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Associate In Claims Jobs in Tennessee (NOW HIRING)

Elevance Health

Claims Auditor Lead

Nashville, TN · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

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Associate In Claims information

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$12

$19

$27

How much do associate in claims jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for associate in claims in Tennessee is $19.05, according to ZipRecruiter salary data. Most workers in this role earn between $15.48 and $20.96 per hour, depending on experience, location, and employer.

What is an associate in claims?

An Associate in Claims (AIC) is a professional designation awarded by The Institutes to individuals who have demonstrated expertise in handling insurance claims. The designation is achieved by completing a series of courses and exams focused on claims investigation, evaluation, negotiation, and settlement. Earning an AIC can enhance a claims professional's knowledge, credibility, and career advancement opportunities within the insurance industry.

What skills and qualifications are needed to thrive as an associate in claims?

To thrive as an Associate In Claims, you need a solid understanding of insurance principles, claim investigation, and policy analysis, often supported by an AIC designation or similar qualification. Familiarity with claims management systems, documentation tools, and relevant regulatory software is typically required. Strong analytical thinking, negotiation, and customer service skills help you resolve claims efficiently and build trust with policyholders. These competencies are essential for accurate claim handling, regulatory compliance, and maintaining company reputation.

What are common challenges faced by an associate in claims, and how can they be overcome?

Associates in Claims often encounter challenges such as handling high volumes of claims, managing tight deadlines, and communicating effectively with policyholders who may be upset or stressed. To overcome these challenges, strong organizational skills and the ability to prioritize tasks are essential. Additionally, developing effective communication and conflict resolution techniques helps build trust with clients and resolve disputes more efficiently. Regular collaboration with senior adjusters and ongoing training can also support professional growth and improve problem-solving abilities.

What is the difference between Associate In Claims vs Claims Adjuster?

AspectAssociate In ClaimsClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licenses or certificationsHigh school diploma; licensing often required depending on state and claim type
Work EnvironmentOffice setting, administrative tasks, team collaborationField or office; inspecting damages, interviewing claimants, assessing damages
Industry UsageInsurance companies, claims departmentsInsurance companies, third-party claims firms
Common Search/ComparisonAssociate 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.

Is being an Associate In Claims hard?

Being an Associate In Claims can be challenging as it requires strong attention to detail, good communication skills, and the ability to analyze policies and claims accurately. The role often involves handling complex cases, working under deadlines, and using claims management software, which can be demanding for some individuals.

What are popular job titles related to Associate In Claims jobs in Tennessee?

For Associate In Claims jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Associate In Claims jobs in Tennessee look for?

The top searched job categories for Associate In Claims jobs in Tennessee are:

What cities in Tennessee are hiring for Associate In Claims jobs?

Cities in Tennessee with the most Associate In Claims job openings:

Associate In Claims jobs near you
Infographic showing various Associate In Claims job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 26% Part Time, 1% Temporary, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,621 per year, or $19 per hour.

Claims Auditor Lead

Elevance Health

Nashville, TN • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Key responsibilities

  • Process high dollar claims within Service Operations, including pre and post payment and adjudication audits of medical and pharmacy claims.

  • Conduct audits for new hires and team members learning new skills, and review, interpret, and maintain records of quality and productivity for the team.

  • Review and resolve complex claim audit issues, serve as a subject matter expert on policy and workflow, and interface with support teams and management on claims review and resolution.

Elevance Health rating

7.5

Company rating: 7.5 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

219th of 315 rated insurance

Job description

Claims Auditor Lead

Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.

The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations. Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy. Serves as the subject matter expert for the unit.

Primary duties may include, but are not limited to:

  • Responsible for all team training including but not limited to new hires, cross training, new product and system enhancements.

  • Conducts audits for new hires and/or any team member learning a new skill.

  • Reviews, interprets and maintains records of quality and productivity for entire team.

  • Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized correctly.

  • Utilizes inventory management strategies to monitor priorities and ensure timely turnaround of all claims.

  • Responsible for creating, updating and maintaining departmental policy and claims auditor procedure manuals for accuracy.

  • Independently analyzes and makes decisions on complex claim audit issues.

  • Serves as subject matter expert on policy, workflow and technical questions.

  • Interfaces with all levels of support including but not limited to production support, medical management, provider /vendor contracting and other audit teams.

  • Partners with Management on complex claims reviews and resolution.

  • Responsible for reviewing and resolving shared mailbox issues.

  • Interprets contracts, prepares monthly reports, and attends meetings as subject matter expert when requested.

  • Manages projects as assigned and may work across different platforms or lines of business.

  • Reviews and responds to external audit requests.

  • Performs audit reviews of and may adjudicate complex high dollar claims by completing an end to end audit with final approval authority.

Minimum Requirements:

Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.

Preferred Requirements:

  • Proficiency in Microsoft Office Suite is highly preferred.

  • Commercial Claims experience is highly preferred

  • CI&W and WGS experience is highly preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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