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Claim Associate Jobs in Chester, PA (NOW HIRING)

NEWMARK

Insurance Associate

Lower Gwynedd, PA · Hybrid

Review all claim documents such as Statement of Loss, repair contracts, Adjuster Reports, fire reports, etc.. * Develop and maintain strong relationships by working with borrowers, adjusters ...

Litchfield Cavo LLP

Associate Attorney 3

Cherry Hill, NJ · On-site

$125K - $135K/yr

OPPORTUNITY | Associate Attorney Our Cherry Hill, NJ office seeks a well-rounded, highly-motivated ... clients, claim professionals, opposing counsel, colleagues and staff. Our Firm provides an ...

Cna

Commercial Auto Claims Representative

Radnor, PA · Hybrid

Associates or Bachelor's Degree preferred. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Prior claim handling, or business ...

Nourish

Senior RCM Associate

Philadelphia, PA · Remote

... the Senior RCM Associate will support all billing and revenue cycle operations at Nourish ... claim workflows, and building and optimizing RCM processes as we scale into new service lines and ...

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All JobsClaim Associate JobsClaim Associate Jobs in Chester, PA

Claim Associate information

See Chester, PA salary details

$13

$20

$27

How much do claim associate jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claim associate in Chester, PA is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.02 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 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 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.

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.

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.

Is claims processing a stressful job?

Claims processing is a claim associate role that can be stressful due to tight deadlines, high workload, and the need for accuracy. It requires strong attention to detail, communication skills, and the ability to handle sensitive information efficiently.

What cities near Chester, PA are hiring for Claim Associate jobs?

Cities near Chester, PA with the most Claim Associate job openings:

Claim Associate jobs near you
Infographic showing various Claim Associate job openings in Chester, PA as of July 2026, with employment types broken down into 69% Full Time, 27% Part Time, 1% Temporary, and 3% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $42,236 per year, or $20.3 per hour.

Ops Quality Auditing Analyst

Amerihealth Caritas

Philadelphia, PA • Hybrid

Full-time

Medical, Retirement, PTO

Posted 4 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

132nd of 315 rated insurance

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Role Overview:

The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical expertise and analysis to the functional areas supported by the Quality Auditing department. They will work closely with configuration, PDM, and Plans to identify the root cause and drive to resolution.
Work Arrangement: Hybrid= Associate must be in the office at least three (3) days per week, including core days of Tuesdays and Wednesdays
Responsibilities:

  • Function as a key subject matter expert for all claim research and analysis
  • Be proficient in claim payment methodology for all plans
  • Have experience in researching State and CMS guidelines - including APR DRG and OPPS methodology
  • Maintain a current working knowledge of processing rules, contractual guidelines, Plan policy, and operational procedures to effectively provide technical expertise
  • Support the new business claim validation efforts by reviewing claim setup and identifying issues for quick remediation
  • Proficient in Contract Manager and all contract/PAT forms
  • Assist in analysis on pre-adjudication, target audits, and encounter reviews as required
  • Ability to research claim-related encounter errors and ascertain the root cause
  • Ability to communicate and represent the Quality Auditing team to the Enterprise, health plans, and outside auditors
  • Utilize various technology applications related to claim processing, provider data management, enrollment, etc. (Excel/Access/Word)
  • Identify audit trends and provide recommendations
  • Train the new QA staff on the pricing methodology for all plans.

Education/Experience:

  • Bachelor's Degree or equivalent work experience
  • Minimum of 3 years of extensive claims experience

Skills & Abilities:

  • Strong understanding of facets applications
  • Critical thinking skills
  • Technically proficient
  • Proficient in MS Excel and Word

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Employment Type: FULL_TIME

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