Insurance Claims Support Spec

UF Health; United States; Remote; USD 42,000 - 64,000; Full time

Job summary

UF Health in Gainesville, FL is seeking a claims specialist for a remote role with on-site training available. You will manage and evaluate insurance claims, ensure timely processing, and provide guidance to claimants throughout the process.

The role emphasizes accuracy, compliance with regulatory and audit requirements, and collaboration with internal teams to resolve claims efficiently. Remote work offered with location-based training; requires 2+ years in claims processing and strong customer

Qualifications

• 2+ years of experience in insurance claims processing and support.
• Working knowledge of insurance policies, coverage, and claims adjudication processes.
• Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.

Responsibilities

• 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.

Skills

Claims processing

Communication

Regulatory knowledge

Record keeping

Education

High School Diploma/Equivalent

Tools

UB04 Billing

Job description

Locations: Gainesville, Florida

Overview

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)

Key Responsibilities

• 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.

Qualifications

Education

• High School Diploma/EquivalentExperience 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:

Preferred Qualifications

• Experience with UB04 Billing - required