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Claims Operations Associate Jobs (NOW HIRING)

The Hartford

Livestock Operations Associate

Omaha, NE · Hybrid

Operations Associate - DD11AN We're determined to make a difference and are proud to be an ... Direct customers to appropriate underwriting, claims resources when needed. * Work closely with all ...

Physicians Insurance

Claims Service Associate

$70K - $105K/yr

The Claim Services Associate is responsible for the timely and accurate intake, triage, and system ... Three to five years of experience in administrative, customer service, claims, operations, or ...

Physicians Insurance

Claims Service Associate

Seattle, WA · On-site +1

$70K - $105K/yr

The Claim Services Associate is responsible for the timely and accurate intake, triage, and system ... Three to five years of experience in administrative, customer service, claims, operations, or ...

Nationwide

VP, Claims Agribusiness

Des Moines, IA · Remote

You will direct the activities of strategic and operational initiatives to ensure claim cost and ... Proven ability to influence associates at all levels and to sell ideas to executive sponsorship ...

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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.
Associate Director, Claims Documentation & Learning

Associate Director, Claims Documentation & Learning

Oscar Health

Atlanta, GA • Remote

$134K - $176K/yr

Other

PTO

Posted 12 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

238th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate Director, Claims Documentation & Learning to join our Claims team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Associate Director, Documentation & Learning role is responsible for assisting in the creation of strategic direction of learning initiatives and knowledge management practices including documenting, analyzing, and improving claims processing workflows, policies, and procedures within the operation. This role is responsible for developing and implementing programs that enhance employee skills, improve operational efficiency, and foster a culture of continuous learning and knowledge sharing.

You will report into the Senior Director, Claims.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Assist in the creation of a holistic claims training and documentation strategy
  • Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training
  • Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing specifically.
  • Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements
  • Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials
  • Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance
  • Ensure that practices are integrated into daily operations and aligned with business outcomes
  • Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction
  • Translate technical or complex information into clear, user-friendly documentation.
  • Provide effective direction, mentorship, and influence to achieve departmental goals
  • Stay abreast of industry trends, best practices, and emerging technologies in learning and development
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field
  • 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once
  • 6+ years of working collaboratively with cross-functional leadership teams
  • 3+ Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements.
  • 3+ Experience analyzing and improving processes and workflows.

Bonus points:

  • Experience in healthcare or highly regulated or related field
  • Operational improvement certification - Green or advanced belt certification
  • Bachelor's or Master's degree in related field
  • BSN or Clinical experience

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