... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
Sr Insurance and Claims Specialist
Reno, NV · On-site
$22.16 - $31.03/hr
... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
Sr Insurance and Claims Specialist
Reno, NV · On-site
$22.16 - $31.03/hr
... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
... in the prevention of denials. • Work with the Renown Contracting Department or payor ... Associates Degree Preferred. Experience: Two years healthcare billing office experience with ...
Associates receive immediate, competent care at the point of injury, reducing severity escalation ... Site teams are trained, certified, and confident in performing basic injury interventions before ...
Associates receive immediate, competent care at the point of injury, reducing severity escalation ... Site teams are trained, certified, and confident in performing basic injury interventions before ...
Associates receive immediate, competent care at the point of injury, reducing severity escalation ... Site teams are trained, certified, and confident in performing basic injury interventions before ...
Quick apply
Associates receive immediate, competent care at the point of injury, reducing severity escalation ... Site teams are trained, certified, and confident in performing basic injury interventions before ...
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Quick apply
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$86K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$86K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$82K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$82K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$82K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Las Vegas, NV · On-site
$82K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
$86K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
$86K - $155K/yr
Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Representative - Account Resolution (Legal & Medical)
Las Vegas, NV · On-site
$13.75 - $19/hr
Associates Degree required. * 2+ years of work experience in an office type environment or contact ... Preferred experience in claims, legal and/or personal injury * Must have excellent communication ...
Inpatient DRG Validator (Acute Care)
$95K - $149K/yr
This role enables associates to work virtually full-time, with the exception of required in-person ... Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and ...
Inpatient DRG Validator (Acute Care)
$95K - $149K/yr
This role enables associates to work virtually full-time, with the exception of required in-person ... Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and ...
Inpatient DRG Validator (Acute Care)
Las Vegas, NV · On-site
$95K - $149K/yr
This role enables associates to work virtually full-time, with the exception of required in-person ... Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and ...
Inpatient DRG Validator (Acute Care)
Las Vegas, NV · On-site
$95K - $149K/yr
This role enables associates to work virtually full-time, with the exception of required in-person ... Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and ...
Senior Disability Claims Analyst
Las Vegas, NV · On-site
$62K - $85K/yr
Perform all activities associated with the settlement of claims on Individual Disability insurance ... in improvement initiatives. Required Qualifications * Associates degree or equivalent * 3 to 5 ...
Senior Disability Claims Analyst
Las Vegas, NV · On-site
$62K - $85K/yr
Perform all activities associated with the settlement of claims on Individual Disability insurance ... in improvement initiatives. Required Qualifications * Associates degree or equivalent * 3 to 5 ...
Risk Manager
Las Vegas, NV · On-site
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Risk Manager
Las Vegas, NV · On-site
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Risk Manager
Las Vegas, NV · On-site
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Risk Manager
Las Vegas, NV · On-site
Certified Risk Manager and/or Associate in Risk Management preferred * Extensive safety, loss prevention, and claims training experience preferred The A's Social Impact & Belonging Statement: Social ...
Associate Claims Specialist - Workers Compensation - West Region
Las Vegas, NV · On-site
$50K - $94K/yr
... claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job ... Assists in providing service to policyholders/customers on mid-sized and/or large commercial ...
Associate Claims Specialist - Workers Compensation - West Region
Las Vegas, NV · On-site
$50K - $94K/yr
... claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job ... Assists in providing service to policyholders/customers on mid-sized and/or large commercial ...
... claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job ... Assists in providing service to policyholders/customers on mid-sized and/or large commercial ...
... claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job ... Assists in providing service to policyholders/customers on mid-sized and/or large commercial ...
Associate In Claims information
See Nevada salary details
$13.95 - $15.51
7% of jobs
$15.51 - $17.07
15% of jobs
$17.57 is the 25th percentile. Wages below this are outliers.
$17.07 - $18.63
7% of jobs
$18.63 - $20.18
14% of jobs
The median wage is $20.80 / hr.
$20.18 - $21.74
14% of jobs
$23.10 is the 75th percentile. Wages above this are outliers.
