ZipRecruiter

Log In

1

Claims Operations Associate Jobs (NOW HIRING)

ALKEME Insurance

Claims Associate

Pearl River, NY · On-site

$18.25 - $24.75/hr

The Commercial Lines Claims Associate role is responsible for supporting the day-to-day operations of the Claims Division while managing commercial liability claims from initiation to resolution.

ALKEME Insurance

Claims Associate

Glen Allen, VA · On-site

$16.50 - $22.25/hr

The Commercial Lines Claims Associate role is responsible for supporting the day-to-day operations of the Claims Division while managing commercial liability claims from initiation to resolution.

ALKEME

Commercial Lines Claims Associate

Glen Allen, VA · On-site

$16.50 - $22.25/hr

The Commercial Lines Claims Associate role is responsible for supporting the day-to-day operations of the Claims Division while managing commercial liability claims from initiation to resolution.

ALKEME

Commercial Lines Claims Associate

Pearl River, NY · On-site

$18.25 - $24.75/hr

The Commercial Lines Claims Associate role is responsible for supporting the day-to-day operations of the Claims Division while managing commercial liability claims from initiation to resolution.

Encova Insurance

Manager, Casualty Claims (Auto)

$86K - $138K/yr

This role will manage claims operations, drive best-in-class outcomes, and ensure exceptional ... If you know a current Encova Insurance associate and would like to apply as a referral, please ...

ALKEME Insurance

Commercial Lines Claims Associate

Sandy, UT · On-site

$17 - $22.75/hr

Commercial Lines Claims Associate Location: In-office in either The Hive (Sandy, UT - 84070), Pearl ... Support Claims Operations * Learn and support the day-to-day operations of the Claims Division ...

Claim Health

Operations Associate

New York, NY · On-site

$70K - $100K/yr

Operations Associate Location: NYC (In-Person) Compensation: Competitive salary + meaningful equity ... Design and implement operational workflows across customer onboarding, claims-related processes ...

next page

Showing results 1-20

All JobsClaims Operations Associate Jobs

Claims Operations Associate information

See salary details

$13

$20

$30

How much do claims operations associate jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for claims operations associate in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

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.

Is claims a stressful job?

Claims Operations Associate roles can be stressful due to the need to meet deadlines, handle complex cases, and ensure accuracy in processing claims. The job often requires strong attention to detail, communication skills, and the ability to manage a high volume of work efficiently.

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 jobs pay 500,000 a year in the US?

Claims Operations Associates typically do not earn $500,000 annually; such high salaries are usually found in executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require extensive experience, advanced skills, or ownership of a business. Most roles in claims processing are salaried and do not reach this level without additional responsibilities or bonuses.

What is the role of an operations associate?

A Claims Operations Associate is responsible for managing and processing insurance claims, ensuring accuracy and compliance with company policies. They often use claims management software, communicate with clients and providers, and perform data entry and analysis to support efficient claims handling.

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

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 do claims associates do?

Claims associates review and process insurance claims by verifying information, assessing damages, and determining coverage eligibility. They use claims management systems and often communicate with clients, healthcare providers, or repair shops to resolve claims efficiently and accurately.

What are some typical challenges a Claims Operations Associate might 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 cities are hiring for Claims Operations Associate jobs? Cities with the most Claims Operations Associate job openings:
What are the most commonly searched types of Claims Operations jobs? The most popular types of Claims Operations jobs are:
What states have the most Claims Operations Associate jobs? States with the most job openings for Claims Operations Associate jobs include:
Claims Operations Associate jobs near you
Infographic showing various Claims Operations Associate job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 28% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.
Business Claims Associate

Business Claims Associate

Avalon Healthcare Solutions

Tampa, FL • On-site

$16.75 - $22.75/hr

Full-time

Medical

Re-posted 15 days ago

Job description

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost.
Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.
Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.
Avalon is a high growth company where every associate has an opportunity to make a difference. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.
For more information about Avalon, please visit www.avalonhcs.com.
Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.
For more about Avalon, please visit our web site at http://www.avalonhcs.com.
About the Business Claims Associate:
The Business Claims Associate will be a part of the Claims Operations Department and will report to the Claims Operations Supervisor. Responsibilities of the Claims Associate includes the submittal of weekly Provider Reconsideration faxes to multiple health plans and providing follow ups when appropriate. The Claims Associate will also upload faxed confirmations and health plan determination letters to in process tickets and will be expected to monitor Reconsideration queue to identify discrepancies. This role will also include performance of outbound calls and email communications to clients for status updates on tickets submissions to facilitate issue resolution. Additionally, the Claims Associate will evaluate provider issues presented on Provider Support tickets and work with the Senior team and management to determine trends and assist in driving resolution. Additionally, this role will include support of Network Operations. Furthermore, this position will also provide support for Network Operations, which includes the review and research of claims, verification of provider documentation, and the creation of ad-hoc reports
This position is eligible for hybrid-remote work and will be required to report to the corporate office in Tampa, Florida for 1-2 days per week.
Business Claims Associate - Essential Functions and Responsibilities:
  • Submit Provider Reconsideration tickets to multiple Health plans
  • Evaluate disputed claims in Reconsideration process and share findings with Senior staff to determine scope
  • Maintain and update Provider demographic records for network participation.
  • Uploading Health plan determination letters to appropriate Reconsideration tickets
  • Track Provider issues and monitor trends to support their resolution.
  • Update and responds to provider ticket requests within established turnaround times.
  • Provides excellent customer service to providers.
  • Collaborates with other departments to support provider needs.
  • Performs outbound calls to Health Plans to investigate aging reconsideration submissions and claims payment details.
  • Maintenance of various logs
  • Excellent written and verbal communication skills.
  • Research and resolve provider inquiries.
  • Performs other duties as assigned.
  • Storing and maintenance of multiple electronic documents.
  • Ability to multi-task

Business Claims Associate - Minimum Qualifications:
  • Good customer service and communication skills
  • Attentive to details and organized
  • Intermediate knowledge of Microsoft Office Suite products
  • Excellent interpersonal skills
  • Willingness to learn new skills
  • Experience with using eFax and performing outbound phone calls to clients

Business Claims Associate - Minimum Qualifications:
  • Associate degree preferred but not required
  • Experience working in the health care industry is preferred but not required
  • Experience with Provider credentialing is preferred but not required

Apply