286 Results for

Claims Specialist Jobs in Florida

Jobs

New!

Tallahassee, FLToday

The Manager ensures investigative quality, regulatory timeliness, and effective collaboration with law enforcement, internal stakeholders, and peer institutions while continuously strengthening fraud detection and prevention controls. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR referral governance, regulatory adherence, and loss recovery efforts.

New!

Tampa, FL1 day ago

We’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.

New!

Clearwater, FL3 days ago

$25–$30 Per Hour

Candidates who apply for roles through the Atrium website will be added to our candidate pool and may be considered for additional roles of a similar title. By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.

New!

Boca Raton, FL2 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Tallahassee, FLToday

$45,500–$52,000 Per Year

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.

New!

Lakeland, FL1 day 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.

Boca Raton, FL7 days ago

$150,000–$225,000 Per Year

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.

Miami, FL14 days ago

The Field Safety Specialist (FSS) serves as Ceco’s senior field-level safety representative, providing leadership, authority, and oversight across assigned projects while representing the company to customers, general contractors, and third parties. Acts as the field-level safety liaison with customers, general contractors, inspectors, and third‑party consultants when the RSM/ASM is not present and represents Ceco in safety‑related discussions as needed.

New!

Sarasota, FL1 day ago

$22–$27

Treatment Plan Coordination: Collaborate directly with the doctor(s) to strategize and execute plans for expanding the implant side of the business, handle implant treatment planning, consultations, Close Life-Changing Cases: Lead consultations for All-on-X, full-mouth reconstructions, and implant-supported bridges. Growth & Development: Drive practice growth by building strong relationships with patients and ensuring exceptional care experiences while addressing concerns, handling communications, and support patients in preparing for and completing their dental treatment.

Largo, FL30+ days ago

Full-time

Insurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment. Partner with internal teams to support patient care and resolve billing issues efficiently.

New!

Gainesville, Florida5 days ago

This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Minimum of six (6) months of billing experience within a hospital or physician practice setting, or one (1) year of experience in a business environment involving finance, accounting, or insurance portal systems.

New!

ORLANDO, Florida5 days ago

The Claims Specialist will be responsible for performing a variety of law-related tasks including, but not limited to processing and distributing subpoenas and other legal documents, responding to legal requests for information, and scheduling of depositions of employed physicians and team members. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Jacksonville, Florida7 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. Responsibilities: 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.

Clearwater, FL30+ days ago

Full-time

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.

Clearwater, FL30+ days ago

Full-time

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.

New!

Miami, FL4 days ago

Morgan White Group will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job, unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to Morgan White Group. The Claims Specialist willreview claims for reporting information in a spreadsheet or software and communicate with the TPA Manager and Claims Manager daily as well as possibly interacting with groups, claimants, outside carriers, and agents.

Boca Raton, Florida30+ days ago

$26.44–$28.84 Per Hour

From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Under minimal supervision, this position investigates Workers' Compensation (WC) claims and Auto Liability claims and reports, and information provided to third-party administrators to ensure compliance with federal and state regulations and organizational policies.

Deerfield Beach, Florida26 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.

Maitland, Florida25 days ago

$90,000–$95,000 Per Year

The Multi-Line Claim Specialist position is responsible for the investigation and adjustment liability claims for a dedicated client account and is responsible for investigating and adjusting a variety of claims, including commercial auto PD/BI (desk will consist of product and commercial auto claims). 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.

Maitland, FL30+ days ago

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.

Oakland Park, FLORIDA30+ days ago

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).

Oakland Park, FLORIDA30+ days ago

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.

Hallandale Beach, FL30+ days ago

$58,240–$64,480

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) .

Lake Mary, FL30+ days ago

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.

Tampa, Florida11 days ago

Fort Lauderdale, Florida11 days ago

Tampa, FL30+ days ago

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.

Fort Lauderdale, Florida30+ days ago

Coordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings, and prepares accident reports. Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action.

Tallahassee, FL30+ days ago

Remote

$223,800–$313,100 Per Year

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.

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.

"-", FL7 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.

Fort Myers, FL10 days ago

$1,000–$2,500 Per Week

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.

Miami, Florida30+ days ago

Remote

Tampa, FL30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Boca Raton, Florida18 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, FL9 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, FL1 day ago

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.

Miami, FL30+ days ago

Remote

Contractor

Required Years of Experience: Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. • Preferred: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Inpatient Coder (CIC), Clinical Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), or other advanced HIM/coding certifications

Tampa, FL30+ days ago

Remote

We are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located. Your responsibility is to explain the opportunity, verify their interest, and secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance.

