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Claim Operator Jobs (NOW HIRING)

Accounting Operations Manager

Pecos, NM ยท Remote

$90K - $105K/yr

... and COO. Essential Functions and Responsibilities: The following duties are considered essential to the successful performance of this position. These tasks are central to supporting Claim.MD ...

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and ... Nurse licensure (RN or LPN) with a current, active, and unrestricted license in Massachusetts * 2 ...

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and ... Nurse licensure (RN or LPN) with a current, active, and unrestricted license in Massachusetts * 2+ ...

Nurse licensure (RN or LPN) with a current, active, and unrestricted license in Massachusetts * 2+ ... Experience in claim processing, healthcare provider information, and healthcare billing practices

Medical Credentialing Specialist

Pecos, NM ยท Remote

$76K - $86K/yr

Employment at Claim.MD is contingent upon the successful completion of this background screening process. This is a fully remote role operating across all U.S. time zones; however, Eastern Time (EST ...

New

... operating companies in New York. The selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents ...

... operating companies in New York. The selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents ...

... operating companies in New York. The selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents ...

... operating companies in New York. The selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents ...

Showing results 41-60

Claim Operator information

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$41K

$76K

$99K

How much do claim operator jobs pay per year?

As of Aug 15, 2026, the average yearly pay for claim operator in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

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.
More about Claim Operator jobs

What cities are hiring for Claim Operator jobs?

Cities with the most Claim Operator job openings:

What states have the most Claim Operator jobs?

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

Infographic showing various Claim Operator job openings in the United States as of August 2026, with employment types broken down into 43% Full Time, 55% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Accounting Operations Manager

Claim.MD

Pecos, NM โ€ข Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Job description

