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Claim Jobs (NOW HIRING)

CCMSI

Claim Clerk

Reno, NV · On-site

$18 - $22/hr

Overview Claim Clerk Schedule: Monday-Friday, 7:30 AM-4:00 PM Hours: 37.5hour work week Compensation: $18 -$22 per hour (based on experience) Location: In Office Only (Reno, NV) Build Your Career ...

Chubb

Claim Examiner

Simsbury, CT · On-site

The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles litigated and higher severity non-litigated claims promptly, equitably and within established best ...

Archgroup

Claim Director

Morristown, NJ · Hybrid

$145K - $196K/yr

The ideal candidate will have a strong coverage background and a high level of technical claim handling ability with experience in property, general casualty, excess casualty, specialty and ...

Chubb Life Fund

Claim Examiner

Simsbury, CT · On-site

$90 - $120/hr

The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles litigated and higher severity non-litigated claims promptly, equitably and within established best ...

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients ...

Chubb

Claim Examiner

Simsbury, CT

The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles litigated and higher severity non-litigated claims promptly, equitably and within established best ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients ...

CCMSI

Claim Assistant

Maitland, FL · On-site

$18 - $19/hr

Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients ...

IFG Companies

Claim Assistant

Chapel Hill, NC · On-site

$50K - $52K/yr

POSITION SUMMARY The Claim Assistant ("CA") plays an important role in ensuring claims are handled in a timely and efficient manner, and policyholders are treated fairly and appropriately. The role ...

Cook Children's

$52 - $76/hr

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP ...

Chubb

AVP Claim Manager

Dallas, TX · On-site

Regularly review claim handers' work, using Brandywine systems as necessary, to ensure the effective discharge of core claim handling responsibilities. * Thorough and timely review of requests for ...

CCMSI

Claim Clerk

Reno, NV · On-site

$18 - $22/hr

Claim Clerk Schedule: Monday-Friday, 7:30 AM-4:00 PM Hours: 37.5hour work week Compensation: $18 -$22 per hour (based on experience) Location: In Office Only (Reno, NV) Build Your Career With Purpose ...

CCMSI

Claim Clerk

Reno, NV · On-site

$18 - $22/hr

Overview Claim Clerk Schedule: Monday-Friday, 7:30 AM-4:00 PM Hours: 37.5-hour work week Compensation: $18 -$22 per hour (based on experience) Location: In Office Only (Reno, NV) Build Your Career ...

The Whiteside Agency

Cyber Claim Counsel

Houston, TX · On-site

$111K - $184K/yr

The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results.

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Claim information

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$13

$21

$28

How much do claim jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for claim in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 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.
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What states have the most Claim jobs?

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Claim jobs near you
Infographic showing various Claim 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 $43,783 per year, or $21 per hour.

Claim Auditor I

Cook Children's Health Care System

Fort Worth, TX • On-site

Full-time

Posted 26 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

111th of 898 rated healthcare providers

Job description

Location:
Calmont Operations Building
Department:
Reimbursement Analysis
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary:
The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.
Additional Information:
The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.
Education:
  • Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred.

  • 7-10 years of medical claims processing, claim adjudication, coordination of benefit plan, medical terminology and coding.

  • Must have strong organizational skills, problem solving and decision-making skills.

  • Advanced knowledge of claim adjudication and benefit plan application for Medicaid and CHIP programs.

  • Microsoft Office skills including Word, Excel and Access.

  • Excellent customer service skills with ability to explain complicated benefit issues to staff and providers.

About Us:
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

What Cook Children's Health Care System employees say

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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