CrawlJobs Logo
Robert Half Logo Robert Half · Insurance

Claims Associate

United States, Sunrise, Florida · Job Posted February 13, 2026
Apply Position
Job Link Share

Job Description

We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service.

Job Responsibility

  • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed
  • Communicate with healthcare providers to gather additional documentation needed for claim evaluations
  • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents
  • Send clear and thorough correspondence to members explaining the claim adjudication process
  • Provide empathetic and detail-oriented customer service, actively listening to member concerns
  • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries
  • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information
  • Organize and prioritize tasks to meet established service standards and benchmarks
  • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions
  • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information

Requirements

  • Minimum of 2 years’ experience in medical claims or medical billing within a detail-oriented office setting
  • Strong understanding of medical codes, terminology, billing practices, and procedures
  • Ability to interpret and analyze explanation of benefits (EOB) forms
  • High school diploma required
  • additional college education is a plus
  • Proven customer service experience demonstrating empathy and active listening skills
  • Proficiency in Microsoft Office applications, including Excel, and general computer skills
  • Exceptional organizational and prioritization abilities to meet service benchmarks
  • Comfortable working in a dynamic, fast-paced environment with proactive problem-solving skills

What we offer

  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Robert Half - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Claims Associate

8 matching positions

Claims Associate

Join our dynamic Legal division as a Claim Associate, where you will become a vi...
Location
Location
United States , Framingham
Salary
Salary:
54000.00 - 75000.00 USD / Year
staples.com Logo
Staples
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 2+ years or relevant experience workers’ compensation, auto liability, or general liability claim handling (carrier, TPA, or self-insured employer) a plus
  • Proficiency in RMIS platforms and Microsoft 365 (Excel, Outlook, Teams, Word) a plus
  • High school diploma or GED
Job Responsibility
Job Responsibility
  • Triage new incidents
  • Support claim investigations
  • Evaluate and resolve claims, primarily focusing on workers’ compensation but also supporting other claim types as needed
  • Safeguard data integrity
  • Support the claims and risk team with daily administrative tasks
  • Serve as the primary point of contact for injured associates, claimants, attorneys, and business partners
What we offer
What we offer
  • Inclusive culture with associate-led Business Resource Groups
  • Flexible PTO (22 days) and Holiday Schedule (7 observed paid holidays)
  • Online and Retail Discounts
  • Company Match 401(k)
  • Physical and Mental Health Wellness programs
  • Fulltime
Read More
Arrow Right

Associate/ Senior Associate - Claims

Capsticks has an established team doing defendant clinical negligence work natio...
Location
Location
United Kingdom , Leeds
Salary
Salary:
Not provided
capsticks.com Logo
Capsticks Solicitors LLP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Litigation experience
  • Interest in defendant clinical negligence work
  • Understanding of the needs of the client base
Job Responsibility
Job Responsibility
  • Managing a caseload of claims on instructions from NHS Resolution
  • Assisting other members of the team on higher value or complex claims involving maximum severity injuries
What we offer
What we offer
  • Competitive Salary & Benefits
  • Fulltime
Read More
Arrow Right

Associate Claims Technician - Data Administration

You’ll provide administrative and operational support for the claims department,...
Location
Location
United States , Stevens Point
Salary
Salary:
Not provided
sentry.com Logo
Sentry
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma or equivalent work experience
  • Customer service experience preferred
Job Responsibility
Job Responsibility
  • Scan, route, and classify incoming mail for all claims lines of business and monitor electronic queues to ensure claims staff receive appropriate materials and documents
  • Research incoming documents to identify existing claims, accounts, new losses, and misrouted mail
  • Coordinate incoming and outgoing mail as necessary
  • Perform data entry and verification of workers compensation medical billing for processing
  • Coordinate with internal customers, vendors, attorneys, adjusters, and others to resolve issues
  • Develop knowledge of jurisdictional requirements and best practices within assigned department, ensuring all tasks are completed effectively to meet compliance standards
  • Provide administrative support to technical staff by creating documents and forms, reviewing their incoming mail, sending their correspondence, and auditing internal storage logs
  • Distribute claims legal documentation according to established procedures
  • Maintain claims participants tax ID information in applicable claims systems
  • Maintain physical storage of vehicle titles and other related documentation along with handling of outgoing mail to support the salvage team
What we offer
What we offer
  • Scheduled Hybrid work model (Monday and Friday work from home if you choose to, Tuesday through Thursday work in office)
  • In-office workspace and materials for home office
  • Laptop
  • Equipment for home office
  • Meal Subsidy
  • 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting
  • Sentry University (SentryU) and Tuition Reimbursement program
  • Generous Paid-Time Off plan
  • Volunteer-Time off
  • Group Medical, Dental, Vision, Life insurance, Parental leave
  • Fulltime
Read More
Arrow Right

Senior / Principal Associate - Claims

Location
Location
United Kingdom , London
Salary
Salary:
Not provided
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • extensive defendant clinical negligence litigation experience
  • well-versed in understanding the needs of our client base, preferably gained at a NHS Resolution Panel firm
  • experience of handling and advising on cases involving complex issues and maximum severity injuries
Job Responsibility
Job Responsibility
  • managing a caseload of complex and high value claims on instructions from NHS Resolution
  • work closely with a Partner who will supervise your work
  • opportunities for client contact and business development
What we offer
What we offer
  • Competitive Salary & Benefits
  • Fulltime
Read More
Arrow Right

