Accident and Health Claims Examiner

Brown & Brown Insurance

. Analyze and research claim issues of moderate to complex difficulty .

Posted 10/1/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and processing claims, ensuring compliance with policy provisions and industry standards. Proficient in managing documentation and communication effectively within established guidelines.

Highest-signal resume keywords

Claims AnalysisPolicy Provisions ReviewDocumentation ManagementInterpersonal CommunicationMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingWorkflow ComprehensionBenefit Payment ReleaseDocument RequestingInformation Documentation

Soft Skills

Interpersonal SkillsOral CommunicationWritten CommunicationIndependent Functioning

Tools & Technologies

Claim SystemMicrosoft Office

Certifications & Qualifications

High School Diploma

Industry Keywords

CBP PolicyTPA AgreementsSLA AgreementsClaim IssuesIndustry Standards

About the role

Key responsibilities & impact

Analyze and research claim issues of moderate to complex difficulty
Comprehend complicated workflows, policy certificates, and policy provisions
Review and apply policy provisions in processing claims received
Request and obtain necessary documents for claim processing and schedule documentation follow-ups
Release accurate benefit payments in accordance with CBP policy, industry standards, and applicable TPA or SLA agreements
Properly document required information and follow-up information in the claim system
Receive inbound calls within assigned queues and/or as overflow for the CSR team

Requirements

What you’ll need

High School Diploma or equivalent
Ability to function independently within established guidelines
Excellent interpersonal, oral and written communication skills
Intermediate skill level in Microsoft Office programs

Benefits

Comp & perks

Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
Paid Time Off
Holidays
Preferred Partner Discounts