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Claim Processing Specialist Jobs (NOW HIRING)

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Centralized Processing Specialist

Houston, TX · On-site

$20 - $26/hr

The Payment Specialist role is critical in maintaining secure and efficient payment processing with ... Accurate handling of ACH and EFT claim activity ensuring payments are compliant with Bank ...

Integrated Resources INC

Claims analyst

Omaha, NE · On-site

... to claim processing issues. Routes and triages complex claims to Senior Claim Benefits Specialist. (*) Proofs claim or referral submission to determine, review, or apply appropriate guidelines ...

CVS Health

Claim Benefit Specialist

$17 - $31.30/hr

The candidates will review and adjudicate claims in accordance with ACAS claim processing guidelines. They will work closely with other members of the Commercial Services Operations team providing ...

CVS Health

Claim Benefit Specialist

Hartford, CT · On-site +1

$17 - $31.30/hr

The candidates will review and adjudicate claims in accordance with ACAS claim processing guidelines. They will work closely with other members of the Commercial Services Operations team providing ...

CVS Health

Claim Benefit Specialist

$17 - $28.46/hr

Handles and processes benefits claims submitted by healthcare providers, ensuring accuracy ... Documents claim information in the company system, assigning appropriate codes, modifiers, and ...

Westamerica Bank

$16.90 - $20.77/hr

Weekly Working Hours: 40 As ATM Central Processing Specialist: * Board and process all ATM related ... Maintain a working knowledge of Visa and Star's claim regulations, Federal Regulation E and Z, and ...

Addison Group

Billing Specialist

Philadelphia, PA · On-site

$20 - $23/hr

They are seeking a Billing Specialist to join their Revenue Cycle team to support claim processing, payment posting, and denial resolution while ensuring timely and accurate reimbursement. The ...

Westamerica Bank

$16.90 - $20.77/hr

Weekly Working Hours: 40 As ATM Central Processing Specialist: * Board and process all ATM related ... Maintain a working knowledge of Visa and Star's claim regulations, Federal Regulation E and Z, and ...

WESTAMERICA BANK

$16.90 - $20.77/hr

Weekly Working Hours: 40 As ATM Central Processing Specialist: * Board and process all ATM related ... Maintain a working knowledge of Visa and Star's claim regulations, Federal Regulation E and Z, and ...

MUSC

Summary Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal. Resolves denied/unpaid insurance claims in a ...

MacCurdy & Associates Inc.

Claims Specialist

Knoxville, TN · Remote

$18 - $21/hr

The Claims Specialist is responsible for managing property & casualty insurance claim submissions ... Review, process, and submit claim payments or denial letters in a timely manner. * Coordinate and ...

Alluma

Billing Specialist

Crookston, MN · On-site

$22.31 - $25.68/hr

As a Partner in Wellbeing , the Billing Specialist comprehensively supports Alluma's behavioral ... The daily duties include claim processing, denial management, cash application, and assistance with ...

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All JobsFinance And Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaim Processing Specialist Jobs

Claim Processing Specialist information

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How much do claim processing specialist jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for claim processing specialist in the United States is $18.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $20.19 per hour, depending on experience, location, and employer.

What does a claim processing specialist do?

A Claim Processing Specialist is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of information, ensure all required documentation is included, and determine if the claim meets policy guidelines. Claim Processing Specialists may communicate with claimants, healthcare providers, or other relevant parties to gather additional information. Their main goal is to ensure that claims are processed efficiently, accurately, and in compliance with company and regulatory standards.

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

To thrive as a Claim Processing Specialist, you need strong analytical skills, attention to detail, and a foundational understanding of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent organizational skills, effective communication, and customer service orientation set top performers apart. These abilities ensure accurate, timely claim assessments and foster positive client experiences, which are critical for efficient insurance operations.

What are some common challenges faced by claim processing specialists, and how are they typically addressed within a team environment?

Claim Processing Specialists often encounter challenges such as high volumes of claims, tight deadlines, and complex case details that require careful review. These challenges are usually addressed through strong team collaboration, clear communication with other departments (like underwriting and customer service), and ongoing training on new policies and technology updates. Many organizations also implement workflow management tools and peer review processes to ensure accuracy and efficiency, making it easier for specialists to manage workloads and maintain high standards.

What is the difference between Claim Processing Specialist vs Claims Adjuster?

