69 Results for

Claims Processor Jobs in Jacksonville, FL

Jobs

Jacksonville, FL30+ days ago

Whether you hold a formal leadership role or are a key team player, youll coach, mentor, and engage with those around you in ways that bring out the best in people and effect change. You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences.

Jacksonville, FL30+ days ago

$150,000–$160,000 Per Year

ABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.

Jacksonville, FL30+ days ago

Plans and conducts investigations of high severity bodily injury claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. The primary role of a Complex Claims Bodily Injury Specialist is to promptly and professionally ensure high quality claim handling by analyzing BI / liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured's exposure and moving cases towards timely resolution.

Ponte Vedra, FL12 days ago

APCO Holdings partners with dealerships across North America to deliver innovative vehicle protection products and services that enhance the ownership experience for customers and drive growth for our partners. Our teams work collaboratively across operations, technology, risk, finance, marketing, and sales to deliver solutions that create measurable value and support the continued growth of APCO and the partners we serve.

JACKSONVILLE, Florida30+ days ago

Drive strategic alignment with enterprise risk management objectives and position yourself as a trusted advisor to senior leadership—shaping risk mitigation strategies and influencing key decisions that protect and propel our business forward. Oversee a high-performing team responsible for investigating, analyzing, adjusting, reserving, and resolving a wide range of claims impacting Crowley’s maritime, logistics, and transportation operations.

Jacksonville, FL14 days ago

If you receive a message from someone posing as a Fortegra recruiter via text message, WhatsApp, Telegram or other messaging platform, please report it as phishing and block the sender. Fortegra has recently been made aware of unauthorized communications regarding career opportunities by individuals not associated with Fortegra or our recruitment team.

Jacksonville, FL8 days ago

Our comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical reimbursement, dependent care, parking, and transit expenses; an employee assistance program for you and your dependents; a 457(b) tax-deferred compensation plan to supplement your retirement, and a ROTH IRA plan. Makes decisions determining settlements, settlement values, payment processing or denial of claims utilizing knowledge of local, state, and federal laws up to their assigned settlement authority under the direction of the General Liability Claims Manager.

Jacksonville, FL7 days ago

The Manager sets the tone for performance, accountability, and service quality while building a team culture focused on consistency, development, and continuous improvement. Strong communication skills with the ability to manage escalations and collaborate effectively across teams and leadership levels.

Ponte Vedra, Florida13 days ago

Jacksonville, Florida8 days ago

As a Specialist, Claims at RXO, your attention to the small details and strong work ethic will ensure our operations continue to run smoothly and our customers receive superior service. What your day-to-day will look like: Complete data entry and other tasks needed for claims received in US Mail or Email to support department operations.

Jacksonville, FL8 days ago

Jacksonville, FL28 days ago

$90,000–$150,000 Per Year

As a direct report to the Vice President, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Primary Job Functions: Direct management of general liability claims with potential for significant severity and complexity.

New!

Florida, FL5 days ago

Remote

$55,000–$65,000 Per Year

This role requires a self-motivated professional with exceptional analytical, communication, and organizational skills who can manage a high-volume workload independently, while collaborating closely with internal teams and external clients to maximize recovery opportunities. The successful candidate will be responsible for conducting thorough investigations, evaluating potential third-party liability, documenting claim files with precision, and negotiating settlements in line with client directives.

Jacksonville, FL14 days ago

The Sr Claims Adjuster, Property is responsible for independently reviewing, investigating, evaluating and resolving Commercial Property and Casualty, Lender Placed, and other Specialty products while maintaining effective contact with agents, insureds, and company personnel. The Sr Claims Adjuster, Property maintains appropriate reserves, identifies trends and effectively communicates covered and non-covered items, as well as accurately reviews all available coverages.

New!

Jacksonville, FL5 days ago

$100,000–$130,000 Per Year

The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.

New!

Jacksonville, FL5 days ago

Remote

$75,000–$80,000 Per Year

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee's primary work location. In this role, you will be responsible for the timely and professional handling of third-party bodily injury claims across General Liability, Auto Liability, Errors & Omissions, and Law Enforcement exposures.

Jacksonville, FL30+ days ago

$65,600–$129,150 Per Year

We are looking for claims professionals who can thrive in a fast-paced environment, are eager to develop as a claim examiner and play a critical role in investigating, evaluating and resolving excess claims. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.

