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Claim Processor Jobs (NOW HIRING)

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 ...

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 ...

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 ...

RoadVantage

Claim Auditor

Austin, TX · On-site

Non-Exempt Job Purpose The Claim Auditor is responsible for conducting weekly comprehensive audits for examiners to ensure claims processes are being followed as outlined by the department and ...

The MH Group

Claims Compliance Analyst

East Longmeadow, MA · On-site

$60K - $70K/yr

The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ...

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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:
Claim Processor jobs near you
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.
Claim Processing Representative, DentaQuest (IOWA)

Claim Processing Representative, DentaQuest (IOWA)

Sun Life

South Portland, ME • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Sun Life Assurance Company of Canada rating

8.6

Company rating: 8.6 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

78th of 278 rated insurance

Job description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Job Description:

Location: Must reside in Iowa

The opportunity:

The Claim Processing Representative processes entry-level and intermediate claims with a 99% or greater accuracy rate using the company's proprietary claim processing software.


How you will contribute:

  • Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
  • Adhere to approved claim workflow requirements to maximize efficiency.
  • Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.
  • Serve as back up to call center during peak periods by taking provider and member calls to ensure corporate-wide service levels are consistently achieved.
  • Successfully complete basic claim-related projects, as assigned.
  • Other duties as needed or required.


What you will bring with you:

  • Associates degree or two years of experience in a business environment.
  • Strong math competency.
  • Ability to efficiently operate computer.
  • Strong interpersonal, written and verbal communication skills.
  • Attention to detail, accuracy and organization skills are essential.
  • Self-motivation demonstrated by a readiness to learn more and assume new challenges.
  • Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
  • Ability to work in excess of 40 hours in one week.
  • Ability to use Microsoft Office. (Word, Excel and Outlook)
  • Understanding of general insurance principles.
  • Able to follow verbal and written instructions.
  • Ability to read and comprehend at a high school level.
  • Required to attend additional training as requested/deemed necessary.

Preferred:

  • Previous claim processing experience is a plus.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.comto request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Category:

Claims - Health & Dental

Posting End Date:

02/08/2026

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