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Claims Operations Associate Jobs in Springfield, IL

Walgreens

Pharmacy Customer Service Associate

Sherman, IL · On-site

$16 - $18/hr

Operations * Provides customers with courteous, friendly, fast, and efficient service. * Recommends ... Processes (corrects and resubmits) manual claims for third party program prescription services in a ...

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Claims Operations Associate information

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How much do claims operations associate jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for claims operations 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 is a claims operations associate?

A Claims Operations Associate is a professional who supports the processing and administration of insurance claims. They handle tasks such as reviewing claim forms, verifying information, entering data into systems, and assisting claims adjusters or examiners with documentation and communications. Their role is crucial in ensuring that claims are processed efficiently, accurately, and in compliance with company policies and regulatory requirements. Claims Operations Associates may work for insurance companies, healthcare providers, or third-party administrators.

What skills and qualifications are needed to be a claims operations associate?

To thrive as a Claims Operations Associate, you need strong analytical abilities, attention to detail, and a solid understanding of insurance processes, often supported by a bachelor's degree or relevant experience. Familiarity with claims management systems, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organizational skills, and problem-solving abilities help you manage complex claims and collaborate effectively with internal and external stakeholders. These competencies ensure accurate, efficient claims processing and contribute to customer satisfaction and organizational compliance.

What challenges might a claims operations associate encounter in their daily work?

As a Claims Operations Associate, you may encounter challenges such as managing a high volume of claims while ensuring accuracy and compliance with regulations. Balancing timely processing with the need to investigate discrepancies or incomplete information can be demanding. Additionally, you'll often coordinate with adjusters, customers, and other departments, so strong communication and organizational skills are essential. Staying up to date with changing policies or industry standards can also be a key part of the role.

What is the difference between Claims Operations Associate vs Claims Analyst?

AspectClaims Operations AssociateClaims Analyst
CredentialsHigh school diploma or equivalent; some roles may require relevant certificationsHigh school diploma; some roles may prefer certifications like CPCU or similar
Work EnvironmentOffice setting, handling claims processing and customer interactionsOffice or remote, analyzing claims data and making decisions
Employer & IndustryInsurance companies, third-party administratorsInsurance firms, claims departments
Search & Comparison IntentUnderstanding entry-level claims roles and responsibilitiesAnalyzing claims data and decision-making processes

The Claims Operations Associate typically handles claims processing tasks, customer service, and administrative duties within an insurance setting. In contrast, a Claims Analyst focuses more on analyzing claims data, assessing risks, and making decisions based on policy details. Both roles require knowledge of insurance policies and claims procedures, but the Claims Analyst often involves more analytical skills and data interpretation.

How much do claims operations associates make in the US?

Claims operations associates in the US typically earn an average salary ranging from $40,000 to $60,000 per year, depending on experience, location, and company size. Entry-level roles may start lower, while experienced professionals or those with specialized skills can earn higher salaries. Benefits often include health insurance, paid time off, and opportunities for advancement.

Is claims processing a stressful job?

Claims processing as a Claims Operations Associate can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex cases and working under time pressure, which can contribute to job-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

What are the most commonly searched types of Claims Operations jobs in Springfield, IL?

The most popular types of Claims Operations jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Claims Operations Associate jobs?

Cities near Springfield, IL with the most Claims Operations Associate job openings:

Claims Operations Associate jobs near you
Infographic showing various Claims Operations Associate job openings in Springfield, IL as of August 2026, with employment types broken down into 76% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $43,265 per year, or $20.8 per hour.

Pharmacy Customer Service Associate

Walgreens

Sherman, IL • On-site

Full-time

Re-posted 12 days ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,204 frontline employees who took The Breakroom Quiz

98th of 112 rated pharmacies

Job description

  • Models and delivers a distinctive and delightful customer experience.
  • Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service.
  • In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy.  Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions.
Customer Experience
  • Engages customers and patients by greeting them and offering assistance with products and services.  Resolves customer issues and answers questions to ensure a positive customer experience.
  • Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations
  • Provides customers with courteous, friendly, fast, and efficient service.
  • Recommends items for sale to customer and recommends trade-up and/or companion items.
  • Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed.  Takes customer to OTC aisle when possible to assist in locating products.
  • Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records.  Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader.
  • Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly,  filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions.  Assists pharmacists in scheduling and maintaining work flow.
  • Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct.
  • Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities.
  • Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians.
  • Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
  • Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals.  Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
  • Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
  • Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise.  Completes resets and revisions as directed.
  • Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves).  For consumable items, assists in stock rotation, using the first in, first out method and restock outs.
  • Has working knowledge of store systems and store equipment.
  • Provides customer service in the photo area, including digital passport photo service, poster print and creative machine, suggestive sell of promotional photo products.
  • Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store).
  • Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance.
  • Complies with all company policies and procedures; maintains respectful relationships with coworkers.
  • Completes special assignments and other tasks as assigned.
Training & Personal Development
  • Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration.
  • Attends training and completes PPLs requested by Manager or assigned by corporate and acquires continuing education credits.  Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments.

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