Insurance Claims Specialist – Onsite (Gainesville)

UF Health; Gainesville (FL); Hybrid; USD 40,000 - 55,000; Full time

Job summary

UF Health in Gainesville, FL is seeking a Claims Processor to join an onsite team focused on insurance claims resolution, compliance, and customer service excellence. This full-time role requires strong attention to detail and the ability to manage multiple claims efficiently.

The successful candidate will evaluate claims for accuracy, investigate issues, and coordinate with internal departments to ensure timely processing and compliance with regulations.

Qualifications

• 2+ years of 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

Responsibilities

• 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.

Skills

Insurance claims processing

Communication skills

Attention to detail

Regulatory compliance

Education

High School Diploma/Equivalent

Tools

Epic

Microsoft Office

Job description

UF Health in Gainesville, FL is seeking a Claims Processor to join an onsite team focused on insurance claims resolution, compliance, and customer service excellence. This full-time role requires strong attention to detail and the ability to manage multiple claims efficiently.

The successful candidate will evaluate claims for accuracy, investigate issues, and coordinate with internal departments to ensure timely processing and compliance with regulations.