy.

New!

SEBASTIAN, Florida4 days ago

Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Orlando Health Sebastian River Hospital is a 178-bed comprehensive medical and surgical facility serving the communities along Florida’s Treasure Coast as a trusted healthcare provider for more than 50 years.

New!

Gainesville, Florida4 days ago

Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials.

Jacksonville, Florida25 days ago

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.

New!

Temple Terrace, FL2 days ago

Full-time

Knowledge of requirements gathering, documenting of IT systems specifications and communication – user stories, business process flows, use case development, user interface specifications etc. Essential FunctionsIdentify, analyze, and document defects, questionable functions, errors, and inconsistencies in software program functions, outputs, online screens, and content.

Cooper City, FL30+ days ago

This includes building reports, ad hoc queries, analytics, contributing to the enterprise data warehouse and data marts, conducting stakeholder interviews, creating business requirements documents, QA testing, and collaborating with other data analysts and engineers. At HBS the data analytics team strives to be transformative leaders that support our internal and external stakeholders in maximizing their potential and carrying value forward into the healthcare system and people’s everyday lives.

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Claims Analyst Jobs in Florida

Jobs

Fraud Analyst II - TemporaryAmerant Bank

Full Time Garage ClerkC&S Wholesale Services, LLC

Data Analyst with Medicaid or ClaimsSiritech Solutions Corp

Claims Resolution Analyst - HybridAcosta

Automotive Claims Specialist - Deerfield Beach, FLTA Resources LLC

Claims Center BAKforce Inc.

Bankruptcy Assistant - Claims & NoticesHarrison National Employment, LLC (Archwell Holdings, LLC)

Commercial Auto & General Liability Claims Examiner IITEEMA Group

Lead Claims Examiner IAmTrust Financial Services, Inc.

On-site Medical Claims ExaminerAlivi

Claims Examiner IIDOCTORS HEALTHCARE PLANS, INC.

Claims Property Homeowners Adjuster Tampa BayCriterion Executive Search

Health Insurance Claim ProcessorDiverse Linx

Sr Claim Examiner- WCCrawford & Company

Medical Claim Coding Talent PipelineUnified Women's Healthcare

Lead Claim Examiner IAmTrust Financial Services, Inc.

Medical Billing & Coding Analyst - Tampa Bay areaRimkus

Clinical Coding Analyst - Florida payer experience preferredHealth Business Solutions LLC

Senior Business Process AnalystSyms Strategic Group, LLC (SSG)

Business Analyst IIElevance Health

Healthcare / Oncology Senior Data AnalystKORE1 Technologies

Medicaid AnalystStride, Inc.

Facets Configuration AnalystShyft6

Revenue Cycle Analyst | Revenue IntegrityUF Health

Medical Reimbursement Analyst SrNemours

Business AnalystPyramid, Inc

Regulatory AnalystCelsius

Provider Contracting Lead Analyst - South Florida marketThe Cigna Group

Denial Recovery Analyst | Enterprise DenialsUF Health

RN Clinical Denial Recovery Analyst | Enterprise DenialsUF Health

Senior Analyst, Provider Data OperationsOscar Health

Product AnalystAmerican Integrity Insurance Company of Florida, Inc.

Risk AnalystAmerican Integrity Insurance Company of Florida, Inc.

Senior Pricing AnalystAmerican Integrity Insurance Company of Florida, Inc.

Case Review AnalystICBD

Associate Tax AnalystNextEra Energy

Business Intelligence AnalystTriWest Healthcare Alliance

Contract QC AnalystTriWest Healthcare Alliance

Sr. Data AnalystiMPact Business Group

Business Systems AnalystZenith American Solutions

Fraud Prevention AnalystHiregy

Contract AnalystIntegrated Resources, Inc

Healthcare Financial Analyst (Accounts Receivables)Prosper Infusion

Senior M&V AnalystJBW Federal

Financial Analyst Specialist - Full Time Days (Onsite at Sebastian River Hospital)Orlando Health

Denial Recovery Coding Analyst | Enterprise DenialsUF Health

Denial Recovery Coding Analyst | Enterprise Denial ManagementUF Health

Leave of Absence AnalystNemours

Junior Systems AnalystSafepoint MGA, LLC

Senior SQL AnalystHealth Business Solutions LLC

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