Claims Analyst Jobs in Florida
Claims Analyst jobs in Florida concentrate in Jacksonville, Tampa, and Miami, where large insurers and managed care organizations maintain significant operations handling property, casualty, and health claims across every seniority level. Major employers with a lasting Florida presence include Cigna, UnitedHealth Group, and Citizens Property Insurance Corporation, the state-backed insurer that alone drives substantial demand. The most in-demand specialties are property and casualty claims, workers' compensation, and auto liability, reflecting Florida's distinct exposure to hurricane-related losses and one of the highest vehicle-count markets in the country. Find a role that fits below and apply directly.
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POSITION SUMMARY
Under the director of the CBO Director, the Post-Claims Denial Analyst RN is responsible for investigating, analyzing, and resolving clinical denied medical claims to optimize reimbursement. This role leverages clinical expertise and knowledge of payer policies, government regulations, and revenue cycle operations to determine root causes of denials.
KEY RESPONSIBILITIES
- Review denied and underpaid claims to determine the clinical and regulatory validity of denials.
- Analyze medical records and clinical documentation to support medical necessity, level of care, and correct coding.
- Submit appeal letters with supporting clinical documentation and evidence-based guidelines.
- Identify denial and recommend process improvements.
- Maintain up-to-date knowledge of Medicare, Medicaid, and commercial payer requirements.
- Track appeal outcomes and maintain detailed records to report recovery trends and financial impact.
QUALIFICATIONS AND EXPERIENCE
- Active unrestricted Registered Nurse license.
- Minimum 2-5 years of clinical experience (acute care, utilization review, case management, or similar role).
- Experience in medical claims review, appeals, or denial management within a hospital, managed care, or health system.
- Strong understanding of medical necessity, clinical guidelines, coding principles, and payer regulations.
- Knowledge of CMS guidelines, Medicare Advantage, Medicaid, and commercial payer policies.
POSITION SUMMARY
Under the director of the CBO Director, the Post-Claims Denial Analyst RN is responsible for investigating, analyzing, and resolving clinical denied medical claims to optimize reimbursement. This role leverages clinical expertise and knowledge of payer policies, government regulations, and revenue cycle operations to determine root causes of denials.
KEY RESPONSIBILITIES
- Review denied and underpaid claims to determine the clinical and regulatory validity of denials.
- Analyze medical records and clinical documentation to support medical necessity, level of care, and correct coding.
- Submit appeal letters with supporting clinical documentation and evidence-based guidelines.
- Identify denial and recommend process improvements.
- Maintain up-to-date knowledge of Medicare, Medicaid, and commercial payer requirements.
- Track appeal outcomes and maintain detailed records to report recovery trends and financial impact.
QUALIFICATIONS AND EXPERIENCE
- Active unrestricted Registered Nurse license.
- Minimum 2-5 years of clinical experience (acute care, utilization review, case management, or similar role).
- Experience in medical claims review, appeals, or denial management within a hospital, managed care, or health system.
- Strong understanding of medical necessity, clinical guidelines, coding principles, and payer regulations.
- Knowledge of CMS guidelines, Medicare Advantage, Medicaid, and commercial payer policies.
See All 10 Claims Analyst Jobs in Florida
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Find Claims Analyst JobsClaims Analyst Jobs by City in Florida
Where Florida roles are concentrated, by current openings.
Claims Analyst Job Market in Florida
A snapshot from current Florida openings, updated as new roles post.
Who's Hiring
What Florida Employers Look For
The qualifications that appear most often in claims analyst jobs across Florida.
- Florida adjuster license (6-20 all-lines or property and casualty) required or must obtain within 90 days
- Two or more years of experience handling property, casualty, auto, or health claims
- Bachelor's degree in business, finance, insurance, or a related field preferred
- Proficiency with claims management systems such as Xactimate, Guidewire, or similar platforms
- Strong written communication skills for drafting coverage determinations and denial letters
- Designation such as AIC, CPCU, or equivalent insurance credential viewed favorably by hiring managers
Claims Analyst Jobs in Florida: Frequently Asked Questions
How do you become a claims analyst in Florida?
Most Florida employers require or expect candidates to hold a Florida insurance adjuster license, issued through the Florida Department of Financial Services after passing the state licensing exam. A bachelor's degree in business, finance, or a related field strengthens your application, though some employers hire candidates without a degree if they pass the adjuster exam. Many entry-level analysts begin in claims support or customer service roles at insurers before moving into full analyst positions.
Which companies hire claims analysts in Florida?
Florida claims analyst roles are posted by Fortegra, ClinDCast, and Arrive Logistics and others right now, based on current listings on Migrate Mate as of November 2026. Florida's high catastrophe exposure and large insured population mean that both national carriers and state-specific insurers like Citizens Property Insurance Corporation maintain active and recurring analyst pipelines year-round.
Which Florida cities have the most claims analyst jobs?
Tampa, Miami, and Hialeah are the Florida cities with the most claims analyst openings. Jacksonville's concentration of major insurance company regional offices and financial services employers drives the bulk of northeast Florida demand, while Tampa and Miami support large managed care and property and casualty operations tied to Florida's high population density and coastal risk exposure.
Are there remote claims analyst jobs in Florida?
Yes, and more than most fields. About 67% of claims analyst openings tied to Florida are remote or hybrid as of November 2026, reflecting the largely desk-based, document-driven nature of the work. Roles focused on auto liability, health claims, and workers' compensation tend to offer the most remote flexibility, while field adjuster positions and complex property claims with site inspections typically require in-person work.
How can I get hired as a claims analyst in Florida with little or no experience?
The most realistic entry path is obtaining your Florida adjuster license through the Department of Financial Services before you apply, which signals readiness even without a work history in claims. Large Florida insurers and TPAs often post claims representative, claims trainee, or customer resolution roles that serve as structured on-ramps. Lateral moves from customer service, medical billing, or paralegal roles translate well because they build the documentation and communication skills claims work demands.
Where can I find and apply to claims analyst jobs in Florida?
You can find and apply to claims analyst jobs in Florida on Migrate Mate, which lists current Florida openings across property, casualty, health, and workers' compensation specialties. Find roles that fit your experience and the Florida markets you want to work in, then apply directly to each employer.
See All 10 Claims Analyst Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
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