Jacksonville, FL7 days ago

$59,059.65–$90,000 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 32003 32009 32011 32024 32025 32038 32040 32043 32044 32046 32052 32053 32054 32055 32058 32061 32063 32065 32068 32073 32083 32087 32091 32096 32210 32212 32220 32221 32222 32234 32244 32259. 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!

Jacksonville, FL30+ days ago

At Stillwater Insurance Group, the Casualty Claim Supervisor plays a critical role in driving high-quality claims outcomes by leading, mentoring, and supporting a team of casualty claim professionals while ensuring accurate, compliant, and timely claim resolution. The Casualty Claim Supervisor is responsible for leading and developing a team of casualty claim adjusters handling auto liability, bodily injury, property damage, and related first and third-party claims across our 50-state book of business.

Jacksonville, FL30+ days ago

At Stillwater Insurance Group, you will play a critical role in supporting our Claims Department by ensuring accurate and timely claim intake while delivering exceptional service to policyholders and internal partners. The position requires strong technical adjusting expertise, analytical capability, and the ability to manage complex coverage and damage determinations while delivering exceptional customer service.

Jacksonville, FL12 days ago

$75,000–$85,000 Per Year

Your experience handling litigated casualty, transportation, trucking, or commercial auto claims who enjoy investigative work, critical thinking, negotiation, and decision-making in a fast-paced environment will be the ground work for success with Landstar. Working with attorneys, vendors, and internal stakeholders, you will determine liability, assess damages, manage claim reserves, and develop effective resolution strategies through settlement or litigation.

Jacksonville, FLORIDA30+ days ago

Remote

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. REQUIRED EXPERIENCE: Required Work Experience: 5+ years related work experience, Professional experience with technical design and coding in the IT industry.

Jacksonville, FL30+ days ago

The FNOL Specialist ensures the delivery of excellent customer support through fast and accurate communication, making necessary changes to plans, coordinating with other team members and departments to resolve inquiries and issues for customers, branch representatives and managing general agents. Primary Job Functions: Serve as the first point of contact for policyholders, managing 40-60 inbound calls per day while simultaneously handling claims administration tasks, including data entry, document processing, and managing claim files with clear, empathetic communication.

Jacksonville, FLORIDA30+ days ago

Remote

CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. Certifications, Licenses, Registration: Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States.

Jacksonville, FL30+ days ago

Skills & Competencies Required: Mechanical aptitude Ability to multi-task Contract interpretation Negotiation skills Excellent customer service Strong verbal and written communication skills Attention to detail Critical thinking and problem-solving Time management Proficient in MS Office (Word, Excel, Outlook) Team player. Takes ownership in identifying and communicating recurring issues, claim trends, and potential concerns to leadership to support continuous improvement and informed decision-making.

Jacksonville, FLORIDA30+ days ago

Remote

Coordinates and manages the reimbursement for services, ensures that assigned team members update interim rates and other payment factors, ensures that all changes are entered into the claims processing system, and produces credible output reports that capture all relevant claim payment data required for cost report preparation and settlement. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence.

Jacksonville, FL30+ days ago

$36–$38 Per Hour
Contractor

Key Requirements and Technology Experience: Key skills; Healthcare Experience Experience with Medical Records/Insurance Claims Experience with Microsoft Excel: Specifically, “vlookup Experience with Microsoft Excel: Specifically, “vlookup” and “& concatenation” Healthcare Industry Experience: In a hospital, clinic, or health insurance company • Experience with Medical Records/Insurance Claims: E.g., medical record coders Outreach Skills: Phone/email skills for medical record retrieval Management Experience: Ability to delegate work to Project Coordinators Personal Attributes: Proactive, organized, deadline-driven, trainable, receptive to feedback, client-service mentality Proficient in Microsoft Excel, including functions like VLOOKUP, CONCATENATE, and other data tools Experience in the healthcare industry, particularly with medical records or claims processing Strong phone communication skills; able to handle escalations with professionalism and persistence Highly organized, self-motivated, and deadline-driven Team-oriented with the ability to delegate effectively and foster collaboration Our client is a leading Technical Services Industry, and we are currently interviewing to fill this and other similar contract positions. in a week Duration: 25 weeks with chance of extension Oversee project timelines and deliverables, ensuring proactive progress tracking and deadline adherence Manage escalations by professionally engaging with healthcare providers to obtain necessary medical records Collaborate closely with a Project Coordinator, effectively delegating administrative tasks Maintain clear communication with stakeholders and cross-functional teams to ensure alignment Identify and resolve project risks or bottlenecks with a solution-oriented mindset Project Locations San Antonio, TX 78249 o Parking: EY occupies most of this location with 2 floors.