$21.74 - $23.30
19% of jobs
$23.30 - $24.86
15% of jobs
$24.86 - $26.41
3% of jobs
$26.41 - $27.97
2% of jobs
$27.97 - $29.53
1% of jobs
$29.53 - $31.09
1% of jobs
$13
$21
$31
How much do associate in claims jobs pay per hour?
What are the key skills and qualifications needed to thrive as an Associate In Claims, and why are they important?
What is an Associate in Claims?
What are some common challenges faced by an Associate in Claims, and how can they be overcome?
What is the difference between Associate In Claims vs Claims Adjuster?
| Aspect | Associate In Claims | Claims Adjuster |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance licenses or certifications | High school diploma; licensing often required depending on state and claim type |
| Work Environment | Office setting, administrative tasks, team collaboration | Field or office; inspecting damages, interviewing claimants, assessing damages |
| Industry Usage | Insurance companies, claims departments | Insurance companies, third-party claims firms |
| Common Search/Comparison | Associate In Claims vs Claims Adjuster |
The main difference between Associate In Claims and Claims Adjuster lies in their roles and responsibilities. An Associate In Claims typically supports claims processing, handles administrative tasks, and may be in training or entry-level positions. Claims Adjusters, on the other hand, actively investigate and evaluate claims, often inspecting damages and negotiating settlements. Both roles require similar credentials and work within insurance environments, but Claims Adjusters have more direct involvement in claim resolution.
- Remote Insurance Claims Adjuster
- Workers Compensation Adjuster
- Remote Desk Adjuster
- Remote Mechanical Claims Adjuster
- Medical Claims Adjuster
- Remote Dental Claims Processing
- Contract Claims Adjuster
- Full Time Remote Automotive Warranty Claims Adjuster
- Remote Marine Claims Adjuster
- Remote Overnight Claims Adjuster
- Remote Workers Compensation Claims Assistant
- Direct Claims
- Claims Adjuster Training
- Entry Level Workers' Compensation Claims Adjuster
- Va Claims Processor
- Flexible Liberty Mutual Claims Adjuster
- Work From Home Workers Compensation Claims Assistant
- Remote Aaa Claims Adjuster
- Remote Car Insurance Claims Adjuster
- Remote Aig Claims Adjuster

Renown Health rating
7.4
Based on 96 frontline employees who took The Breakroom Quiz
248th of 869 rated healthcare providers
Job description
Position Purpose
The Senior Insurance and Claims Specialist is responsible for compliant billing, account follow up and system operations to ensure timely and accurate claim submission and prevention of denials per regulatory and payor requirements, as well as improved payment turnaround.
Nature and Scope
The Senior Insurance and Claim Specialist is responsible for:
• Optimization of system that will ensure accurate claim submission and follow-up resulting in timely reimbursement per payor and regulatory guidelines.
• Complete detailed appeal of denial or payment variance to payor, incorporating contract terms, clinical or regulatory justification for reconsideration or additional reimbursement.
• Recommend system changes for clean claim submission to aid in the prevention of denials.
• Work with the Renown Contracting Department or payor representatives to resolve billing issues due to payor or regulatory changes affecting the billing of healthcare claims.
• Assisting with testing and troubleshooting of system for payor or regulatory changes.
• Maintaining expertise for all payor, HIPAA and other regulatory changes affecting the billing of healthcare claims.
• Working hand in hand with Operations Analysts and Information Technology to maintain and improve business system changes based on payor or regulatory changes.
• Acts as a resource for staff on all areas relating to edit and denial/rejection resolution.
• Identify trends in payor non-compliance and inform management if not able to resolve with payor.
• Demonstrates a thorough knowledge of all department functions, processes, and procedures.
This position does not provide patient care
Disclaimer
The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Associates Degree Preferred.
Experience:
Two years healthcare billing office experience with extensive knowledge of healthcare billing, government and third party payor requirements.
License(s):
None
Certification(s):
Coding Certification Preferred for Professional Billing.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
What Renown Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Renown Health
Sourced by ZipRecruiter
Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Reno, NV, US
Year founded
1862