Insurance Claims Spec

Locations:
Gainesville, Florida

Bring your claims expertise to a remote team committed to service excellence and operational success.

Work Style:
Remote (on-site training available);
Location Requirement:
Gainesville, FL; FTE:
Full-Time (1.0 FTE)

• Manages and evaluates insurance claims to ensure accuracy and timely processing.
• Investigates claims, reviews supporting documentation, and negotiates appropriate settlements.
• Responds to inquiries from claimants, vendors, and related parties in a timely and professional manner.
• Assists clients with proper claim submission and provides guidance throughout the claims process.
• Coordinates with internal teams to facilitate efficient claim resolution and workflow management.
• Maintains detailed and accurate records while ensuring compliance with regulatory and audit requirements.

• High School Diploma/Equivalent Experience Requirements
• 2+ years of experience in insurance claims processing and support.
• Working knowledge of insurance policies, coverage, and claims adjudication processes.
• Experience investigating, analyzing, and resolving claim-related issues.
• Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.
• Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.
  
  Preferred Qualifications:

• Experience with UB04 Billing - required