Claims Auditor

Position: Claims Auditor


Job Type: Full Time


Department: Health & Human Services


Location: HOLLYWOOD


Posted: 02/23/2026

Job Description


The incumbent in this position is responsible for auditing and reviewing employee's benefits activities and processing health claims, including analyzing payments, procedures and guidelines of benefits. The individual investigates the validity of claims, reviews and settles benefit claims and processes claims for payment ensuring that STOF employees and Tribal Member's health insurance claims are processed and resolved in a timely manner. The individual provides guidance to Tribal Members and employees on health insurance claims. The incumbent maintains accurate case files and issues reports on general claims activity. Bachelor's degree in Health Administration, Accounting, Business Administration, Human Resources Management or related field is required. A minimum of three (3) years of experience working as claims auditor, benefits coordinator or experience processing insurance claims is required; or an equivalent combination of education/training and experience will be considered. Possession of a valid Florida Driver's License is required. Demonstrate excellent customer service and organizational skills. Demonstrate excellent written and verbal communication skills. Demonstrate proficiency utilizing Microsoft software packages. Ability to work a flexible schedule including evenings, weekends and holidays.

Benefits:


The Seminole Tribe of Florida provides a comprehensive benefits package.


The Seminole Tribe of Florida is a drug free workplace, drug screening is a requirement of employment. We exercise Native American preference.