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Claims Configuration Jobs (NOW HIRING)

Versant Health

Manager, Configuration

Troy, NY · On-site

The Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization's core claims platforms. This role ensures accurate and timely ...

Versant Health

Director, Configuration

Troy, NY · On-site

The Director, Configuration provides strategic leadership and direction for the organization's benefit configuration and claims platform operations across all core systems. This role is accountable ...

Progyny

Configuration Analyst

Manhattan, NY · On-site +1

The Configuration Analyst plays a critical role in ensuring Progyny clients are set up accurately ... Operational & Claims Readiness * Ensure clients are fully prepared for go-live by validating claims ...

CareFirst

Payment Policy Analyst (Remote)

Baltimore, MD · Remote

Ensures dissemination of payment policies and procedures to implementation teams (e.g., claims, configuration, provider operations) and other appropriate departments. Ensures maintenance and accuracy ...

Photon

QNXT Benefit Configuration SME - VA

Norfolk, VA · On-site

QNXT Benefit Configuration SMEs with emphasis on commercial plans and Member, Claims, Provider, Sponsor, Benefit modules and related reference Tables. Scope of the Need : * The resources will support ...

Avera Health

Configuration Analyst

Sioux Falls, SD · On-site

$63K - $96K/yr

Monitor existing system performance and make configuration recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication and member enrollment, workflows and ...

Avera Health

Configuration Analyst

Sioux Falls, SD

$63K - $96K/yr

Monitor existing system performance and make configuration recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication and member enrollment, workflows and ...

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All JobsClaims Configuration Jobs

Claims Configuration information

See salary details

$35K

$87.9K

$139K

How much do claims configuration jobs pay per year?

As of Jul 18, 2026, the average yearly pay for claims configuration in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What is the difference between Claims Configuration vs Claims Processing Specialist?

AspectClaims ConfigurationClaims Processing Specialist
Primary RoleSetting up and customizing claims systems and workflowsReviewing, adjudicating, and processing individual insurance claims
Required SkillsTechnical knowledge of claims systems, data managementAttention to detail, knowledge of claims policies, customer service
Work EnvironmentTypically in IT or claims system teams within insurance companiesIn claims departments, interacting directly with claimants and providers
CertificationsClaims system certifications, insurance knowledgeInsurance claims processing certifications, customer service training

Claims Configuration involves setting up and maintaining claims systems to ensure efficient processing, while Claims Processing Specialists handle the day-to-day review and adjudication of claims. Both roles are essential in the insurance industry but focus on different aspects of claims management.

What are the typical challenges faced in a Claims Configuration role, and how can they be effectively managed?

Professionals in Claims Configuration often encounter challenges such as interpreting complex insurance policies, keeping up with frequently changing healthcare regulations, and ensuring accuracy in system setups to prevent claims processing errors. To manage these challenges, strong analytical skills, attention to detail, and ongoing communication with cross-functional teams—such as IT, business analysts, and compliance—are essential. Staying current with regulatory updates and participating in regular training can also help maintain high-quality work and minimize costly claim rework.

What is claims configuration?

Claims configuration refers to the process of setting up and maintaining the rules, parameters, and workflows in a healthcare or insurance system that determine how claims are processed, adjudicated, and paid. This role involves configuring software systems to ensure claims are handled accurately according to plan benefits, provider contracts, and regulatory requirements. Claims configuration specialists work closely with business analysts, IT, and operations teams to implement updates, troubleshoot issues, and support system enhancements. Their work helps streamline claims processing and minimize errors, ensuring compliance and customer satisfaction.

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

To thrive as a Claims Configuration Specialist, you need a strong understanding of healthcare claims processing, benefits administration, and insurance terminology, often supported by a degree in healthcare administration or a related field. Familiarity with claims management systems (like Facets or QNXT), SQL, and sometimes certification in medical billing or claims adjudication is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this position. These abilities ensure accurate claims setup and processing, minimizing errors and supporting efficient healthcare operations.
More about Claims Configuration jobs
What cities are hiring for Claims Configuration jobs? Cities with the most Claims Configuration job openings:
What states have the most Claims Configuration jobs? States with the most job openings for Claims Configuration jobs include:
What job categories do people searching Claims Configuration jobs look for? The top searched job categories for Claims Configuration jobs are:
Claims Configuration jobs near you
Infographic showing various Claims Configuration job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Duckcreek Solution architect

Duckcreek Solution architect

krg technology inc

Santa Ana, CA

$65.50 - $86.25/hr

Full-time

Re-posted 6 days ago

Job description

Company Description

Kind Regards,

Ajith

ajith(at)krgtech.com

Krg Tech Inc

 661-367-8000 Ext: 310



Job Description

Job Title: Duckcreek Solution architect

Location: Santa Ana, CA

Duration: Full Time

Job Description:

10 + Years' experience

Accenture Claims & Duck Creek (Policy, Billing, Claims)

Duck Creek, P&C Insurance.

Strong Experience in Duckcreek Policy Administration Solution Design and Architecture.

Prior Experience as an Architect within a Microsoft .Net environment.

Expert in EXAMPLE Author, Server, Express, Forms, Skins, Rating, Batch Processing, Task Creation, Transact.

Strong Experience in Debugging Tools Data Tester, Example Utility, EXAMPLE Trace Monitor, TSV Debugger.

XML/XSLT,CSS, Extjs development & Customization

Prior experience in Architecting Web services, B2B applications.

AINS Certification

Strong Experience Customization/Custom development in Skins/Custom.JS,third party application integration using web services.

Experience in SQL Server Database, stored procedures and database security.

Preferred Experience in DCT Cloud Hosting capabilities.

Experience working directly with technology, business stakeholders/leadership in formulating technical requirements to solve business problems

Multi-tiered development experience.

Billing :-- Billing Implementation with a Hands On experience in creation of Account and Pay Plans, Billing Forms Generation, Invoice Creation , PCN processing, Commission Report Generation, Installment Schedule implementation etc.

Claims :-- Experience in Claims Configuration and Console modules, Configuring/Customizing Party Module, Task Creation, Configuring/Customizing Extension and Advanced Extension points, customizing Automated Reserves etc.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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About KRG Technologies

Sourced by ZipRecruiter

KRG Technologies was founded with a simple motive of offering the clients exactly what they want, how they want and when they want. By leveraging for its clients its technological edge and right-sourcing advantage, KRG in a short period of time has grown to become one of the most trusted strategic technology partners. Treating every client as the top priority, we customize our solutions and services to align with the unique needs of each client. Headquartered in Valencia, California, KRG employs a unique global delivery platform to minister its offerings spanning from application development and maintenance to business process reengineering. With years of hands-on domain experience and international presence, we offer state-of-the-art solutions backed by our follow-the-sun service model in the most cost effective manner. We value our clientele for the trust reposed in us and our clientele admire us for our personalized approach and deep commitment to their success. Our biggest strength lies in technical expertise of our team and individual competency of our employees, which enables us to be the most befitting solution provider.

Industry

It services

Company size

201 - 500 Employees

Headquarters location

Valencia, CA, US

Year founded

2003

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