Tampa, FL30+ days ago

Remote

Florida30+ days ago

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.

Maitland, Florida19 days ago

$77,500–$87,000 Per Year

Kissimmee, FL30+ days ago

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.

New!

Tampa, FLToday

Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Avalon is pioneering a new era of value-driven care with its Lab Insights Program that captures, digitizes, and analyzes lab results in real-time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols and driving down overall costs.

St Petersburg, FL30+ days ago

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.

Westchase, FL30+ days ago

Full-time

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.

Davenport, Florida17 days ago

Overview: Dental Specialty Center of Haines city is currently looking for a Dental Billing Specialist for our office located in Davenport,Fl . Competitive wages, great benefits, and opportunities for advancement are just a few reasons why a career with us is an investment in your future; make Dental Care Alliance your employer of choice.

Panama City, FL9 days ago

Full-time

We are seeking a Billing Specialist to help oversee our revenue cycle and support the Billing Director in ensuring accurate claims processing, timely collections, and compliance across multiple service lines. Nation’s Best is a growing healthcare organization serving the Panama City area with Primary Care, Urgent Care, Behavioral Health, and Occupational Medicine services.

Resume Resources

Free Resume Templates Free Resume Builder

Get noticed by top employers!

Upload your resume to let employers know you're open to Claims Specialist job opportunities. Plus, receive relevant job recommendations in your inbox.

Claims Specialist Jobs in Florida

Jobs

Manager, Claims & Fraud OperationsSantander Holdings USA Inc

Casualty Claims Examiner ($2,500 Sign-On Bonus) - Tampa, FLGEICO

Medical Billing SpecialistAtrium

Property Adjuster Specialist - FieldUSAA

Intake SpecialistAMBER HALL LAW

Personal Injury ExaminerGEICO

Construction Litigation AttorneyJobot

Site Safety Specialist - Miami, FLCECO CONCRETE CONSTRUCTION

Dental Implant CoordinatorAnytime Implant and Oral Surgery - Sarasota

Health Insurance Claims Specialist - LargoProsper Infusion

Insurance Claims Support Specialist | Patient Financial ServicesUF Health

Claims SpecialistOrlando Health

Complex Claims SpecialistBerkley

Construction Defect Technical Claims SpecialistFrank Winston Crum Insurance

General Liability Technical Claims SpecialistFrank Winston Crum Insurance

Claims Specialist - Miami, FLMorgan White Group

CLAIMS SPECIALISTThe GEO Group

Automotive Claims Specialist - Deerfield Beach, FLTA Resources LLC

Multi-Line Claim SpecialistCCMSI

General Liability Litigated Claims Specialist (Construction)Zurich NA

Claims Adjuster (Bodily Injury)ARC Group

Claims Adjustor (BI)ARC Group

Claims Resolution SpecialistICBD

Claims ManagerFalck Global Assistance

Claims Investigator - Mid-FloridaAllied Universal

Claims Investigator - South FloridaAllied Universal

Claims Reconciliation ManagerVeuu

Claims AdjusterThe Remas Company, LLC "Your Workforce Partner"

Medical Director - Claims ManagementHumana

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

Commercial Auto & General Liability Claims Examiner IITEEMA Group

Customer Claims RepresentativeService Pros Auto Glass

Workers Compensation Claims Trainee - SoutheastGallagher

Sr Claims ReviewerTriWest Healthcare Alliance

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

Medical Claim Review NurseIntegrated Resources, Inc

Estate Claim Sales RepresentativeLauth Investigations International Inc

Missing Heir Sales - Estate Claim Sales RepresentativeLauth Investigations International Inc

Medical Claim Coding Talent PipelineUnified Women's Healthcare

Sr Claim Examiner- WCCrawford & Company

Lead Claim Examiner IAmTrust Financial Services, Inc.

Medical Billing SpecialistMindful Behavioral Healthcare

Quality Improvement Specialist (Healthcare)Avalon Administrative Services LLC

Orthopaedic Medical Billing SpecialistCHILDREN'S ORTHOPAEDIC AND SCOLIOSIS SURGERY ASSOC

Medical Accounts Receivable Specialist - Home InfusionProsper Infusion

Dental Billing Specialist @ Dental Specialty Center - Haines CityDental Care Alliance

Medical Billing Specialist - Onsite: Panama City, FLNation's Family Practice

Resume Resources

Similar Job Searches