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Claim Associate Jobs in Utah (NOW HIRING)

Salt Lake Valley Automotive

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications: * High school diploma or equivalent required. * Associate degree in business administration ...

Salt Lake Valley Automotive

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications: * High school diploma or equivalent required. * Associate degree in business administration ...

Sky Ford of Provo

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications: * High school diploma or equivalent required. * Associate degree in business administration ...

Salt Lake Valley Automotive

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications: * High school diploma or equivalent required. * Associate degree in business administration ...

Sky Ford of Provo

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications: * High school diploma or equivalent required. * Associate degree in business administration ...

Salt Lake Valley Gmc Truck

Warranty Administrator

Provo, UT · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Analytical skills to resolve claim disputes or rejections effectively. Education and Certifications * High school diploma or equivalent required. * Associate degree in business administration ...

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All JobsClaim Associate JobsClaim Associate Jobs in Utah

Claim Associate information

See Utah salary details

$12

$19

$25

How much do claim associate jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for claim associate in Utah is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.77 per hour, depending on experience, location, and employer.

What is a claim associate?

Claim Associates are professionals who handle and process insurance claims for individuals or businesses. They review claim details, gather necessary documentation, and communicate with policyholders to verify information and determine coverage. Their goal is to ensure that claims are processed efficiently and accurately according to company policies and regulations. Claim Associates may also coordinate with other departments and provide customer service throughout the claims process.

What is the difference between Claim Associate vs Claims Adjuster?

AspectClaim AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, data entryField and office work, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, claims processing centersInsurance companies, third-party claims firms
Common Search & ComparisonOften compared for entry-level roles in claims processingMore experienced, investigative roles in claims handling

The main difference between a Claim Associate and a Claims Adjuster lies in their responsibilities and experience level. Claim Associates typically handle initial claims processing and customer service, while Claims Adjusters investigate and evaluate claims, often requiring more experience and licensing. Both roles are essential in the insurance industry, but they differ in scope and complexity.

What are the typical challenges a claim associate faces when handling multiple claims simultaneously?

Claim Associates often manage several claims at once, which requires strong organizational skills and attention to detail. One common challenge is prioritizing tasks to ensure timely processing while maintaining accuracy. Additionally, balancing communication with claimants, providers, and internal teams can be demanding, especially when resolving complex cases. Building effective time management strategies and leveraging claim management software can help Claim Associates meet deadlines and reduce errors.

Is claims processing a stressful job?

Claims processing is a core responsibility of Claim Associates, involving reviewing and managing insurance claims, which can be stressful due to tight deadlines, high workload, and the need for accuracy. The job often requires strong attention to detail, communication skills, and the ability to handle sensitive information under pressure.

How much do claim associates make in the US?

Claim associates in the US typically earn an average salary of around $45,000 to $55,000 per year. Salaries can vary based on experience, location, and the employer, with some earning higher with specialized skills or certifications in claims processing and insurance procedures.

What are the key skills and qualifications needed to thrive as a claim associate, and why are they important?

To thrive as a Claim Associate, you need strong analytical abilities, attention to detail, and a foundational understanding of insurance policies, typically supported by a high school diploma or equivalent. Familiarity with claims management software, document processing systems, and sometimes basic Excel skills is often required. Excellent communication, problem-solving, and customer service skills help build trust and effectively resolve client issues. These skills ensure accurate claim processing, client satisfaction, and efficient workflow in a high-volume environment.
What are the most commonly searched types of Claim jobs in Utah? The most popular types of Claim jobs in Utah are:
Claim Associate jobs near you
Infographic showing various Claim Associate job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 26% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,859 per year, or $19.2 per hour.

Pharmacy Claims Adjudication Specialist

Onco360

Salt Lake City, UT • On-site

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 112 rated pharmacies

Job description

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy working in Mountain Time Zone.This will be a Full-Time position.This is a remote/hybrid opportunity,
Shift times start at 10am Mountain Time Zone until 8pm Mountain Time Zone.
Full-Time position may work remotely but MUST HAVE ACTIVE UTAH PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $23.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before August 31, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits - life; and short and long-term disability

Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections
Pharmacy Adjudication Specialists at Onco360...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documenst and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/Knowledge
    • Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Required: Registration with Board of Pharmacy as required by state law
    • Desired: Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills

What Onco360 employees say

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