Senior / Principal Associate - Claims

Capsticks has an established team doing defendant clinical negligence work in Lo...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
capsticks.com Logo
Capsticks Solicitors LLP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Extensive defendant clinical negligence litigation experience
  • Well-versed in understanding the needs of our client base, preferably gained at a NHS Resolution Panel firm
  • Experience of handling and advising on cases involving complex issues and maximum severity injuries
  • Experience of managing claims against GPs is an advantage but not essential
Job Responsibility
Job Responsibility
  • Managing a caseload of complex and high value claims on instructions from NHS Resolution
  • Working closely with a Partner who will supervise your work
  • Opportunities for client contact and business development
What we offer
What we offer
  • Competitive Salary & Benefits
  • Inclusive and supportive working environment
  • Commitment to diversity and equal opportunities
  • Reasonable adjustments to application and interview process
  • Fulltime
Read More
Arrow Right

Associate Claims Analyst

The Associate Claims Analyst processes, negotiates, and settles product liabilit...
Location
Location
United States , North Olmsted, Ohio
Salary
Salary:
40000.00 - 55000.00 USD / Year
thermatru.com Logo
Therma-Tru
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 5+ years of experience in claims management
  • Excellent written and verbal communication skills for interacting with all levels of staff, customers, suppliers, and operations
  • Proficient in processing and communication tools: SAP, Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, Teams, and internet navigation
  • Ability to manage multiple tasks and priorities in fast paced, changing environment
  • Ability to travel up to 10%
Job Responsibility
Job Responsibility
  • Independently manage assigned claims throughout the claim lifecycle
  • Analyze and process product liability claims
  • Evaluate claims for validity and proper valuation
  • Collaborate with technical experts to execute product testing
  • Validate cause of claim against known or unknown defects and review findings with FBIN technical experts
  • Open VOC or CAPA requests as necessary
  • Develop strategies to manage claims to an appropriate and timely resolution
  • Negotiate claim settlements up to designated authority level
  • Close and process claims in a timely fashion
  • Receive claims through various channels including phone, email, mail, worklist or the contact center
What we offer
What we offer
  • robust health plans
  • a market-leading 401(k) program with a company contribution
  • product discounts
  • flexible time off benefits
  • adoption benefits
  • more
  • numerous ERGs (Employee Resource Groups) to foster a sense of belonging for all associates
  • Fulltime
Read More
Arrow Right

Revenue Cycle Coverage and Claims Associate I

The Revenue Cycle Coverage and Claims Associate I will be responsible for the ac...
Location
Location
United States , Madison
Salary
Salary:
34000.00 - 56000.00 USD / Year
exactsciences.com Logo
Exact Sciences
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma or General Education Degree (GED)
  • 3+ months of experience in any healthcare field
  • Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems
  • Basic knowledge of medical terminology and/or health insurance terms
  • Demonstrated strong attention to detail and focus on quality output
  • Proficient with electronic health records
  • Proficient in Microsoft Office programs, such as Word and Outlook
  • Demonstrated ability to perform the essential duties of the position with or without accommodation
  • Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis
Job Responsibility
Job Responsibility
  • Maintain confidentiality and adhere to all HIPAA guidelines/regulations
  • Determine initial or ongoing patient insurance eligibility verification for all claims, including commercial and government insurance to the plan coverage and product level
  • Investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information
  • Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations
  • Research missing or erroneous information on accounts using various portals and other resources, including outreach and identification of unknown payors
  • Stay current with relevant medical billing regulations, rules, and guidelines
  • Provide ad-hoc support within the department for special projects and outages/high volume events
  • Complete position responsibilities within the appropriate time frame while adhering to quality standards
  • Ability to communicate effectively with all levels of staff through both verbal and written communications
  • Ability to work in a team environment and adapt to changing workload and circumstances effectively
What we offer
What we offer
  • paid time off (including days for vacation, holidays, volunteering, and personal time)
  • paid leave for parents and caregivers
  • a retirement savings plan
  • wellness support
  • health benefits including medical, prescription drug, dental, and vision coverage
  • bonus eligible
  • Fulltime
Read More
Arrow Right

Associate - Claims - Personal Injury

Capsticks is expanding its personal injury team and are looking for applicants t...
Location
Location
United Kingdom , Birmingham or Leeds
Salary
Salary:
Not provided
capsticks.com Logo
Capsticks Solicitors LLP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in a legal based environment handling casualty claims, both pre and post litigation
  • Self-motivated and ambitious
  • Ability to effectively use a case management system
  • Ability to manage a caseload and meet financial targets
  • Proven ability to assess legal liability, causation and damages and the need for investigation
Job Responsibility
Job Responsibility
  • Handle cases on behalf of NHS Trusts and insurer clients
  • Manage own caseload of EL and PL pre-litigation and litigated claims of mainly Fast Track and low value Multi track cases
  • Assist on higher value and more complex claims
What we offer
What we offer
  • Competitive Salary & Benefits
  • Good opportunities for advancement including business and practice development
  • Fulltime
Read More
Arrow Right