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Claims Administrator Jobs (NOW HIRING)

Verida Inc

Claims Administrator

Villa Rica, GA · On-site

TITLE: CLAIMS ADMINISTRATOR/ ASST. MANAGER REPORTS TO: Claims Manager FLSA STATUS: HIPAA: Compliance Level SUMMARY The Claims Administrator plays a vital role in supporting the training and ...

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ProKatchers LLC

CT · On-site

Claims Administrator Location : Hartford, CT (Hybrid - will be required to attend the office two days per month) Duration : 06 to 08 months contract Specific Skills : Preferred experience in claims ...

On Shelf Marketing Group - Cincinnati

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The Claims Administrator (CA) is responsible for validating and processing claims related to promotional offers, ensuring compliance with OSMG, client and Kroger policies. This role requires strong ...

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Machinify

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The Claims Administrator I oversees the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims. Additionally, this role ...

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How much do claims administrator jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for claims administrator in the United States is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $29.81 per hour, depending on experience, location, and employer.

What is the difference between Claims Administrator vs Claims Processor?

AspectClaims AdministratorClaims Processor
CredentialsTypically requires insurance or claims-related certifications, some roles may need a bachelor's degreeOften requires basic insurance knowledge, sometimes high school diploma or equivalent
Work EnvironmentOffice setting, handling complex claims, coordinating with multiple departmentsOffice or remote, focusing on data entry and initial claim review
Employer & IndustryInsurance companies, third-party administrators, healthcare providersInsurance companies, healthcare providers, claims processing centers

Claims Administrators generally handle more complex claims, coordinate with various departments, and often require specialized certifications. Claims Processors focus on data entry and initial claim review, typically with less specialized credentials. Both roles are essential in the insurance industry but differ in responsibilities and qualifications.

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

To thrive as a Claims Administrator, you need strong organizational skills, attention to detail, and a background in insurance or finance, often supported by a relevant degree or certification. Familiarity with claims management software, databases, and industry regulations is crucial for processing claims efficiently. Excellent communication, problem-solving, and customer service skills help you handle sensitive situations and collaborate effectively with clients and colleagues. These skills ensure accurate claims processing, regulatory compliance, and high-quality service in a detail-oriented environment.

What are some typical challenges a Claims Administrator faces, and how can they effectively manage them?

Claims Administrators often encounter challenges such as managing a high volume of claims, ensuring accurate documentation, and meeting strict deadlines. To handle these effectively, strong organizational skills, attention to detail, and proficiency with claims management software are essential. Building good communication with both clients and internal teams can also help streamline processes and resolve issues promptly. Staying updated on industry regulations and best practices is key to minimizing errors and ensuring claims are processed efficiently.

What jobs make $3,000 a day?

Claims Administrators typically do not earn $3,000 a day; such high daily earnings are usually associated with specialized roles like top-tier surgeons, high-level corporate executives, or successful entrepreneurs. Certain highly compensated professions in finance, law, or executive management can reach this level with bonuses and profit sharing, but these are rare and often require extensive experience and credentials.

What is the highest paying administrative job?

Among administrative roles, executive assistants and administrative managers tend to have the highest salaries, especially in senior or specialized positions. These roles often require advanced organizational skills, experience, and sometimes certifications, and they can offer higher compensation based on industry and location.

What does a claims administrator do?

A claims administrator manages insurance claims by reviewing documentation, assessing coverage, and processing payments. They ensure claims are handled accurately and efficiently, often using claims management software, and may communicate with policyholders, healthcare providers, or other stakeholders throughout the process.

What is the role of a claims administrator?

A claims administrator manages and processes insurance claims by reviewing documentation, verifying coverage, and ensuring timely resolution. They often use claims management software and need strong organizational and communication skills to coordinate with clients, adjusters, and providers.
More about Claims Administrator jobs
What cities are hiring for Claims Administrator jobs? Cities with the most Claims Administrator job openings:
What are the most commonly searched types of Claims Administrator jobs? The most popular types of Claims Administrator jobs are:
What states have the most Claims Administrator jobs? States with the most job openings for Claims Administrator jobs include:
What job categories do people searching Claims Administrator jobs look for? The top searched job categories for Claims Administrator jobs are:
Claims Administrator jobs near you
Infographic showing various Claims Administrator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.
Claims Administrator

Claims Administrator

Verida Inc

Villa Rica, GA • On-site

Full-time

Posted 7 days ago

New

Verida rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

TITLE: CLAIMS ADMINISTRATOR/ ASST. MANAGER

REPORTS TO: Claims Manager

FLSA STATUS:

HIPAA: Compliance Level


SUMMARY

The Claims Administrator plays a vital role in supporting the training and development of the Claims staff. This position is focused on creating and delivering effective training programs for Claims personnel, clients, and service providers, working closely with the Claims Manager to enhance team performance, ensure compliance with policies and regulations, and drive operational efficiency. The role includes assistant management duties, daily operational support, and contributions to process improvements. Additionally, the Claims Administrator will develop and document standard operating procedures and Claims policies while coordinating audit responses and client requests. The role requires a proactive leader committed to learning, development, and operational excellence within the Claims Department.

ESSENTIAL FUNCTIONS

  • Identify ways to improve employee efficiency and effectiveness.
    Oversees, trains, and evaluates the performance of staff, providing guidance and support as needed.
  • Assist in processing claims when necessary.
  • Supports State Directories and/or the Director of Internal Audits with state/clients’ audits.
  • Manage the Telecommuter program, Claims Account Representative, and Claims Specialists II, ensuring adherence to department standards.
    Provide feedback on revisions to policies and procedures and on the development of work processes.
  • Identify and investigate potential fraud.
  • Demonstrates the ability to interpret and apply plan-specific contract provisions.
  • Assist clients with complaints regarding billing submissions.
  • Assist with projects, development of reports, and perform other program-related duties as assigned.
  • Represent the organization at client meetings, professional association events, and workshops.
  • Develop and maintain training materials including handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference workshops.
  • Partner with management to develop and execute scheduled specialized training sessions focused on system enhancements, workflow changes, new products or product changes, as well as policy/procedure changes.
  • Conduct training needs analysis to determine specific training needs for department staff and evaluate effectiveness of the training.
  • Audit work and coordinate training initiatives to identify, develop, and publish corrective actions and educational materials.
  • Perform other duties as assigned.

QUALIFICATIONS REQUIRED

Minimum of 3 years of leadership experience
Minimum of 5 years of claims processing experience preferred
Minimum of 3 years of training experience preferred, with a focus on developing training programs and materials.
Must adhere to HIPAA standards.

Proficiency in using standard office equipment, including copiers, fax machines, phones, and computer hardware/software

Demonstrates strong proficiency in Microsoft Excel
Excellent written and verbal communication skills, capable of engaging effectively with executive management and staff.
Ability to formulate and modify policies, train, and direct staff in best practices
Strong customer service focus and the ability to engage with a diverse group of internal and external customers
Exceptional organizational skills, ability to focus on assigned tasks.
Able to work collaboratively, diplomatically, and with integrity in problem identification and problem-solving activities.


MINIMUM REQUIRED EDUCATION/TRAINING

Bachelor’s Degree in Business or related fields

Must be able to travel occasionally

Must have three years of training experience.

Must have three to five years of experience formulating training curricula.

Must have three to five years of experience using multimedia visual aids.



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