Jacksonville, FL26 days ago

If you're an experienced roofing sales professional looking to maximize your earning potential while working with a supportive and growing company, Bigfoot Roofing & Construction wants to hear from you. You will generate business through door-to-door prospecting, manage company-provided leads from insurance partners and referrals, and guide homeowners through the inspection, insurance, and sales process from start to finish.

Mayport, FL7 days ago

$37,193–$47,334 Per Year

Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible (PPP DoD MRNG):In order to receive this preference, you must choose the Military Reserve and National Guard Technician eligibility, and fill out and submit the Military Reserve and National Guard Technician PPP Self-Certification Checklist and copies of the appropriate documentation. Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible (PPP DoD MRNG):In order to receive this preference, you must choose the (PPP DoD MRNG) eligibility, and fill out and submit the Military Reserve and National Guard Technician PPP Self-Certification Checklist and copies of the appropriate documentation.

Jacksonville, FL16 days ago

Remote

$65,400–$106,200 Per Year

As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and. What We Offer: As a Florida Blue employee, you will be at the heart of GuideWell's vision - to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

Jacksonville, Florida26 days ago

Jacksonville, FL30+ days ago

$20–$22.50 Per Hour

The Customer Service Representative works in a sales-driven, multi-tasked, goal-oriented team environment, and is responsible for supporting incoming customer and broker interactions related to builders risk policy submissions, underwriting support, website navigation, guidelines, and general service inquiries. This role manages high volumes of inbound communication across phone, chat, and email channels, while also conducting outbound calls from lead generation efforts, ensuring timely and accurate handling of service requests and processing of business transactions.

Jacksonville, FL29 days ago

REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

New!

Jacksonville, FL1 day ago

$24–$25 Per Hour

We handle medical billing for our clinical partners in multiple US States and we are currently looking to add a Revenue Cycle Appeals & Recovery Specialist to join our fast-paced and energetic team. Experience overturning medical necessity denials, authorization denials, bundling edits, and coding-related denials .

Jacksonville, Florida16 days ago

Review and maintain orders through the order management system (SAP) from the time of receipt to the time of shipment which includes post market activities, ownership of order status, executing order book changes based on business/customer needs and monitoring shipment flow to mitigate any risk to revenue for the month/quarter. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.

Jacksonville, FL30+ days ago

$159,300–$199,200 Per Year

In-depth knowledge of construction means, methods, sequences, crew sizes, productivity rates, manpower analysis, cash flow, and CPM scheduling • Excellent planning and problem-solving skills • Strong communication, interpersonal and teamwork skills. • Bachelor's degree in Construction, Engineering, Architecture, or related field • PSP Certification • 8-17 years of related experience • Federal construction experience required • Or equivalent combination of education and experience.

Jacksonville, Florida30+ days ago

Jacksonville, FL30+ days ago

Full-time

This role supports the revenue cycle by reviewing accounts receivable, resolving billing issues, and communicating with payers and patients to facilitate payment and account resolution. The Patient Account Representative I is responsible for the timely and accurate follow-up of insurance and patient accounts to ensure appropriate reimbursement for services rendered.

Jacksonville, FL13 days ago

$116,200–$229,100 Per Year

Lead end-to-end delivery of technology-enabled business solutions, manage project plans, risks, dependencies, and issue resolution to deliver high-quality solutions. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.

Jacksonville, FL14 days ago

As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and. We are seeking an experienced and visionary leader to oversee the development, deployment, and management of our AI Factory, a critical infrastructure that enables the company to unlock value from data and transform healthcare practices through artificial intelligence (AI).

New!

