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Claim Processor Jobs in Cleveland, OH (NOW HIRING)

Quadax, Inc.

Insurance Specialist

Cleveland, OH · On-site

Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage. * Verify patient insurance eligibility and coordination of benefits.

Mindlance

Claims Associate - Consumer

Independence, OH · On-site

$17.50 - $23.50/hr

One (1) year of general office experience with claim processing experience, able to meet daily quotas, fast paced and high volume. equivalent combination of education and experience required. Claims ...

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Claim Processor information

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How much do claim processor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for claim processor in Cleveland, OH is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.05 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 is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

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 do you need to be a claims processor?

To become a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, good organizational skills, and familiarity with claims processing software or computer systems. Some positions may require prior experience in insurance or customer service. Certifications are not usually mandatory but can enhance job prospects.

What jobs make $3,000 a month without a degree?

Claim processors can earn around $3,000 a month with minimal formal education, especially with experience and strong organizational skills. Many roles in administrative, customer service, or entry-level office positions also offer similar pay without requiring a degree, often depending on location and industry. Certifications or on-the-job training can enhance earning potential in these fields.

What jobs pay $500,000 a year in the US?

Claim processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claim processors earn a median salary well below this threshold.

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.

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 are the most commonly searched types of Claim Processor jobs in Cleveland, OH? The most popular types of Claim Processor jobs in Cleveland, OH are:
What cities near Cleveland, OH are hiring for Claim Processor jobs? Cities near Cleveland, OH with the most Claim Processor job openings:
Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Cleveland, OH as of July 2026, with employment types broken down into 79% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $38,661 per year, or $18.6 per hour.

Claim Director/Team Lead-Personal Umbrella Major Case Unit (hybrid)

RLI Corp.

Broadview Heights, OH

$136K - $199K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 hours ago

Job description

About UsWe're not like other insurance companies. From our specialty products to our business model, our culture to our results -we're different.Different is who we are, and how we work, interact, deliver and succeed together.Creating a different and better insurance experience doesn't just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar - a testament to our culture and validation of our reputation as an excellent underwriting company.
Position Purpose
We are seeking a Claim Director/Team Lead-Major Case Unit to oversee the handling of complex, high-exposure Personal Umbrella Liability claims including auto, premises, and personal liability, with policy limits typically ranging from $1 to $5 million. This role requires a strategic thinker with a proven ability to manage complex claim investigations and evaluations while ensuring optimal outcomes for our clients.Principal Duties & Responsibilities
  • Team Leadership: Develop and implement training of Technical Claim Managers and Technical Claim Directors.
  • Claims Management:Oversee the handling of complex, high-exposure Personal Umbrella Liability claims across the United States, emphasizing detailed investigation, evaluation, and monitoring of primary carrier activities to achieve the best results.
  • Coverage Analysis:Investigate and analyze complex coverage issues, providing clear and detailed coverage letters as necessary.
  • Investigation & Evaluation:Conduct timely and comprehensive investigations into liability and damages to recognize exposures early.
  • Claims Resolution:Focus on effective resolution strategies, including timely liability investigations, damage assessments, and reserve setting.
  • Litigation Management: Proactively and strategically manage litigation around the country, including selecting and managing outside counsel and implementing effective litigation strategies in disputed claims.
  • Best Practices:Ensure adherence to RLI's Best Practices in all claims handling activities.
Education & Experience
  • Education: Typically requires abachelor's degree. A Juris Doctorate degree with relevant defense litigation experience would be beneficial but is not required.
  • Experience:10+ years of relevant legal or technical claims experience, with a strong background in handling complex, high-exposure third-party liability claims on a primary/excess basis. Significant personal or commercial auto experience would be beneficial.
  • State Knowledge:Significant experience with policy limit demands in Florida, Texas, and California.
  • Independence:Ability to excel in a fast-paced environment with minimal supervision.
  • Collaboration:Proven ability to work effectively with primary carriers and defense counsel, with in-depth knowledge of umbrella/excess handling and management of outside counsel.
  • Legal Acumen:Extensive knowledge of case law, statutes, and procedures impacting liability claims in Florida, California, New York, and Texas, among others.
Knowledge, Skills, & Competencies
  • Ability to manage and develop a team of highly skilled claim professionals to ensure increased performance.
  • Strong analytical skills to navigate complex claim processes and develop effective solutions.
  • Innovative mindset with the ability to drive improvements within the claims department.
  • Excellent communication skills to convey findings and recommendations clearly to internal and external stakeholders.
Compensation OverviewThe base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope & responsibilities of the role, qualifications/credentials, talent availability & specialization, as well as business needs. The below range may be modified in the future. Base Pay Range$136,618.00 - $199,120.00Total RewardsAt RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.Financial Incentives
  • Annual bonus plans
  • Employee stock ownership plan (ESOP)
  • 401(k) - automatic 3% company contribution
  • Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)
Work & Life
  • Paid time off (PTO) and holidays
  • Paid volunteer time off (VTO) to support our communities
  • Parental and family care leave
  • Flexible & hybrid work arrangements
  • Fitness center discounts and free virtual fitness platform
  • Employee assistance program
Health & Wellness
  • Comprehensive medical, dental and vision benefits
  • Flexible spending and health savings accounts
  • 2x base salary for group life and AD&D insurance
  • Voluntary life, critical illness, & accident insurance for purchase
  • Short-term and long-term disability benefits
Personal & Professional GrowthRLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:
  • Training & certification opportunities
  • Tuition reimbursement
  • Education bonuses
Diversity & InclusionOur goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.
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About RLI

Sourced by ZipRecruiter

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Peoria, IL, US

Year founded

1965

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