We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service. Responsibilities: • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed. • Communicate with healthcare providers to gather additional documentation needed for claim evaluations. • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents. • Send clear and thorough correspondence to members explaining the claim adjudication process. • Provide empathetic and detail-oriented customer service, actively listening to member concerns. • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries. • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information. • Organize and prioritize tasks to meet established service standards and benchmarks. • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions. • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.

• Minimum of 2 years’ experience in medical claims or medical billing within a detail-oriented office setting. • Strong understanding of medical codes, terminology, billing practices, and procedures. • Ability to interpret and analyze explanation of benefits (EOB) forms. • High school diploma required; additional college education is a plus. • Proven customer service experience demonstrating empathy and active listening skills. • Proficiency in Microsoft Office applications, including Excel, and general computer skills. • Exceptional organizational and prioritization abilities to meet service benchmarks. • Comfortable working in a dynamic, fast-paced environment with proactive problem-solving skills.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s <a href="https://www.roberthalf.com/us/en/terms">Terms of Use</a> and <a href="https://www.roberthalf.com/us/en/privacy">Privacy Notice</a>.

Sunrise, FL
onsite
Temporary
18.05 - 20.90 USD / Hourly
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service. Responsibilities: • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed. • Communicate with healthcare providers to gather additional documentation needed for claim evaluations. • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents. • Send clear and thorough correspondence to members explaining the claim adjudication process. • Provide empathetic and detail-oriented customer service, actively listening to member concerns. • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries. • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information. • Organize and prioritize tasks to meet established service standards and benchmarks. • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions. • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
2026-02-04T15:03:47Z

Claims Associate Job in Sunrise, FL | Robert Half