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Claim Processor Jobs in Massachusetts (NOW HIRING)

Arbella 56 Group

Claim Manager - Analytics

Quincy, MA · On-site

$145 - $165/hr

## Claim Manager - AnalyticsApplylocations: 1100 Crown Colony Drive, Quincy, MA 02169time type: Full ... Ensure that all analysis and reporting is well documented, and that process and source ...

JCR Pro winner construction

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Insurance Claims construction advocate.

Chelmsford, MA · On-site

$18 - $25/hr

Communicate with clients to keep them updated on their claim process and answer inquiries. * Handle incoming customer calls, providing information on services and addressing questions in a ...

Cna

Complex Claim Director - Mass Tort Unit

Boston, MA · On-site

Ensures customer satisfaction by holding team accountable to deliver high quality and timely claim service, identifying service opportunities, and developing initiatives, processes and training that ...

Medix

Physician Billing Specialist

Newton, MA · On-site

$24 - $34/hr

Claim Processing: Prepare, review, and electronically transmit medical claims to payers, ensuring immediate follow-up on unsent or rejected claims. * Verification of Benefits: Validate patient ...

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All JobsClaim Processor JobsClaim Processor Jobs in Massachusetts

Claim Processor information

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How much do claim processor jobs pay per hour?

As of Sep 5, 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 75% Full Time, 20% Part Time, 1% Temporary, 3% Contract, and 1% Nights. 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.

Claim Manager - Analytics

Arbella 56 Group

Quincy, MA • On-site

$145 - $165/hr

Other

Posted 6 days ago

Key responsibilities

  • Manage the day-to-day operations of the Claim Analytics, Operations Analytics, and Call Center Work Force Management teams.

  • Develop, communicate, and deliver data analysis, insights, and reports related to business and performance trends for the Claim and Operations departments.

  • Collaborate with IT and Claim IT Liaison to ensure data integrity, system changes impact analysis, and proper data feeds and warehousing.

Job description

## Claim Manager - AnalyticsApplylocations: 1100 Crown Colony Drive, Quincy, MA 02169time type: Full timeposted on: Posted 6 Days Agojob requisition id: R01735Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive, industry-leading salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • On-site gym and fitness classes and one-on-one personal training • On-site nurse, nutritional counseling, and mental health resources • Full-service cafeterias • Free shuttle service to Quincy Adams T Station • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee-led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who genuinely care about each other Arbella is committed to building a workplace that’s diverse, inclusive, and equitable for everyone. We’ve created a culture that supports a diverse workplace where all are valued for their talents and are empowered to reach their full potential. It’s no wonder our employees have voted Arbella one of the Boston Business Journal’s “Best Places to Work” every year since 2009! The Manager of Analytics for Claim leads the Claim Analytics, Operations Analytics, and Call Center Work Force Management functions. The manager will be responsible for defining, developing and communicating data, analysis, and insights related to business and performance trends for the Claim and Operation departments. S/he will also support multiple contact centers with optimizing and enhancing resource utilization, business practices and customer contact capabilities. The team will be expected to complete high-level and complex data/performance analysis along with producing a regular suite of monthly and quarterly reports. The Work Force Management group will analyze real-time and historical data, provides insights and recommendations to improve business trends, processes, service levels and key performance metrics in a customer focused multi-channel contact center environment. S/he will be expected to collaborate with IT and the Claim IT Liaison to understand how system changes will impact data feeds and warehousing needs. Must ensure the highest quality, accuracy, and maintain data integrity of all report extracts, query activity, and analysis being provided to the business. This individual should understand the numbers behind the business so that they can be a thought partner.**Key Responsibilities:*** Manages day to day operations of the Claim Analytics team, and Work Force Management and Operations Analytics team, which includes managing the capacity and resource planning within the teams, ensuring proper prioritization and optimization of the team’s bandwidth.* Must work to understand the business and partner with business owners to develop the necessary analysis to understand operational trends. Analysis may need to be ad hoc based on emerging issues.* Shares observations from analysis and helps to investigate drivers to help the business understand what action needs to be taken* Delivers monthly and quarterly reports, timely, to business users including Finance and other external business partners.* Assign projects to the team after reviewing business requests and needs that emerge from business trends; assesses current data structure, sources and resources and allocate accordingly, making recommendations for resources and access, as appropriate.* Ensures that proper controls are in place to generate a product that is complete, reviewed for accuracy and easy to use for end-user. Ensure that reporting is timely, well organized and in appropriate presentation format.* Cultivates a strong communication network to ensure insights are easy to understand and actionable - adapting methodologies to meet end user needs.* Select, train and develop an effective and efficient team of analysts that will also learn the business by learning the numbers.* Spend time coaching, mentoring, training, and developing their staff, addressing other responsibilities that need to be done at this level, and an appropriate work-life balance has been achieved.* Ensure that all analysis and reporting is well documented, and that process and source documentation is created and updated to preserve data integrity and traceability.* Support Data Governance objectives, act as Steward for Claim Organization.* Act as Claim and Operations Analytics representative in IT/Underwriting/Organizational changes that impact data.* Participate in other projects and activities as requested.**Success Metrics:*** Achieve performance goals set in support of business plan while successfully demonstrating Manager competencies* Delivers accurate, timely and reliable reporting and analysis, to both internal and external customers* Create an excellent work environment that delivers high levels of employee engagement and fosters a creative and innovative culture to drive continuous improvements* Build strong effective partnerships with Corporate Finance, Actuarial and Underwriting* Acts with a sense of urgency commiserate with the concern, issue or task, in light of company, department and customer impact.**Computer Software Programs Required:*** Microsoft Office – Advanced* Tableau/Lumira or other visualization software* Business Objects - Advanced* Other: Claim Vendor system knowledge* SAS/SQL - Intermediate* Other: Internet/Intranet knowledge* Claim System Applications - Intermediate**Key Requirements:*** Masters Degree – preferred.* Capable of analyzing and interpreting complex claim data and trends to enable the conversion of data to information to reveal claim performance trends, and information to actionable opportunities to drive continuous improvement in operations.* Ability to assess project risks and exposures; identify options and alternatives, make decisions, and implement improvements.* General knowledge of industry, practices, standards, and concepts within related operations and field of work.* Associates Degree equivalent plus 10 years experience in insurance Claim or Finance* Bachelors Degree plus 5-8 years experience in insurance Claim or Finance* 2-4 or more years of leadership experience is desired.* Proven analytical, problem solving, and decision making abilities particularly in the area of information displays and reports.* Proven project management skills; ability to plan, execute and control a project, establishing realistic estimates and reporting metrics, effectively allocate limited resources.* Strong negotiation, conflict resolution, and influencing skills.Our current reasonable and good faith estimate of the annual salary wage range for this position is approximately $145,000 to $165,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs.Please note: The advertised pay range is not a guarantee or promise of a specific wage.#LI-MG1 #J-18808-Ljbffr

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