Jacksonville, FL5 days ago

Primary Job Functions: Acts as primary account liaison-providing day-to-day service for existing and prospective partners managing day-to-day client communication and ongoing relationships as it relates to current, new, and upcoming opportunities ensuring prompt responses, reporting and communication. We are seeking a highly motivated and customer-focused Account Manager to serve as the primary liaison between clients and internal departments throughout the implementation and ongoing management of warranty and protection product programs.

Jacksonville, FL30+ days ago

As a Customer Service Representative, your strong communication skills, customer service experience (call center preferred), and computer proficiency will ensure a seamless claims process and positive client experience. Provides assignment support for open/pending assignments by contacting clients and/or contractors, and documenting various system applications according to procedures and program requirements.

Jacksonville, FL16 days ago

Remote

$140,000–$160,000 Per Year

As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Jacksonville, FL30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Parvez Sahotra - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Middleburg, FL30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Katherine Baustert - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We’re deeply involved in the community through organizations like Mercy Support Services (Board of Directors), Hope is Restored, and Seeds of Love, along with participating in local events such as back-to-school bashes and other outreach efforts.

St Augustine, FL30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Craig Dewhurst - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Jacksonville, FL27 days ago

As a Customer Service Representative - State Farm Agent Team Member with Chris O'Farrell - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Jacksonville, FL30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Ramey El-Abu - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Jacksonville, FL30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Bill Pool - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Jacksonville, FL23 days ago

As a Customer Service Representative - State Farm Agent Team Member with Wellington Hawkins - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

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Claims Processor Jobs in Jacksonville, FL

Claims Relationship Manager SageSure Insurance Managers LLC

Property Claims Leader, South & Central Regions Hub International Ltd

Complex Claims Specialist W. R. Berkley Corp

Mechanical Claims Adjuster Gwc Warranty Corporation

Director, Enterprise Claims Management Crowley Maritime Corporation

Claims Examiner The Fortegra Group Inc

All Lines Claims Adjuster City of Jacksonville, FL

Claims Operations Manager The Fortegra Group Inc

Mechanical Claims Adjuster APCO Holdings

Specialist, Claims Rxo Corporate Solutions

Specialist, Claims RXO Inc

Senior Claims Adjuster, Specialty The Fortegra Group Inc

Subrogation Claims Specialist Davies Group Ltd

Senior Claims Adjuster, Property The Fortegra Group Inc

Senior Claims Adjuster, TPA Oversight The Fortegra Group Inc

Bodily Injury Claims Adjuster Davies Group Ltd

Senior Examiner, Personal Umbrella Claims GEICO GENERAL INSURANCE COMPANY

Claim Specialist - Property Field Inspection State Farm

Casualty Claim Supervisor - Jacksonville, FL Stillwater Insurance Group

Property Claim Adjuster - Jacksonville, FL Stillwater Insurance Group

Senior Liability Claim Specialist Landstar System Inc

Sr. .net Developer ARC Group

First Notice of Loss Specialist The Fortegra Group Inc

Medical Director ARC Group

Vehicle Service Contract Specialist The Fortegra Group Inc

Provider Audit and Reimbursement Manager (CMS) ARC Group

Project Manager/ Project Coordinator Pyramid, Inc

Experienced Roofing Sales Representative Bigfoot Roofing & Construction, INC

TELLER U.S. Department of Defense

Specialist IIIa - Process Improvement, Remote Jacksonville GuideWell Mutual Holding Corp

Experienced Roofing Sales Representative Bigfoot Roofing & Construction

Customer Service Representative Ryan Specialty Holdings Inc

Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare Inc

Revenue Cycle Appeals & Recovery Specialist American Vascular Access, LLC

Account Specialist, International Wholesale Tapestry

Senior Scheduler Federal Construction Gilbane Building Co

Customer Service Representative Ryan Specialty Group

Patient Account Representative I, Patient Financial Services, Full-time Brooks Rehabilitation

Mainframe Techno/Functional Manager Deloitte Touche Tohmatsu Ltd

VP AI Factory GuideWell Mutual Holding Corp

Account Manager The Fortegra Group Inc

Customer Service Rep I Crawford & Co

Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu Ltd

Customer Service Representative - State Farm Agent Team Member Parvez Sahotra - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Katherine Baustert - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Craig Dewhurst - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Chris O'Farrell - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Ramey El-Abu - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Bill Pool - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Wellington Hawkins - State Farm Agent

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