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47 claims processing jobs at 36 companies in Boca Raton, FL

1mo
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Senior Claims Representative
Miami, Florida, United States
$137k-$205k/yr HybridFull Time
QBE Insurance Group
QBE Insurance GroupASX: QBE: Provides international general insurance and reinsurance products and services.
Oversee and process complex claims, supervise claims staff, develop claims processes; preferred tertiary degree, insurance designation or enrollment, and LATAM-qualified attorneys preferred.
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1mo
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Claims Correspondence Coordinator
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEHigh school diploma or equivalent (associate preferred); minimum 2 years claims processing or healthcare administration experience; proficiency with Microsoft Office Suite and claims management systems; experience processing UB04 and CMS 1500; familiarity with HIPAA preferred.
Microsoft Office Suite
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2w
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Claims Adjuster-Worker's Compensation
Fort Lauderdale, Florida, United States
$57k-$90k/yr OnsiteFull Time
Broward County
Broward County: Providing municipal administration and public infrastructure for the county.
4+ YOEFlorida All-Lines Adjuster license required, 4+ years adjusting workers' compensation/liability claims, valid Florida Class E driver’s license, experience with EDI/CMS and claim investigation/settlement processes.
EDI, CMS
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2mo
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Childcare Food Program Claims Rep
Fort Lauderdale, Florida, United States
OnsiteFull Time
Family Central
Family Central: Provides educational and family support services for children and families.
1+ YOEHigh school diploma; 1 year claims processing experience (2 years preferred); Florida driver’s license; strong communication; ability to work flexible hours; background screening required.
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1mo
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On-site Medical Claims Examiner
Miami, Florida, United States
OnsiteFull Time
Alivi
Alivi: Provides medical transportation coordination and healthcare benefit management.
3+ YOEHigh school diploma, 3+ years claims operations experience (Medicare) processing medical claims; knowledge of CPT/ICD-10/Revenue codes, Medicare fee schedules, and Excel/Office; strong analytical and communication skills.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Outlook, Health Suite
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1w
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Senior Data Engineer – EDI Claims Processing
Plantation, Florida, United States
OnsiteFull Time
NationsBenefits
NationsBenefits: Provides supplemental health benefits and fintech payment solutions.
5+ YOEBachelor's or equivalent, 5+ years data engineering experience, strong Databricks/PySpark/Delta Lake/SQL Server skills, deep knowledge of HIPAA X12 EDI and Medicaid encounter processing, claims validation and clearinghouse integration.
Databricks, PySpark, Delta Lake, SQL Server, T-SQL, Azure Databricks, HIPAA X12 EDI, HIPAA Suite, Availity, Change Healthcare, FHIR, HL7, Azure
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1mo
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Third Party Claims Specialist-Finance-BHC
Fort Lauderdale, Florida, United States
OnsiteFull Time
Broward Health
Broward Health: Operates public hospitals and healthcare centers in South Florida.
1+ YOEReview, research, correct, and submit third‑party claim forms; high school diploma/GED and 1 year experience required; knowledge of claims processing and electronic transmission.
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1w
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
ICE
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
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2mo
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Analyst, Claims Research
Miami, Florida, United States
OnsiteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
3+ YOEAt least 3 years of medical claims processing experience; multi-state exposure; data analysis; strong communication and organizational skills.
Microsoft Excel, Office Suite, Data analysis tools
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Quest Health Solutions LLC - RCM Insurance Specialist
Coral Springs or West Plains
OnsiteFull Time
Quest Health Solutions
Quest Health Solutions: Distributes continuous glucose monitoring systems and diabetes management supplies.
Healthcare revenue cycle, DME, insurance verification, payer configuration, Brightree, and claims processing experience.
Brightree, E-claim, Insurance verification, Payer configuration
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2w
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Distribution Associate
Miami, Florida, United States
$17-$22/hr OnsiteFull Time
Pantropic Power
Pantropic Power: South Florida's authorized Caterpillar dealer for power systems and engines.
Receive, inspect, and process incoming parts; fill backorders; pack and prepare orders for pickup or shipment; apply freight charges and process carrier claims.
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2mo
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Sales Representative
Pembroke Pines, Florida, United States
$40k/yr HybridFull Time
1-800 WATER DAMAGE
1-800 WATER DAMAGE: Provides emergency property restoration and disaster cleanup services.
Sales experience, ability to speak with homeowners, handle claims process, make calls, follow leads, close sales.
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2w
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Admin Clerical
Miramar, Florida, United States
OnsiteFull Time
Integrated Home Care Services
Integrated Home Care Services: Provides integrated home health, medical equipment, and infusion services.
Processing and verifying health plan claims, preparing and scanning supporting documentation, mailing records; familiarity with Brightree and MedTrac preferred.
Brightree, MedTrac
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2mo
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Account Associate - State Farm Agent Team Member
Hialeah, Florida, United States
$40k/yr OnsiteFull Time
James Boruff Insurance and Financial Services
James Boruff Insurance and Financial Services: Local insurance agency providing auto, home, and life insurance.
Manage client accounts, assist with policy changes, process claims; strong organizational and customer service skills; insurance experience preferred.
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1w
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Account Associate - State Farm Agent Team Member
Pembroke Pines, Florida, United States
$65k-$95k/yr OnsiteFull Time
Madison Riordan State Farm Agent
Madison Riordan State Farm Agent: Provides personal insurance products and financial services to individuals.
Managing customer accounts, assisting with policy changes, processing claims, coordinating with underwriters, strong organizational and customer service skills, sales-oriented.
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3w
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Account Associate - State Farm Agent Team Member
Boca Raton, Florida, United States
$80k-$120k/yr OnsiteFull Time
Mike Potter State Farm
Mike Potter State Farm: Local agency providing State Farm insurance and financial services.
Strong organizational and customer service skills; insurance experience preferred; ability to manage accounts, process claims, coordinate with underwriters, and communicate effectively.
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3d
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Pharmacy Technician-Certified
Coral Springs, Florida, United States
OnsiteFull Time
Costco Wholesale
Costco WholesaleNASDAQ: COST: Operates membership-only warehouse clubs selling a variety of goods.
Assisting pharmacists to fill and dispense prescriptions, customer service at pharmacy counter, stocking and inventory, processing invoices and insurance claims per state law.
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1w
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Billing/Collections Specialist
Royal Palm Beach or Wellington
OnsiteFull Time
HOPCo
HOPCo: Provides musculoskeletal practice management and value-based healthcare programs.
Experience with medical billing and collections, claims processing, denial resolution, patient/insurer research, strong accuracy and productivity, and knowledge of billing and coding guidelines.
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3d
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ADMIN ASSISTANT (FULL TIME)
Coral Gables, Florida, United States
$25/hr OnsiteFull Time
Compass Group
Compass GroupLondon Stock Exchange: CPG: Provides contract food and support services globally.
Prior clerical/administrative experience required; perform phone handling, recordkeeping, cash and vendor invoice processing, bank reconciliation, and state claim preparation.
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3w
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Pharmacy Technician
Palm Springs, Florida, United States
OnsiteFull Time
Pharmcare USA
Pharmcare USA: Provides specialized pharmacy services to long-term care facilities.
Perform prescription preparation and labeling, process insurance claims, manage inventory, maintain records, communicate with patients and providers, and comply with pharmacy laws and HIPAA.
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