Claims Resolution Specialist Jobs in Florida

Claims Resolution Specialist jobs in Florida are concentrated in Miami, Tampa, and Jacksonville, where large insurers, managed care organizations, and health systems maintain major operations and hire at every level from entry-level examiners to senior dispute resolution leads. Companies like UnitedHealth Group, Cigna, and Humana have a durable presence across the state, and demand is consistently strongest in medical billing disputes, property and casualty claims, and healthcare reimbursement. Florida's high volume of insured residents and its position as a national hub for Medicare Advantage plans keep this role in steady demand. See the openings below and apply to the ones that match your experience.

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Overview

Open roles5
Top employerCVS Health
Top cityFlorida
Cities hiring4
Work type50% Hybrid
Top industryHealthcare

Showing 5 of 5+ Claims Resolution Specialist jobs

Freedom Finance Solutions
MCA ATTORNEY / COMMERCIAL LITIGATION ATTORNEY (B2B Business Debt Resolution • Merchant Cash Advance)
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Freedom Finance Solutions
Added 1w ago
MCA ATTORNEY / COMMERCIAL LITIGATION ATTORNEY (B2B Business Debt Resolution • Merchant Cash Advance)
Freedom Finance Solutions
Wynwood, Florida
Compliance & Legal
Consulting & Professional Services
Legal Counsel
$5,000 - $15k/yr
Hybrid

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CVS Health
Insurance AR Resolution Analyst, Revenue Cycle
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CVS Health
Added 1w ago
Insurance AR Resolution Analyst, Revenue Cycle
CVS Health
Florida
Business Operations
Customer Service
Customer Success
$44k - $102k/yr
Remote (US)
High school diploma or GED
10,000+

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LogixHealth
Regional Manager, Accounts Resolution
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LogixHealth
Added 3w ago
Regional Manager, Accounts Resolution
LogixHealth
Dania Beach, Florida
Healthcare Administration
Medical Specialists
Physicians
$73k - $91k/yr
On-Site
51-200

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Synergy Settlement Services
Attorney Relationship Manager - Personal Injury & Lien Resolution
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Synergy Settlement Services
Added 1mo ago
Attorney Relationship Manager - Personal Injury & Lien Resolution
Synergy Settlement Services
Orlando, Florida
Account Management
Business Development
Sales
$75k - $95k/yr
Bachelor's degree
2-10

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The Cardiac and Vascular Institute
AR Resolution Specialist Lead
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The Cardiac and Vascular Institute
Added 1mo ago
AR Resolution Specialist Lead
The Cardiac and Vascular Institute
Gainesville, Florida
Business Development
Business Strategy
Executive Leadership & C-Suite
Partnerships & Business Development
Hybrid
Bachelor's degree in business
51-200

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Claims Resolution Specialist Jobs by City in Florida

Where Florida roles are concentrated, by current openings.

Orlando
1 job
Wynwood
1 job
Dania Beach
1 job
Gainesville
1 job

Claims Resolution Specialist Job Market in Florida

A snapshot from current Florida openings, updated as new roles post.

Who's Hiring

CVS Health
CVS Health1 open role
LogixHealth
LogixHealth1 open role
Freedom Finance Solutions
Freedom Finance Solutions1 open role

Top Industries Hiring

  • Healthcare & Medical Services

What Florida Employers Look For

The qualifications that appear most often in claims resolution specialist jobs across Florida.

  • Associate or bachelor's degree in healthcare administration, business, or a related field
  • Two or more years of experience in claims processing, appeals, or denial management
  • Working knowledge of CPT, ICD-10, and HCPCS coding conventions used in Florida claims
  • Proficiency with claims management platforms such as Facets, Xifin, or Epic
  • Demonstrated ability to interpret Florida insurance regulations and payer contract terms
  • Strong written communication skills for documenting dispute rationale and resolution outcomes

Claims Resolution Specialist Jobs in Florida: Frequently Asked Questions

How do you become a claims resolution specialist in Florida?

Most Florida employers hire candidates with an associate or bachelor's degree in healthcare administration, business, or a related field, combined with direct experience in claims processing or medical billing. Florida does not require a state-issued license specifically for this role, but employers strongly prefer candidates who have completed coursework or earned a certification in medical coding such as the Certified Professional Coder credential. Starting in a billing, coding, or patient accounts position at a Florida hospital system or insurer is the most common path into the role.

Which companies hire claims resolution specialists in Florida?

Companies currently hiring claims resolution specialists in Florida include CVS Health, LogixHealth, and Freedom Finance Solutions, per current listings on Migrate Mate as of July 2026. Florida's concentration of Medicare Advantage plans and large regional health systems means hiring activity is especially steady among managed care organizations and multi-state insurers with Florida headquarters or major service centers.

Which Florida cities have the most claims resolution specialist jobs?

Florida, Orlando, and Wynwood have the most claims resolution specialist openings in Florida. Miami leads because of its density of managed care plans and large hospital networks serving one of the country's highest-volume insurance markets, while Tampa and Jacksonville anchor significant back-office and claims operations for regional insurers and national payers with Florida campuses.

Are there remote claims resolution specialist jobs in Florida?

Yes, and more than most fields, because claims resolution is a desk-based, documentation-driven role that translates well to remote work. About 75% of claims resolution specialist openings tied to Florida are remote or hybrid as of July 2026, reflecting how broadly payers and health systems have extended flexible arrangements since expanding their distributed workforces. The parts of the role most likely to be fully remote are denial management, written appeals, and payer correspondence rather than roles requiring real-time coordination with clinical or front-desk staff.

How can I get hired as a claims resolution specialist in Florida with little or no experience?

The most realistic entry path is applying for a patient accounts representative or billing coordinator role at a Florida hospital system or large physician group, where on-the-job exposure to claim denials and payer correspondence builds directly transferable skills. AdventHealth, HCA Florida, and BayCare Health System run structured onboarding programs for entry-level revenue cycle staff across their Florida facilities. Completing a medical billing and coding certificate through a Florida community college and pairing it with a Certified Professional Coder exam attempt signals readiness to employers even without prior claims-specific experience.

Where can I find and apply to claims resolution specialist jobs in Florida?

You can find and apply to claims resolution specialist jobs in Florida on Migrate Mate, which lists current Florida openings updated regularly. Search the listings, find the roles that fit your background and location, and apply directly to the ones that match.

See All 5 Claims Resolution Specialist Jobs in Florida

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