656 Results for

Insurance Claims Investigator Jobs in Florida

Jobs

Lakeland, FL

$23.41–$29.41

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Customer Interaction: Consult with involved parties (customers, other carriers, attorneys, medical providers), secure medical information, and review insurance contracts, associated reports, and billing documentation.    . You will investigate medical necessity, determine casualty, evaluate the validity of personal injury insurance claims, and monitor case files over the course of treatment.    .

Today

Clearwater, FL

$100,000–$110,000

Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

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.

6 days ago

Tampa, FL

$100,000–$150,000 / year

li>Grow new business by generating a prospective customer base and advertise our insurance products via networking, asking for referrals, cold calling, and other marketing strategies.

Onboard incoming and retain existing clients via a variety of customer service tasks, such as appointment booking, and responding to inquiries regarding billing, coverage, eligibility, and insurance policies.

1 day ago

Tampa, FL

$155,000–$180,000 / 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. The ideal candidate will have strong Florida litigation experience, excellent legal judgment, and the ability to independently manage cases while partnering with internal claims professionals and business stakeholders.

7 days ago

Delray Beach, FL

HealthMarkets independent licensed insurance agents shall for all purposes be deemed to be independent contractors and shall have no authority to act or represent themselves as an employee or partner of HealthMarkets Insurance Agency. See HealthMarkets Privacy Policy at https://www.healthmarkets.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.

3 days ago

Miami, FL

$50,000–$65,000 / year

Supervise all investigative activities and litigation for major claims, ensuring timely reserve postings. * Analyze claim activities and present comprehensive reports to management and stakeholders.

29 days ago

Fort Lauderdale, Florida

p>Eutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida.

This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.

27 days ago

Clearwater, FL

Health Insurance Claims Processor / AdjudicationInsurance Administrative SolutionsClearwater, FLAbout Insurance Administrative SolutionsInsurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.

30+ days ago

Clearwater, FL

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Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.

Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.

22 days ago

Clearwater, FL

Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.

30+ days ago

$128,000–$252,500 / year

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.

The wage range for this role 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.

30+ days ago

$160,000–$296,000 / year

li>Ecosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions.

A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).

6 days ago

Hialeah, FL

$75,000–$95,000 / year

p>If you have worked inside a carrier as an Inside Technician or field adjuster within a TPA network or as a senior restoration professional who truly understands carrier QA systems and approval workflows. This is a player-coach role you will inspect losses, write carrier-compliant estimates, manage the full claims lifecycle, and build the internal discipline that drives our scorecard performance and lead volume.

30+ days ago

$72,000–$141,000 / year

li>Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.

Performs a combination of duties in accordance with departmental guidelines:

Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.

30+ days ago

Gainesville, Florida

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• 2+ years experience in insurance claims processing and support

• Knowledge of insurance policies and claim adjudication

• Experience investigating and resolving claim issues

• Strong communication and customer service skills

• Ability to maintain detailed records and ensure compliance

Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution.

1 day ago

Largo, FL

Full time

Insurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment.

Delivering personalized, in-home care to patients with rare diseases across Florida..

30+ days ago

Clearwater, FL

Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.

30+ days ago

Clearwater, FL

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Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.

22 days ago

Fort Lauderdale, FL

Key Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.

30+ days ago

Miami, FL

$99,000–$232,000 / year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.

27 days ago

$77,000–$202,000 / year

p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.

21 days ago

St. Johns, FL

p>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. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.

5 days ago

Clearwater, FL

30+ days ago

Fort Myers, FL

$21.01–$24.69 / hour

p>Location: Lee Health - 2776 Cleveland Ave Fort Myers FL 33901 Department: Cookies Place Work Type: Part Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to Midpoint Pay Rate: $21.01 - $24.69 / hour Summary Provides claim follow up, resolution of and payment from insurance companies for unpaid claims of LMHS ….

3 days ago

Maitland, FL

Part time

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.

11 days ago

Maitland, FL

Remote

Part time

11 days ago

Maitland, FL

Part time

Basic knowledge of title industry Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Work Environment:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

11 days ago

Lake Mary, FL

This may include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, members of the medical profession and all other persons incident to the investigation and processing of claims. Through training, continuously improves skills applicable to including but not limited to claims investigation, liability determination, coverage confirmation, establishing damages, evaluating bodily injury damages and negotiation of claims settlement.

