ZipRecruiter

Log In

1

Claim Coordinator Jobs (NOW HIRING)

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

... coordination of benefit plan, medical terminology and coding. * Must have strong organizational skills, problem solving and decision-making skills. * Advanced knowledge of claim adjudication and ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Quality file support - precise claim setup, clean documentation, and reliable coordination * Workflow dependability - timely processing of tasks, diary items, and document queues * Accuracy ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Quality file support - precise claim setup, clean documentation, and reliable coordination * Workflow dependability - timely processing of tasks, diary items, and document queues * Accuracy ...

CWA Recruiting

Claim Manager

Hackensack, NJ · On-site

... and coordinating claim dispositions). Supervisory Experience: Proven background in successful team leadership, staff supervision, and performance management. Analytical & Decision-Making Skills:

Practice Builders

Vision Claim Processor

$17.50 - $22/hr

The Vision Claim Processor is responsible for the accurate and efficient filing of vision care ... Coordination and Collaboration: o Collaborate with other departments, such as customer service and ...

DAN

Claims Coordinator

Durham, NC · Hybrid

Claims Coordinator POSITION OVERVIEW FLSA: Non-Exempt, Full Time Department: Claims Primary ... Common duties include reviewing claim forms, verifying information, contacting members and ...

CCMSI

Multi-Line Claim Consultant

Chicago, IL · On-site

$65K - $75K/yr

Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. * Prepare newsletter articles as requested. * Provide ...

CCMSI

Multi-Line Claim Consultant

Chicago, IL · On-site

$65K - $75K/yr

Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. * Prepare newsletter articles as requested. * Provide ...

Divers Alert Network

Claims Coordinator

Durham, NC · On-site

Claims Coordinator POSITION OVERVIEW FLSA: Non-Exempt, Full Time Department: Claims Primary ... Common duties include reviewing claim forms, verifying information, contacting members and ...

CCMSI

Multi-Line Claim Consultant

Chicago, IL · On-site

$65K - $75K/yr

Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. * Prepare newsletter articles as requested. * Provide ...

The Hartford

Sr. Claim Representative/Claim Consultant

$62K - $127K/yr

Coordinating and managing communication with internal and external stakeholders (e.g., Underwriting ... Reviews and analyzes claim reports to identify and address trends. * Develops and implements ...

Integrated Resources INC

Claims analyst

Omaha, NE · On-site

... claim adjudication process. (*) Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues. Routes and triages complex claims to Senior Claim ...

previous page

Showing results 41-60

All JobsFinance and Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaim Coordinator Jobs

Claim Coordinator information

See salary details

$12

$21

$30

How much do claim coordinator jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claim coordinator in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.04 per hour, depending on experience, location, and employer.

What does a claim coordinator do?

A Claim Coordinator is responsible for managing and processing insurance claims on behalf of clients or an organization. They review claim documents, verify coverage and eligibility, communicate with claimants, insurance companies, and other stakeholders, and ensure that claims are handled efficiently and accurately. Claim Coordinators also help resolve issues, track the status of claims, and maintain records, aiming to provide a smooth claims experience while complying with regulations and company policies.

What are the key skills and qualifications needed to thrive as a claim coordinator?

To thrive as a Claim Coordinator, you need strong organizational skills, attention to detail, and a background in insurance or claims processing, often supported by a relevant associate degree or certification. Familiarity with claims management software, customer relationship management (CRM) systems, and proficiency in Microsoft Office are typically required. Excellent communication, problem-solving abilities, and customer service orientation help you excel when liaising between clients, insurers, and healthcare providers. These skills ensure efficient, accurate claim handling and high client satisfaction in a fast-paced environment.

How does a claim coordinator typically collaborate with adjusters and other departments during the claims process?

Claim Coordinators frequently act as a central point of contact between policyholders, adjusters, and other internal departments such as underwriting and legal. Their role involves gathering necessary documentation, ensuring timely communication between all parties, and tracking the progress of claims to resolution. Effective collaboration is crucial, as Claim Coordinators must relay accurate information, address any discrepancies, and help resolve issues promptly to maintain customer satisfaction and compliance. This teamwork helps streamline the claims process and ensures that cases are handled efficiently.

What is the difference between Claim Coordinator vs Claims Adjuster?

AspectClaim CoordinatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance certificationsHigh school diploma; licensing or certification often required (e.g., state adjuster license)
Work EnvironmentOffice setting, administrative tasks, customer serviceField or office; investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & Comparison IntentUnderstanding administrative roles in claims processingAssessing claims, evaluating damages, settlement negotiations

Claim Coordinators primarily handle administrative and customer service tasks within the claims process, focusing on documentation and communication. Claims Adjusters investigate and evaluate claims, often inspecting damages and negotiating settlements. While both roles work within the insurance industry, they differ in responsibilities, credentials, and work environment.

More about Claim Coordinator jobs

What cities are hiring for Claim Coordinator jobs?

Cities with the most Claim Coordinator job openings:

What are the most commonly searched types of Claim jobs?

The most popular types of Claim jobs are:

What states have the most Claim Coordinator jobs?

States with the most job openings for Claim Coordinator jobs include:

What job categories do people searching Claim Coordinator jobs look for?

The top searched job categories for Claim Coordinator jobs are:

Claim Coordinator jobs near you
Infographic showing various Claim Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $43,758 per year, or $21 per hour.

Claim Auditor I

Cook Children's

Fort Worth, TX • On-site

Full-time

Posted 5 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

109th of 898 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Reimbursement Analysis

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.

Additional Information:

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.

Education:

  • Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred.

  • 7-10 years of medical claims processing, claim adjudication, coordination of benefit plan, medical terminology and coding.

  • Must have strong organizational skills, problem solving and decision-making skills.

  • Advanced knowledge of claim adjudication and benefit plan application for Medicaid and CHIP programs.

  • Microsoft Office skills including Word, Excel and Access.

  • Excellent customer service skills with ability to explain complicated benefit issues to staff and providers.


About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

What Cook Children's Health Care System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Cook Children's Health Care System logo

About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

Social media

FacebookTwitter

View All Cook Children's Health Care System Jobs

Apply