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Claim Processor Jobs in Remote, OR (NOW HIRING)

CONFEDERATED TRIBES OF CLUSI

Pharmacy Biller

Coos Bay, OR · On-site

$17.25 - $22.25/hr

Initiates and tracks prior authorizations to support successful medication claim processing. Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or ...

CTCLUSI

Pharmacy Biller

Coos Bay, OR · On-site

$17.75 - $22.75/hr

Initiates and tracks prior authorizations to support successful medication claim processing. * Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90 ...

Douglas County (OR)

Veterans Claims Specialist

Roseburg, OR · On-site

$24.38 - $32.15/hr

This position provides support to the Veterans Services Officer by assessing the needs of clients and offering assistance with processing claim forms. Essential Job Duties: This is not an exhaustive ...

Douglas County, OR

Veterans Claims Specialist

Roseburg, OR · On-site

$24.38 - $32.15/hr

This position provides support to the Veterans Services Officer by assessing the needs of clients and offering assistance with processing claim forms. Essential Job Duties: This is not an exhaustive ...

Team8

Bluespine-Sr. FWA Analyst

OR · On-site +1

Bluespine can offer personalized precision by tailoring assessments to each unique medical claim ... processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations ...

Therapeutic Associates

Authorization Representative

OR · On-site +1

$17 - $20/hr

Process, follow-up, and monitor all authorizations submitted for physical therapy clinics ... claim creation and insurance billing. * Assist TAI Customer Service and Accounts Receivable ...

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All JobsClaim Processor JobsClaim Processor Jobs in Remote, OR

Claim Processor information

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$12

$19

$26

How much do claim processor jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for claim processor in Remote, OR is $19.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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.
Claim Processor jobs near you

Nurse Practitioner - Roseburg, OR - Part Time

Commonwealth Medical Services

Roseburg, OR • On-site

$450 - $550/day

Part-time

Medical, Dental, Vision, PTO

Re-posted 6 days ago

Job description

Job description:

Exciting Opportunity for Nurse Practitioners – Part-Time.

  • Specialty: Nurse Practitioner
  • Location: Roseburg, OR
  • Shifts: 8:00 AM - 4:00 PM (3 Days/Week)
  • Compensation: $450–$550 per day (Guaranteed daily rate)
  • Status: W-2 Employment
  • Paid Time Off: Accrued PTO
  • Benefits: Health, Dental, and Vision insurance options available for eligible employees.
  • Other: Malpractice Coverage

Why Join Us?
Be part of a Nurse Practitioner-owned company that puts your work-life balance first! We offer competitive guaranteed pay, a supportive environment, and the flexibility you’ve been looking for.

What You’ll Do:

  • Conduct one-time assessments for our nation’s Veterans, helping them in their disability claim process.
  • Enjoy a low-stress setting, seeing just 1-5 Veterans per day.
  • Review records and complete assessments electronically on a secure platform.
  • Benefit from fully provided technology, training, and clinical support.

What You WON’T Do:

  • No treatments, procedures, or diagnoses.
  • No prescribing, billing, or disability percentage calculations.
  • No scheduling of appointments and walk-ins is permitted.
  • No nights, weekends, or holidays.

Who We’re Looking For:
Whether you’re a new graduate looking to kickstart your career or an experienced provider seeking a slower, more flexible pace, this role is for you!

Apply today to join a mission-driven company that values YOU. Make a difference in the lives of Veterans—without sacrificing your own.

Email thomas@cmslexington.com for any questions or assistance.