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Claim Processor Jobs (NOW HIRING)

CVS Health

Claim Benefit Specialist

$17 - $34.15/hr

Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims. You will be a key ...

Collabera

Claims Processor

Mason, OH

$16 - $20.25/hr

Claim Processor Duration: 3 Months (possible extension) Roles and Responsibilities: Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass. Through ...

CVS Health

Claim Benefit Specialist

$17 - $28.46/hr

Handles and processes benefits claims submitted by healthcare providers, ensuring accuracy ... Documents claim information in the company system, assigning appropriate codes, modifiers, and ...

Principal Financial Group

Claim Analyst 3

Des Moines, IA · On-site +1

$30.58 - $40.96/hr

Connect with clients regarding medical conditions, restrictions & limitations, disability policy provisions, claim decisions, and all other aspects of the claim process. * Optimally manage caseload ...

Principal Financial Group

Claim Analyst 3

Des Moines, IA · On-site +1

$22.93 - $40.96/hr

Connect with clients regarding medical conditions, restrictions & limitations, disability policy provisions, claim decisions, and all other aspects of the claim process. * Optimally manage caseload ...

The MH Group LLC

Manager Claim Processing

Hartford, CT · On-site

Oversee and manage daily operations of the claims processing department to ensure timely and accurate claim handling. * Develop, implement, and maintain quality control standards to ensure accuracy ...

Integrated Resources INC

Claims analyst

Omaha, NE

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 ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage ...

AVA Consulting

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Also performs other complex claim processing which include but not limited to Medicare/Medicaid Pend process, Corrected Claims, and running daily reports. • Efficiently and accurately processes a ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage ...

CTC

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Also performs other complex claim processing which include but not limited to Medicare/Medicaid Pend process, Corrected Claims, and running daily reports. MAJOR DUTIES AND RESPONSIBILITIES • ...

New

Tailored Management

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Also performs other complex claim processing which include but not limited to Medicare/Medicaid Pend process, Corrected Claims, and running daily reports. MAJOR DUTIES AND RESPONSIBILITIES

Unicon Pharma Inc.

Claims Analyst I

Parsippany, NJ · On-site

$50 - $70/hr

Medicaid Claim processing function; manipulation of large datasets, negotiation/conflict resolution. System Implementation and report writing. - Revitas/Flex Medicaid and advance Microsoft Excel ...

Luminare Health

Sr Claims Analyst

$18.07 - $33.92/hr

Also advise team members regarding claim processing procedures. Life & Disability - Sr Claims Analyst Secure and analyze claim information to make life and disability benefit determinations in ...

Luminare Health

Sr Claims Analyst

$18.07 - $33.92/hr

Also advise team members regarding claim processing procedures. Life & Disability - Sr Claims Analyst Secure and analyze claim information to make life and disability benefit determinations in ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients * Possess high productivity and quality standards within a ...

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All JobsFinance And Insurance JobsInsurance JobsClaim Processing Specialist JobsClaim Processor Jobs

Claim Processor information

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$12

$19

$26

How much do claim processor jobs pay per hour?

As of Sep 8, 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 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.
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:

Who are the top companies hiring for Claim Processor jobs?

The top employers for Claim Processor jobs are:

What states have the most Claim Processor jobs?

States with the most job openings for Claim Processor jobs include:

What are popular job titles related to Claim Processor jobs?

For Claim Processor jobs, the most frequently searched job titles are:

Claim Processor jobs near you
Infographic showing various Claim Processor job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, 18% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claim Benefit Specialist

CVS Health

Remote

$17 - $34.15/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,370 frontline employees who took The Breakroom Quiz

91st of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

- Attendance during the 21 week training period is required. After completion of the training period, overtime may be required based on business needs.

- Applicants must reside in the Eastern Time Zone (EST)

Job Summary

Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims. You will be a key link in providing our customers with prompt, efficient, high quality claim service.

We are looking for a detail oriented individual who enjoys working in a team environment and can create value for our customers by exceeding high quality metrics.

Attendance during the 21 week training period is required. After completion of the training period, overtime may be required based on business needs.

Additional Responsibilities to include but not limited to the following:

- Determine and understand the coverage provided under a member's health plan

- Efficiently use multiple systems and screens to obtain and record claim information

- Review claims information to determine the nature of a member's illness or injury

- Identify claim cost management opportunities and refer claims for follow up

- Make claim payment decisions

- Process claims accurately to enhance customer satisfaction and retention

- Process claims within quality and production standards

- Assist team members in support of achieving team, office, regional, and national goals

Required qualifications

- Experience in a quality and production environment.

- Attention to detail.

- Ability to use multiple computer applications at one time.

Preferred qualifications

- Prior medical claim processing experience is a plus.

- Exceptional analytical skills, accurate and fast keyboarding skills, advanced computer navigation and knowledge and experience in a Windows environment

- Effective verbal and written communication skills

- Ability to adapt quickly and willingly to change, and a positive, willing attitude.

- Successful candidates should be comfortable with quality goals, production goals, and service expectations and will be monitored for accuracy, efficiency, and customer satisfaction.

- Associate's Degree

Education

High School Diploma or equivalent GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $34.15

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/18/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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