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Claims Associate Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Follow-Up Specialist

Springfield, IL

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed ... Basic working knowledge of personal computers and their associate user software is required.

Accendra

Collector - Associate

Springfield, IL

$20/hr

Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission to various insurances either electronically or y paper. * Working knowledge of Microsoft Office ...

Memorial Health

Credit/ Refund Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

... claims. Initiates contractual adjustments on the account and/or processes refunds to patients ... Basic working knowledge of personal computers and their associate user software is required.

RenewableWorks

Territory Manager

Springfield, IL · On-site

$62K - $75K/yr

... to associates. * Lead investigations for worker's compensation claims * Conduct new hire orientations at customer locations as needed. * Represent the company at local job fairs and build ...

PeopleReady

Territory Manager

Springfield, IL

$62K - $75K/yr

... to associates. * Lead investigations for worker's compensation claims * Conduct new hire orientations at customer locations as needed. * Represent the company at local job fairs and build ...

TrueBlue

Territory Manager

Springfield, IL · On-site

$62K - $75K/yr

... to associates. * Lead investigations for worker's compensation claims * Conduct new hire orientations at customer locations as needed. * Represent the company at local job fairs and build ...

PeopleReady

Territory Manager

Springfield, IL · On-site

$62K - $75K/yr

... to associates. * Lead investigations for worker's compensation claims * Conduct new hire orientations at customer locations as needed. * Represent the company at local job fairs and build ...

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Claims Associate information

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How much do claims associate jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for claims associate in Springfield, IL is $20.80, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $22.88 per hour, depending on experience, location, and employer.

What does a claims associate do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

What are the key skills and qualifications needed to thrive as a claims associate?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What does a claims associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are some common challenges a claims associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.
More about Claims Associate jobs
What are the most commonly searched types of Claims jobs in Springfield, IL? The most popular types of Claims jobs in Springfield, IL are:
What are popular job titles related to Claims Associate jobs in Springfield, IL? For Claims Associate jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Claims Associate jobs in Springfield, IL look for? The top searched job categories for Claims Associate jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Claims Associate jobs? Cities near Springfield, IL with the most Claims Associate job openings:
Claims Associate jobs near you
Infographic showing various Claims Associate job openings in Springfield, IL as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $43,265 per year, or $20.8 per hour.

Follow-Up Specialist

Memorial Health

Springfield, IL

$18.34 - $28.42/hr

Full-time

Medical, Vision

Re-posted 11 days ago

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.Overview

Position Summary:

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of patient account balances. Ensures compliance with managed care guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Qualifications

Education:

Education equivalent to graduation from high school or GED is required.

Experience:

Two or more years as an Account Follow-Up Specialist, or comparable years of medical insurance and/or health care billing experience is required. Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required.

Other Knowledge/Skills/Abilities:

  • Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.
  • Demonstrates a thorough knowledge of contract management systems and Blue Cross and Tricare guidelines.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses highly-developed prioritization and organization skills and critical thinking and problem solving ability.
  • Demonstrates excellent communication skills, including telephone etiquette, and keyboarding and basic math skills.
Responsibilities

Principal Duties & Responsibilitites:

  • Accesses external insurance providers' websites to determine and/or verify patients' insurance eligibility and account status.
  • Receives and examines daily listings for all denominations and types of patient accounts and determines which require further analysis and action.
  • Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.
  • Follows up and investigates all denominations and types of unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors, or other sources of third party payment and secures arrangements for prompt payment.
  • Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
    • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.
    • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.
    • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
    • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.
  • Receives and researches insurance claim denials, rejections and underpayments, and as necessary, prepares the necessary paperwork to appeal the denial.
  • Reviews correspondence relating to payments and claims; conducts the necessary research to provide supplementary background information regarding the inquiry
  • Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.
  • Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
  • Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.
  • Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.
  • Communicates and resolves issues with a variety of internal and external sources to resolves issues involving medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
  • Initiates corrections to all denominations and types of charges and contractual/allowances within scope of expertise and authority granted.
  • Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
  • Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
  • Researches complex issues on all denominations and types of accounts and coordinates their resolution in a timely manner.
  • Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  • May assist with special projects, analyses, or audits.
  • As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  • Performs other related work as required or requested.
    • Employment Type: FULL_TIME

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