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Claim Operator Jobs in Arizona (NOW HIRING)

Deloitte

Epic Denials Management Operator

Gilbert, AZ · Remote

$18 - $24/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Deloitte

Epic Denials Management Operator

Tempe, AZ · Remote

$17.25 - $23/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

RideNow Powersports

Risk Manager

Chandler, AZ · On-site

Operating within the RideNow Way, this role helps bring consistency, accountability, and ... Analyze enterprise loss data, claim reserves, and Total Cost of Risk (TCOR). * Develop executive ...

RumbleOn

Risk Manager

Chandler, AZ · On-site

Operating within the RideNow Way, this role helps bring consistency, accountability, and ... Analyze enterprise loss data, claim reserves, and Total Cost of Risk (TCOR). * Develop executive ...

Moove

Central Warranty Manager

Phoenix, AZ · On-site

This role builds and runs the warranty operating system: claim identification, submission, adjudication follow-through, denial management, and recovery reporting across OEM, parts, and vendor ...

Lifeworks

Disability Case Manager

Phoenix, AZ

... claim management is within Standard Operating Procedures (SOPs) and Service Level Agreements (SLAs).The case manager assesses any barriers to a successful and timely return-to-work and engages with ...

LifeWorks, Inc.

Disability Case Manager

Phoenix, AZ · On-site

... claim management is within Standard Operating Procedures (SOPs) and Service Level Agreements (SLAs).The case manager assesses any barriers to a successful and timely return-to-work and engages with ...

Lifeworks

Disability Assistant

Phoenix, AZ · Remote

Updates claim notes with appropriate claim and certification information. * Assists Case Managers and Nurse Consultants as needed * Will follow all processes as laid out in the Standard Operating ...

Aldridge Pite LLP

Bankruptcy Processor

Mesa, AZ · On-site

Purpose The Proof of Claim Processor is responsible for the accurate preparation, processing, and ... Maintains compliance with all client guidelines, Standard Operating Procedures (SOPs), operational ...

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All JobsClaim Operator JobsClaim Operator Jobs in Arizona

Claim Operator information

What are some common challenges a claim operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

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

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What does a claim operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.
What are popular job titles related to Claim Operator jobs in Arizona? For Claim Operator jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Claim Operator jobs in Arizona look for? The top searched job categories for Claim Operator jobs in Arizona are:
What cities in Arizona are hiring for Claim Operator jobs? Cities in Arizona with the most Claim Operator job openings:
Claim Operator jobs near you
Infographic showing various Claim Operator job openings in Arizona as of August 2026, with employment types broken down into 52% Full Time, 46% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution.

Claims Analyst

SOUTHWEST SERVICE ADMINISTRATORS IN

Phoenix, AZ • On-site, Remote

$19 - $25.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.
Responsibilities
Analyzing/Processing
  • Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
  • Analyze claims as appropriate from first submission to finalizing.
  • Maintain complete and accurate processing.

Teamwork
  • Work cooperatively with other team members
  • Actively participate in team meetings and training activities.
  • Perform additional responsibilities and projects as periodically assigned.

Education/Certification:
  • (Minimum) High School Diploma/GED
  • Three (3) years recent experience processing medical claims

Skills/Abilities:
  • Ability to maintain production and quality standards.
  • Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
  • Ability to read, analyze and assess medical documentation and draw valid conclusions.
  • Minimum 40 WPM and 3,000 KPH proficiency
  • Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions).
  • Professional, client-focused approach to colleagues and assignments.
  • Strong oral and written communication skills with exceptional attention to details.
  • Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
  • Strong dedication to follow-through on all tasks and assignments.
  • Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
  • Ability to sit for long periods of time operating a computer keyboard.

Employee Benefits Program
COMPANY PROVIDES:
  • MEDICAL, DENTAL, VISION
  • SHORT-TERM DISABILITY
  • Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
  • COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
  • COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
  • 401K Plan including company match up to 5%.
  • COMPANY PAID additional pension plan entirely funded by the company.
  • EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
  • Annual, automatic pay increases.

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

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