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Claims Operations Associate Jobs (NOW HIRING)

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 ...

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How much do claims operations associate jobs pay per hour?

As of Jun 5, 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.

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 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 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 May 2026, with employment types broken down into 67% Full Time, 32% Part Time, 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.
Claims Operations Supervisor - Hybrid (Indianapolis, Indiana)

Claims Operations Supervisor - Hybrid (Indianapolis, Indiana)

Gainwell Technologies

Indianapolis, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

106th of 186 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
The Claims Operations Supervisor provides day-to-day operational leadership for claims processing, adjudication, resolutions, adjustments, and mailroom functions. This role supports timely and accurate claim outcomes, monitors quality and productivity, assists with complex claims questions and escalations, and partners with internal teams to drive compliant, repeatable processes. The supervisor will identify trends, escalate risks, and recommend improvements to support operational excellence and service-level performance.
Your role in our mission
  • Supervise daily claims and mailroom workflow, including assigning work, balancing priorities, and monitoring inventory to meet service-level targets.
  • Provide subject-matter expertise and support analysts with complex claims questions, escalations, adjustments, and reprocessing scenarios.
  • Track and report operational metrics including quality, timeliness, productivity, inventory, and remediation plans.
  • Lead quality activities and ensure claims are processed accurately, consistently, and in compliance with procedures and plan guidelines.
  • Partner with IT, business owners, finance, and operations teams on change requests, release readiness, issue resolution, and process improvements.
  • Maintain procedures, job aids, and workflow documentation while supporting onboarding, training, coaching, and team development.

What we're looking for
  • High school diploma or GED required; associate or bachelor's degree in business, finance, healthcare administration, or related field preferred.
  • 5+ years of claims processing experience, including experience handling complex or escalated claims.
  • Prior lead, supervisory, or informal leadership experience preferred.
  • Working knowledge of claim forms, benefits, coordination of benefits, adjustments, reprocessing, and quality control practices.
  • Proficiency with claims platforms, reporting tools, Microsoft Excel, and operational dashboards.
  • Strong analytical, communication, documentation, coaching, and problem-solving skills with the ability to drive accountability and process

What you should expect in this role
  • Hybrid position requiring onsite support at 6612 E. 75th Street, Indianapolis, IN 46250, with collaboration across claims operations, finance, compliance, and leadership teams.
  • Fast-paced, deadline-driven environment focused on claims accuracy, quality, service-level performance, and operational excellence.
  • Regular interaction with leadership, internal stakeholders, and operational teams to support workflow management and issue resolution.
  • Opportunities to support process improvements, operational initiatives, team development, and workflow optimization.
  • Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

This is a pipeline requisition intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position by July 2026.
Please note that cameras will be required to be turned on during video screening calls and interview meetings as part of the interview process.
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The pay range for this position is ((salaryMin)) - ((salaryMid)) per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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