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Claim Processor Jobs (NOW HIRING)

A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired in the role, you will: * Process ...

Medical Claims Processor

Seattle, WA ยท On-site

$34.30/hr

A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired you will: * Process medical ...

Certified Claims Processor I

Grants Pass, OR ยท On-site

$16.50 - $21/hr

Certified Claims Processor I Certified Claims Processor I at AllCare Health with the Claims ... Reviews and resolves claim edits, denials, adjustments, and reprocessing requests by analyzing ...

Certified Claims Processor I

Grants Pass, OR ยท On-site

$16.50 - $21/hr

Certified Claims Processor I at AllCare Health with the Claims department in Grants Pass, Oregon We ... Reviews and resolves claim edits, denials, adjustments, and reprocessing requests by analyzing ...

Omaha NE 68154 Duration: 12 months Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource ...

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Claim Processor information

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$12

$19

$26

How much do claim processor jobs pay per hour?

As of Jul 9, 2026, the average hourly pay for claim processor in the United States is $19.16, 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.
More about Claim Processor jobs
What cities are hiring for Claim Processor jobs? Cities with the most Claim Processor job openings:
What are the most commonly searched types of Claim Processor jobs? The most popular types of Claim Processor jobs are:
What states have the most Claim Processor jobs? States with the most job openings for Claim Processor jobs include:
Infographic showing various Claim Processor job openings in the United States as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Medical Claims Processor

Medical Claims Processor

NWA

Mountlake Terrace, WA โ€ข On-site

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


Job description

Medical Claims Processor

Located in Mountlake Terrace, WA, Federal Way, WA or Seattle, WA.

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned

Who you are...

  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package.

If hired, you can expect...

  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance

Equal Employment Opportunity

NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.