30+ days ago

Lake Mary, FL

Remote

Trains to interact professionally and courteously with stakeholders including policyholders, claimants, agents, witnesses, repair fa cilities, contractors, police and fire departments, state and country fraud and arson specialists, special investigators, attorneys, medical professionals and other persons incident to the investigation and processing of claims. Learns skills such as conducting thorough i nvestigations, establishing damages, determining liability, negotiating settlements, making claim payments, confirming policy coverage, and explaining claim determination to parties incident to the claim.

3 days ago

Maitland, Florida

Remote

p>· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.

13 days ago

Maitland, Florida

p>· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.

30+ days ago

Maitland, Florida

Basic knowledge of title industry

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

13 days ago

Maitland, Florida

p>· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.

30+ days ago

Maitland, Florida

Remote

p>· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Must be a self-starter, detail-oriented with strong organizational and verbal/written communication skills.

13 days ago

Maitland, Florida

Basic knowledge of title industry

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

13 days ago

"-", FL

Remote

$85,000–$95,000

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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.

8 days ago

Tampa, Florida

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Dispute Resolution focus - Oversee a caseload of residential property claims involving official DFS Notices of Intent to Litigate, Civil Remedy Notices, mediations, appraisals, litigated files, and other claims as volume dictates.

We are hiring multiple senior level Claims Adjusters and are specifically looking for a few select individuals with Dispute Resolution experience.

19 days ago

Gainesville, FL

This includes but is not limited to monitoring and continuing the full factual investigation of asserted claims through litigation; coordinating and ensuring timely response to interrogatories and production; tracking the progress of assigned all cases in litigation to ensure that an aggressive proactive defense and resolution of claims is accomplished within the timeframe set by SIP Management; initiating employment and retention of experts; undertaking the preparation of witnesses, including assisting outside legal outside counsel hired by the Program in the preparation of fact and expert witnesses for depositions related to claims in litigation and to assist outside legal counsel during said depositions; and developing defense strategies. This includes, but is not limited to undertaking a full factual investigation and timely response to assigned claims, asserted and potential; preparing timely appropriate responses to presuit information requests and production; tracking the progress of all assigned cases in presuit to ensure that appropriate responses, negotiations and settlement offers, or alternatively, denials and aggressive proactive defense are accomplished for the timely resolution of claims, as required by Florida Statute and policy set by SIP Management; initiating the employment and retention of experts; undertaking the preparation of witnesses and participating in unsworn statements and other presuit discovery.

30+ days ago

Palm Beach Gardens, FL

$110,000–$150,000 / year

li>Coordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management.

15+ years of experience managing construction claim programs, with strong exposure to general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.

14 days ago

Miami, FL

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Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.

Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims.

23 days ago

Naples, FL

Our Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary!.

Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.

23 days ago

Tampa, FL

li>Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance.

Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator's license (apprenticeship) before applying.

8 days ago

Tampa, FL

Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.

30+ days ago

Lakeland, FL

As a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses.

Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.

5 days ago

Tampa, FL

The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

30+ days ago

Tallahassee, FL

RESPONSIBILITIES:

Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

11 days ago

Tallahassee, Florida

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Must possess a valid driver's license with at least one year of driving experience .

For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry. .

19 days ago

Fort Lauderdale, FL

Private Investigative Agency specializing in insurance claims investigations has full & part-time positions (Employee / Subcontractors) available for experienced Investigators to conduct Surveillance assignments in Dade and Broward Counties. Ability to work independently, handle multiple tasks and meet established deadlines.

30+ days ago

Apopka, FL

$18–$22 / hour

h1>Hydradry, Inc. is seeking a highly organized and detail-oriented Claims Coordinator to support our mitigation, contents, and reconstruction teams.

The ideal candidate thrives in a fast-paced environment, has strong customer service skills, and can effectively manage multiple priorities while maintaining accuracy and professionalism.

19 days ago

Tallahassee, Florida

li>Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to:

Investigate, evaluate, and settle entry-level insurance claims.

30+ days ago

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Insurance Claims Investigator Jobs in Florida

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