Insurance Claims Specialist | Cash Applications | Remote - FL only

OverviewBe the bridge between coverage and careManages 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.ResponsibilitiesKey Responsibilities: Manage and evaluate insurance claims to ensure accuracy and timely processing Investigate claims and negotiate settlements in accordance with policy guidelines Respond to inquiries from claimants and other related parties in a timely and professional manner Assist clients with accurate and complete claim submission Coordinate with internal teams to facilitate efficient claim resolution Maintain detailed records and ensure compliance with audit standards and regulatory requirementsQualificationsMinimum Qualifications High school diploma or equivalent required 2+ years of experience in insurance claims processing or related support Working knowledge of insurance policies, coverage, and claim adjudication processes Experience investigating, resolving, and following up on claim issues Strong communication and customer service skills Ability to maintain detailed records and ensure compliance