Accident & Health Claim Examiner

One80 Intermediaries; Clearwater (FL); On-site; USD 20,664 - 25,141; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Job summary

A leading insurance wholesaler in Florida is seeking a Claims Coordinator to analyze and process claims accurately. The ideal candidate possesses excellent communication skills and the ability to work independently. This full-time position offers a competitive hourly wage between $15.00 - $18.25, plus a comprehensive benefits suite including medical and retirement savings.

Qualifications

• Ability to comprehend complicated workflows, policy certificates, and provisions.
• Ensuring claims are processed accurately according to policy provisions.

Responsibilities

• Analyze and research claim issues of moderate to complex difficulty.
• Request and obtain necessary documents for claim processing.
• Release accurate benefit payments in accordance with policies.

Skills

Excellent interpersonal skills

Oral communication skills

Written communication skills

Ability to function independently

Education

High School Diploma or equivalent

Job description

Accident & Health Claim Examiner

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines.

Your Impact

• Analyze and research claim issues of moderate to complex difficulty.
• Ability to comprehend complicated workflows, policy certificates and policy provisions.
• Review and apply policy provisions in processing of claims received.
• Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation.
• Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements.
• Proper documentation of required information in claim system, including follow up information.
• Receive inbound calls within assigned queues and/or as overflow for the CSR team

Successful Candidate Will Have

• High School Diploma or equivalent
• Ability to function independently within established guidelines
• Excellent interpersonal, oral and written communication skills

About One80

One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, One80 Intermediaries was ranked the 14th largest broker in the U.S. by Business Insurance. In 2025, One80 Intermediaries earned the Great Place To Work® Certification™ for the second consecutive year.

Compensation

At One80 Intermediaries, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, life, and retirement savings. The expected base hourly pay range for this position is between $15.00 - $18.25 plus discretionary bonus. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.

Seniority Level

• Entry level

Employment Type

• Full-time

Job Function

• General Business

Industries

• Insurance

Benefits

• Medical insurance
• Vision insurance
• 401(k)