AspectClaim Processing SpecialistClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; licensing or certification often required
Work EnvironmentOffice setting, processing claims, data entryField or office, investigating claims, assessing damages
Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusters
Primary FocusProcessing and verifying insurance claimsEvaluating damages and determining claim validity

While both roles work within the insurance industry, a Claim Processing Specialist primarily handles the administrative task of processing claims, whereas a Claims Adjuster evaluates damages and determines claim validity. The roles often overlap but differ in responsibilities and required certifications.

What cities are hiring for Claim Processing Specialist jobs?

Cities with the most Claim Processing Specialist job openings:

Who are the top companies hiring for Claim Processing Specialist jobs?

The top employers for Claim Processing Specialist jobs are:

What states have the most Claim Processing Specialist jobs?

States with the most job openings for Claim Processing Specialist jobs include:

What are popular job titles related to Claim Processing Specialist jobs?

For Claim Processing Specialist jobs, the most frequently searched job titles are:

Infographic showing various Claim Processing Specialist job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $39,500 per year, or $19 per hour.

Centralized Processing Specialist

Houston, TX • On-site

Unavailable
See more jobs at Unavailableexternal

$20 - $26/hr

Other

Posted 10 days ago

Job description

Introduction

Since 1973, East West Bank has served as a pathway to success. With over 110 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create new opportunities, and our sustained growth and expertise in industries like real estate, entertainment and media, private equity and venture capital, and high-tech help build sustainable businesses and expand our associates’ potential for career advancement. 

Headquartered in California, East West Bank (Nasdaq: EWBC) is a top-performing commercial bank with a strong foundation, an enterprising spirit and a commitment to absolute integrity. East West Bank gives people the confidence to reach further.

Overview

We are seeking a detailed oriented and driven Payment Specialist who specializes in ACH, EFT claims, and wire processing to join our team.  As an East West Bank employee, you will be part of a growing and stable organization that provides career path development opportunities while serving a growing and profitable market. 

As a Payment Specialist, you will work in a fast-paced environment and be responsible for managing tasks related to ACH processing, which includes reviewing, processing and reconciling ACH prefunding files, ACH exceptions (reversals, stop payment requests, failed batches, etc.) ensuring the usage of correct ACH codes, and assisting with EFT claim processing (disputes/chargebacks) within the established SLAs.  The Payment Specialist role is critical in maintaining secure and efficient payment processing with a focus on fraud prevention and adhering to the Banks processes and procedures.  

Responsibilities
  • Accurate handling of ACH and EFT claim activity ensuring payments are compliant with Bank procedures, regulatory & NACHA requirements.  
  • Process, research, and resolve ACH reject activity within established SLAs.  
  • Investigate and resolve payment discrepancies, including unauthorized transactions and chargeback activity. 
  • Monitor, review, and clear ACH fraud alerts according to Bank policy.  
  • Track and follow up on status of all pending ACH batches.  
  • Exception handling review, including follow-ups with internal departments on pending responses, process return files and reconcile daily activity.   
  • Process EFT claims, including reviewing supporting documentation, updating dispute logs, following up on pending claims, and tracking resolution status withing established SLAs. 
  • Cross train and support wire processing activities. 
  • Perform other duties as assigned.
Qualifications
  • 1-2 years of experience working in the banking industry with strong knowledge in ACH and wire payment processing strongly preferred.  
  • Knowledge of relevant ACH rules and regulations set by NACHA and card networks.   
  • 10 key-by touch, typing 40-50 WPM with high accuracy. 
  • Understanding of reconcilement processes (e.g., general ledgers, debit, and credit reconciliation) preferred.  
  • Ability to multitask and work in a fast paced, highly secured, and measured production environment.  
  • Strong attention to detail, and proficiency in Microsoft Word and Excel. 
  • Excellent verbal (telephone) & written communication skills (email) to interact with internal and external partners. 
  • Knowledge of FIS core and payment systems or similar preferred.  
  • Participate in afterhours and weekend testing when needed and flexibility to work overtime as needed.  

Applicants must have legal authorization to work in the United States.  We do not offer visa sponsorship at this time.  

Compensation The base pay range for this position is USD $20.00/Hr. - USD $26.00/Hr. Exact offers will be determined based on job-related knowledge, skills, experience, and location.

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