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Claim Jobs in Utah (NOW HIRING)

This position offers the opportunity to take ownership of complex claims, collaborate with leadership and peers, and contribute to fair, timely, and well-documented claim outcomes. This is a strong ...

New

UT · On-site

Monitor and manage claim reserves, settlement authority, and expense controls to support financial performance and profitability. * Oversee relationships with vendors, defense counsel and third-party ...

SIU Investigator

Provo, UT · On-site

$21.25 - $27.25/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a ...

SIU Investigator

Provo, UT · On-site

$21.25 - $27.25/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a ...

Showing results 41-60

Claim information

See Utah salary details

$12

$19

$25

How much do claim jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for claim in Utah is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.77 per hour, depending on experience, location, and employer.

What is a claim?

Claims are formal requests made by policyholders to an insurance company for coverage or compensation for a covered loss or policy event. When an insured event occurs, such as an accident or damage, the policyholder submits a claim to the insurer, who then evaluates it to determine if the loss is covered under the policy and the amount to be paid. The claims process involves documentation, assessment, and often interaction with claims adjusters. The goal is to help the insured recover from their loss as outlined in the insurance agreement.

What are the key skills and qualifications needed to thrive as a claims adjuster, and why are they important?

To thrive as a Claims Adjuster, you need analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a bachelor's degree or relevant experience. Familiarity with claims management software, estimating tools, and sometimes industry certifications like AIC (Associate in Claims) is important. Strong negotiation, communication, and customer service skills help manage claimants' expectations and resolve disputes effectively. These abilities ensure accurate claim assessments, regulatory compliance, and a positive customer experience.

What are some common challenges faced by claims professionals and how can they be effectively managed?

Claims professionals often encounter challenges such as interpreting complex policy language, managing high caseloads, and addressing customer concerns during stressful situations. Staying organized, maintaining clear communication with all parties, and leveraging technology for tracking claims can help manage these challenges. Additionally, collaborating closely with underwriters, legal teams, and customers ensures accuracy and efficiency throughout the claims process.

What is the difference between Claim vs Adjuster?

AspectClaimAdjuster
CredentialsMay require basic insurance knowledge, certifications varyOften requires licensing and specific insurance adjuster certifications
Work EnvironmentTypically involves submitting claims, customer service, administrative tasksInvolves investigating, evaluating, and settling insurance claims
Industry UsageUsed across insurance sectors for filing claimsUsed for assessing and settling claims in insurance companies
Search/Comparison IntentPeople compare Claim roles to understand filing processesPeople compare Adjuster roles to understand claim evaluation

In summary, a Claim generally refers to the process of submitting an insurance request, while an Adjuster is responsible for investigating and evaluating those claims to determine coverage and settlement. Both roles are integral to the insurance industry but focus on different stages of the claims process.

What is a job in claims?

A job in claims involves reviewing, investigating, and processing insurance claims to determine coverage and payout eligibility. Claims professionals often analyze documentation, communicate with clients and providers, and use specialized software to ensure accurate and efficient claim handling.

What are the most commonly searched types of Claim jobs in Utah?

The most popular types of Claim jobs in Utah are:

What cities in Utah are hiring for Claim jobs?

Cities in Utah with the most Claim job openings:

Infographic showing various Claim job openings in Utah as of August 2026, with employment types broken down into 78% Full Time, 20% Part Time, and 2% Contract. Highlights an 80% Physical, 6% Hybrid, and 14% Remote job distribution, with an average salary of $39,859 per year, or $19.2 per hour.

$18.75 - $25.25/hr

Full-time

Re-posted 27 days ago


Job description

We are seeking an experienced and detail-oriented Home Health & Hospice Medical Biller to join our Revenue Cycle team. In this critical role, you will be responsible for the accurate and timely submission of claims to Medicare, Medicaid, and private insurance payers for home health and hospice services. The ideal candidate brings a solid understanding of home health and hospice billing regulations, payer-specific requirements, and a commitment to compliance and clean claim submission

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  • Prepare and submit accurate claims for home health (PPS/RAPs/Final Claims) and hospice services (NOE, election, revocation, and final claims) to Medicare, Medicaid, and commercial insurers
  • Process final claims in accordance with CMS timelines
  • Review Explanation of Benefits (EOBs) and Remittance Advices (RAs); post payments and adjustments accurately
  • Identify, work, and resolve claim denials, rejections, and underpayments through timely appeals and follow-up
  • Verify patient eligibility, hospice election status, and benefit period information prior to billing
  • Maintain working knowledge of OASIS assessments, physician orders, and their relationship to billing compliance
  • Monitor accounts receivable aging reports and take proactive steps to reduce outstanding balances
  • Communicate with clinical staff, coders, and intake coordinators to resolve billing discrepancies
  • Ensure compliance with Medicare Conditions of Participation (CoPs), HIPAA regulations, and agency policies
  • Stay current on CMS rule changes, LCD/NCD updates, and state Medicaid billing requirements
  • Generate and analyze billing reports; present findings to management as needed
  • Assist with internal and external audits as requested
  • Minimum 2 years of medical billing experience specifically in home health and/or hospice
  • Strong knowledge of Medicare home health Prospective Payment System (PPS), PDGM, and hospice benefit billing
  • Proficiency with EMR/billing software (e.g., Kinnser, WellSky, Homecare Homebase, MatrixCare, or similar)
  • Familiarity with UB-04 claim forms and electronic claim submission via clearinghouses (e.g. Waystar, Change Healthcare)
  • Knowledge of HIPAA privacy and security regulations
  • Strong attention to detail and organizational skills
  • Certified Professional Biller (CPS), Certified Medical Reimbursement Specialist (CMRS), or equivalent credential
  • Experience billing Medicaid waiver programs or managed care/Medicare Advantage plans
  • Familiarity with Value-Based Purchasing (VBP) programs in home health