[Hiring] Insurance Claims Specialist @UF Health

Role Description

Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from claimants and related parties. Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to supporting audit and regulatory requirements.

• Manages and evaluates insurance claims for accuracy and timely processing.
• Investigates claims and negotiates settlements.
• Responds to inquiries from claimants and related parties.
• Assists clients in submitting claims correctly.
• Coordinates with internal teams to facilitate claim resolution.
• Maintains detailed records and verifies claim compliance.

Qualifications

• High School diploma or equivalent.
• 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.
• Experience with Physician billing (preferred).
• Experience with Hospital billing (preferred).

Company Description