ZipRecruiter

Log In

1

Claim Processor Jobs in Massachusetts (NOW HIRING)

The MH Group

Claims Compliance Analyst

East Longmeadow, MA · On-site

$60K - $70K/yr

The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ...

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · Remote

  • Life

  • Retirement

Experience in claim processing, healthcare provider information, and healthcare billing practices * Experience working in a remote/telecommute workspace * Working knowledge of medical terminology and ...

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · On-site

  • Life

  • Retirement

Experience in claim processing, healthcare provider information, and healthcare billing practices * Experience working in a remote/telecommute workspace * Working knowledge of medical terminology and ...

CCMSI

Multi-Line Claim Consultant

Reading, MA · On-site

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

CCMSI

Multi-Line Claim Consultant

Reading, MA · On-site

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

CCMSI

Multi-Line Claim Consultant

Reading, MA · On-site

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We don't just process claims--we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their ...

next page

Showing results 1-20

All JobsClaim Processor JobsClaim Processor Jobs in Massachusetts

Claim Processor information

See Massachusetts salary details

$13

$20

$28

How much do claim processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for claim processor in Massachusetts is $20.93, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

What is a claim processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What are some typical challenges a claim processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

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

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

Is claim processing hard?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with insurance policies and claims systems. While it can involve repetitive tasks, many claim processors find it manageable with proper training and experience. The difficulty level varies depending on the complexity of claims and the work environment.

What do you need to be a claim processor?

To be a claim processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with claims processing software and basic knowledge of insurance policies are also important. Some positions may require prior experience in customer service or administrative roles.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. Claim processors use specialized software and follow company policies to ensure accurate and timely processing of claims, often requiring attention to detail and knowledge of insurance policies.

What are the most commonly searched types of Claim Processor jobs in Massachusetts?

The most popular types of Claim Processor jobs in Massachusetts are:

What cities in Massachusetts are hiring for Claim Processor jobs?

Cities in Massachusetts with the most Claim Processor job openings:

Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Massachusetts as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $43,536 per year, or $20.9 per hour.

Claims Compliance Analyst

The MH Group

East Longmeadow, MA • On-site

$60K - $70K/yr

Full-time

Re-posted 5 days ago

Job description

Description:

We are seeking a Claims Compliance Analyst to join our client’s team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ideal candidate is responsible for the entire claims process from beginning to end and the implementation, auditing, and execution of compliance activities regarding claims. The Claims Compliance Analyst will work collaboratively with different departments to assess compliance risks, controls, and implement new regulations that affect the claims team. In this role, you will…

  • Navigate different claims systems.
  • Work within systems like RegEd to review assigned tasks and implement new laws, rules, and regulations.
  • Work cross-departmentally to understand and implement new and/or existing regulations utilizing systems such as RegEd.
  • Maintain an in-depth understanding of the claim adjudication process.
  • Process claims by all regulations in a timely and accurate manner, including analyzing the submitted medical treatment and investigating the coverage terms.
  • Maintain a strong understanding of state and federal health insurance regulations and mandates.
  • Strong knowledge of products/systems, and a subject matter expert (SME).
  • Create, carry out, and audit compliance items linked to claims, including risk assessment, testing, and monitoring of important laws & regulations, rules & processes, help with exam preparation, issue reporting & escalation, training materials, and remedial measures.
  • Assist in market conduct exams by reviewing claim-related tasks.
  • Create and implement procedures for regulatory items impacting claims that require special handling.
  • Regularly partake in compliance-related meetings.
  • Review all claim-related compliance reports to ensure accuracy.
  • Scrub pay-related reports to accurately determine the clean claim date and proper penalties/interest.
  • Handle claim adjustments related to regulatory requirements.
  • Perform other duties as assigned.


Requirements:

Our ideal candidate will have…

  • A minimum of 5 years of experience in health insurance claim processing is required.
  • Capacity to plan, carry out, and document compliance self-monitoring initiatives.
  • Ability to comprehend complex laws/regulations.
  • Ability to assess, prioritize, and communicate claims risk.
  • Ability to understand complex problems, identify root causes, and remain goal-oriented.
  • Strong analytical skills, with the ability to effectively identify, communicate, and address potential issues.
  • Strong written/verbal communication, interpersonal, and presentation skills.
  • Ability to work in a fast-paced environment, prioritize multiple assignments simultaneously, think quickly, meet deadlines, and adapt to various situations.
  • Ability to work independently, with peers, and with departments in business areas at all levels of the organization.
MH Group logo

About MH Group

Sourced by ZipRecruiter

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

East Longmeadow, MA, US

Year founded

2013

View All MH Group Jobs