Insurance Claims Specialist

Insurance Claims SpecialistWork Style: Hybrid Location Requirement: UF Health Flagler FTE: Full-Time (1.0 FTE) Manages and evaluates insurance claims to ensure accurate coverage determination and timely processing. Investigates claims, reviews documentation, and responds to inquiries from claimants, providers, and payers. Assists clients in submitting claims correctly and collaborates with internal teams to support efficient resolution.

Maintains detailed records, verifies compliance with regulatory and organizational standards, and supports audit readiness. Plays a key role in optimizing cash application processes, resolving discrepancies, and improving overall revenue cycle performance.Key Responsibilities:Manage and evaluate insurance claims to ensure accuracy and timely processingInvestigate claims and negotiate settlements in accordance with policy guidelinesRespond to inquiries from claimants and other related parties in a timely and professional mannerAssist clients with accurate and complete claim submissionCoordinate with internal teams to facilitate efficient claim resolutionMaintain detailed records and ensure compliance with audit standards and regulatory requirementsMinimum Qualifications:High school diploma or equivalent required2+ years of experience in insurance claims processing or related supportWorking knowledge of insurance policies, coverage, and claim adjudication processesExperience investigating, resolving, and following up on claim issuesStrong communication and customer service skillsAbility to maintain detailed records and ensure compliance