Job Description: Join Claim.MD: Simplifying Healthcare Through Innovation and Compassion Claim.MD is a leading national electronic healthcare clearinghouse, supporting thousands of providers, payers, and software vendors across the country. Our mission is to simplify and optimize the flow of medical claims and related data, enabling healthcare organizations to operate more efficiently and deliver better patient outcomes. We are dedicated to streamlining healthcare transactions and improving operational efficiency for our users. Driven by a strong commitment to innovation and excellence, we seek individuals who are passionate about making a tangible difference in the healthcare industry. Why You Will Love Working Here Collaborative Culture: Work alongside a team that values open communication, mutual respect, and shared success. Growth Opportunities: We invest in your professional development, offering training and pathways to advance your career. Flexible Work Environment: Enjoy the benefits of a work-from-home environment that supports work-life balance. Meaningful Impact: Contribute to a product that directly improves the efficiency of healthcare providers nationwide. What We Offer: Compensation Range - $90,000- $105,000 annually (salary exempt), based on experience and geographic location. Final compensation will be determined in accordance with state-specific pay transparency requirements. 4-Day (32-hour) Workweek - Full-time, exempt role with a 32-hour weekly schedule. Comprehensive Benefits Package - Including health, dental, and vision coverage, as well as retirement savings plan. Internet Reimbursement - Up to $100 per month for high-speed internet required for the role. Work-Life Balance - Flexible schedules and a supportive, collaborative work environment Inclusive Company Culture - A commitment to diversity, equity, and inclusion in all our practices. Employee Wellness - Programs and resources focused on your overall well-being, including mental and physical health support. Work Remotely - Opportunity to work in a remote-first environment Paid-Time Off - Up to ten days of paid time off, in addition to a generous holiday schedule, to support your work-life balance and personal well-being. About the Role We are seeking an experienced Accounting Operations Manager to join our team. This role is responsible for managing core accounting operations, ensuring compliance with multi-state sales and other tax obligations across the United States, supporting leadership-approved financial activity, and working collaboratively with internal teams and external accounting partners. This position provides accounting guidance on complex billing, invoicing, and revenue scenarios; advises on proper accounting treatment; and ensures financial activity aligns with GAAP, contractual terms, and company policy. The Accounting Operations Manager acts as the accounting owner for revenue data integrity, billing accuracy, and payment platform operations. This role reports to the CEO, CFO, and COO. Essential Functions and Responsibilities: The following duties are considered essential to the successful performance of this position. These tasks are central to supporting Claim.MD's mission, maintaining compliance, and ensuring operational continuity. Accounting Operations and Financial Reporting Maintain accuracy and integrity of the general ledger, including journal entries, accruals, and reconciliations Manage month-end and year-end close processes, including close calendars and supporting schedules Prepare and review balance sheets, income statements, and cash flow statements Ensure financial records are maintained in accordance with GAAP Develop and deliver management reporting packages for leadership, including variance analysis and key financial metrics Own balance sheet reconciliations and ensure timely resolution of discrepancies Revenue Recognition and Contract Review Own revenue recognition accounting in accordance with ASC 606 Review customer contracts, amendments, and pricing arrangements to determine appropriate accounting treatment Advise leadership and internal teams on revenue timing, deferred revenue, credits, refunds, and adjustments Serve as the accounting subject matter expert for complex, non-standard, or escalated billing and invoicing scenarios, including usage-based billing, contract modifications, and customer disputes Review and approve accounting treatment for billing adjustments, revenue corrections, and write-offs, ensuring appropriate documentation and audit trails Partner cross-functionally to ensure billing processes, configurations, and system outputs align with accounting policy and revenue recognition requirements Develop and document accounting guidance for recurring complex billing scenarios to support consistency, scalability, and risk mitigation Data Direction, Integrity, and Systems Ownership Direct and validate financial and billing data flows across accounting, billing, and payment systems to ensure accuracy, completeness, and consistency Establish accounting ownership over key financial data elements, including revenue, deferred revenue, cash receipts, credits, and customer balances Review system configurations, mappings, and workflows to ensure financial data aligns with accounting policy, reporting requirements, and internal controls Identify, investigate, and resolve data discrepancies across systems, including root cause analysis and corrective action Partner cross-functionally on system changes, enhancements, or integrations to ensure accounting requirements are incorporated prior to implementation Maintain documentation of data flows, system dependencies, and accounting controls to support audit readiness and operational continuity Stripe and Payment Platform Operations Oversee accounting treatment and operational use of Stripe and other payment platforms, including transaction processing, settlements, fees, refunds, and chargebacks Ensure payment activity is accurately recorded in the general ledger, including proper classification of revenue, fees, liabilities, and cash balances Reconcile Stripe transaction data and settlement reports to accounting records and bank activity, resolving discrepancies in a timely manner Provide accounting guidance on payment workflows, refund handling, and credit policies to ensure alignment with revenue recognition and internal controls Partner with leadership and operations to support changes to payment processes or configurations while maintaining compliance, auditability, and data integrity Maintain documentation related to payment platform reconciliations, controls, and accounting treatment Tax Compliance Own end to end multi state sales tax compliance across the United States, including registrations, nexus monitoring, filings, and remittances Oversee other applicable state and local tax obligations Partner with external tax advisors to ensure compliance, accuracy, and risk mitigation Maintain complete and organized documentation for all tax filings and correspondence Payments, Controls, and Internal Processes Review and approve outgoing payments for leadership approved vendors and services, excluding final payment submission Ensure appropriate documentation, approval workflows, and audit trails are maintained Support accounts payable processes and ensure timely, accurate disbursements Design, document, and maintain accounting policies and procedures Internal Controls and Audit Support Implement and maintain internal controls appropriate for company size and complexity, including SOX style controls where applicable Support internal and external audits, reviews, and year end tax preparation Prepare reconciliations, schedules, and supporting documentation as requested External Firm Collaboration Work closely with external accounting and tax firms to support audits, reviews, and compliance activities Coordinate information requests and provide necessary documentation and schedules Partner with leadership and external advisors on accounting and tax matters as needed Process Improvement and Systems Identify opportunities to improve accounting processes, controls, and documentation Support accounting system enhancements, integrations, and workflow automation initiatives Partner cross functionally to improve data accuracy across billing, revenue, and accounting systems These responsibilities are intended to describe the general nature and level of work performed. It is not an exhaustive list of all responsibilities, duties, and skills required. Claim.MD reserves the right to modify, add, or remove job responsibilities at any time in accordance with business needs and applicable law. Required Qualifications Education: Bachelor's degree in accounting, economics, finance, or a similar field. Equivalent advanced knowledge gained through extensive professional experience may be accepted where demonstrated expertise meets the requirements of the role. Experience: 5+ years of progressive accounting experience, preferably in a small to mid sized business Strong working knowledge of GAAP, including ASC 606 Demonstrated experience with multi state sales tax compliance in the US Experience preparing full financial statements, including balance sheet and cash flow statements Strong understanding of internal controls and audit readiness Experience working with external accounting and tax firms Strong analytical, organizational, and communication skills Ability to work independently in a fully remote environment Hands on experience with modern accounting systems such as Stripe, QuickBooks, NetSuite, or similar Comfort working with billing, expense, and payment platforms integrated with accounting systems Preferred Skills and Competencies: Experience in SaaS or services based businesses Experience operating in a lean finance or first in house accounting role The following duties are considered essential to the successful performance of this position. These tasks are central to supporting Claim.MDโ€™s users, maintaining compliance, and ensuring operational continuity. Work Environment and Expectations To be considered for this position, applicants must currently reside in the United States and be authorized to work on a full-time basis. Claim.MD is unable to sponsor or take over sponsorship of employment visas at this time. Candidates must be willing to submit to a pre-employment background check conducted in accordance with applicable federal, state, and local laws. Employment at Claim.MD is contingent upon the successful completion of this background screening process. This is a fully remote role operating across all U.S. time zones; however, Eastern Time (EST) availability is preferred to best support current team needs. Employees are expected to work from a quiet, dedicated and secure home workspace (mobile or on-the-go work is not supported for this role). Company-issued desktop equipment will be provided. Employees must be able to sit and use a computer and phone for extended periods. Employees are expected to maintain a reliable high-speed internet connection and to be available during core collaboration hours Claim.MD is committed to creating an accessible and inclusive workplace. In accordance with the Americans with Disabilities Act (ADA), we provide reasonable accommodations to qualified individuals with disabilities. If you require accommodation during any stage of the application for the employment process, please contact Claim.MDโ€™s HR Department. We are happy to provide support to ensure equal opportunities throughout the hiring and onboarding experience. E-Verify Participation Claim.MD participates in the federal E-Verify program to confirm the identity and employment eligibility of all newly hired employees. As a participant in E-Verify, Claim.MD will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employeeโ€™s Form I-9 to confirm work authorization. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Claim.MD will not use E-Verify to pre-screen job applicants or to reverify current employees and will not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status during the E-Verify process. For more information about E-Verify, please visit www.e-verify.gov. Commitment to Inclusion At Claim.MD, we believe in a skills-first approach to recruitment and employment. This means focusing on what you can do and how you can grow, rather than traditional metrics alone. We are committed to adhering to anti-exclusion practices, removing barriers to access, and enhancing opportunities for all individuals based on merit and potential. Your skills, experiences, and perspective are valuable - and we want to empower you to make your mark here with us. Equal Employment Opportunity Claim.MD is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected status. Interested in applying? Submit your application. We look forward to welcoming you!