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Claims Operations Jobs (NOW HIRING)

Claims Operations Associate

Philadelphia, PA ยท On-site

$18 - $24.25/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Claim Operations Associate is a vital part of the MRSNA Claims team. The Associate helps to ensure timely and efficient reconciliation of financial transactions across our claims portfolio ...

New

Claims Operations Analyst

Orlando, FL ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Operations Specialist EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and ...

New

Mgr, Claims Operations

Windsor, CT ยท On-site

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Principal Duties & Responsibilities โ€ข Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes ...

Mgr, Claims Operations

Windsor, CT ยท Remote

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to ...

Mgr, Claims Operations

Windsor, CT ยท Remote

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Principal Duties & Responsibilities โ€ข Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes ...

Mgr, Claims Operations

Windsor, CT ยท Remote

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to ...

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and ...

Claims Operations Analyst

Montvale, NJ ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Operations Specialist EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and ...

New

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and ...

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and ...

Claims Operations Associate

High Point, NC ยท On-site

$16.25 - $22/hr

The Claims Associate will be responsible for learning workers compensation laws and providing outstanding service to our clients. This is an entry-level position with no experience necessary Key ...

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Overview The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and ...

May perform routine processing within designated authority on medical only claims, following ... Typically a minimum of one to three years experience in office operations and one to two years ...

VP, Claims Operations

Plano, TX ยท On-site +1

$257K - $463K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsible and accountable for the operational execution of the member experience in claims. Creates and delivers a strategic focus on world class member experience and operational results.

Claims Operations Associate

Princeton, NJ ยท On-site

$18.50 - $25.25/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Claim Operations Associate is a vital part of the MRSNA Claims team. The Associate helps to ensure timely and efficient reconciliation of financial transactions across our claims portfolio ...

New

Claims Operations Associate

High Point, NC ยท On-site

$15.75 - $21.50/hr

The Claims Associate will be responsible for learning workers compensation laws and providing outstanding service to our clients. This is an entry-level position with no experience necessary Key ...

Showing results 41-60

Claims Operations information

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$12

$23

$43

How much do claims operations jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for claims operations in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is claims operations?

Claims Operations refers to the processes and teams responsible for handling, processing, and managing insurance claims from start to finish. This includes reviewing claims submissions, verifying information, coordinating investigations, and ensuring that claims are settled efficiently and accurately. Claims Operations professionals work to streamline workflows, comply with regulations, and deliver a positive experience for policyholders. Their role is essential in preventing fraud, reducing costs, and maintaining customer satisfaction within an insurance company.

What are the key skills and qualifications needed to thrive in claims operations?

To thrive in Claims Operations, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field. Familiarity with claims management systems, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is often required. Excellent communication, problem-solving skills, and adaptability help professionals handle complex claims and interact effectively with clients and stakeholders. These competencies are crucial for ensuring accurate, timely claims processing and maintaining customer satisfaction.

What are some common challenges faced in a claims operations role and how can they be managed?

Professionals in Claims Operations often encounter challenges such as managing high volumes of claims, ensuring accuracy under tight deadlines, and navigating complex regulatory requirements. To manage these effectively, strong organizational skills, attention to detail, and familiarity with claims processing software are essential. Many teams use workflow automation and regular training sessions to stay updated on procedures and compliance standards, which helps streamline operations and reduce errors. Building strong communication skills also aids in collaborating with adjusters, underwriters, and customers to resolve issues efficiently.

What is the difference between Claims Operations vs Claims Adjuster?

AspectClaims OperationsClaims Adjuster
Primary RoleOversees claims processing, manages teams, and ensures compliance across claims functions.Evaluates individual claims, investigates damages, and determines settlement amounts.
Required CredentialsTypically requires claims handling certifications, insurance licenses, and management experience.Requires adjuster licenses, claims handling certifications, and knowledge of insurance policies.
Work EnvironmentOffice-based, team management, and coordination with various departments.Fieldwork and office work, direct interaction with claimants and vendors.
Industry UsageCommonly used in insurance companies for claims processing departments.Used by insurance carriers for claim evaluation and settlement.

Claims Operations focuses on managing the overall claims process and team coordination, while Claims Adjusters handle individual claim evaluations and settlements. Both roles require insurance-related certifications and are integral to the insurance industry, but they differ in scope and daily responsibilities.

Is claims processing a stressful job?

Claims processing is a core part of claims operations and can be stressful due to tight deadlines, high workload, and the need for accuracy. Employees often handle complex cases and use specialized software, which requires attention to detail and strong organizational skills.
More about Claims Operations jobs

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 jobs?

States with the most job openings for Claims Operations jobs include:

Infographic showing various Claims Operations job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Claims Operations Associate

Munich Re

Philadelphia, PA โ€ข On-site

$18 - $24.25/hr

Full-time

Medical, Life, Retirement, PTO

Posted yesterday

New


Job description

We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients.

The Company

Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America.

The Opportunity

ย 

Future focused and always one step ahead!

The Claim Operations Associate is a vital part of the MRSNA Claims team.ย  The Associate helps to ensure timely and efficient reconciliation of financial transactions across our claims portfolio, including the processing of payments, pursuing collections and recoveries, and assisting with account replenishments. The Associate also ensures reliable data quality in our incoming and outgoing financial records, manages communications with internal and external stakeholders and business partners, and helps to process first notices and loss and related correspondence.

ย 

Responsibilities

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  • Validate and accurately process lower to medium complexity financial transactions for claims that are being handled by the assigned TPAs, MGAs and Cover holders.
  • Input payment data and issue timely payments to insureds, claimants, vendors and associated parties.
  • Ensure that checks, ACH payments, and wire transfers are efficiently processed and recorded.
  • Reconcile and process financial transactions related to account replenishments and reimbursements.
  • Request, process and import third-party data submissions while identifying any issues/inconsistencies.
  • Prioritize daily workload to ensure that all tasks are completed within their deadlines.
  • Communicate clearly with internal and external stakeholders and with business partners.
  • Demonstrate proficiency in multiple systems, including but not limited to: ISCyL, FSRI, SharePoint, workflow tools, and TPA claim-handling systems.
  • Process incoming emails, and accurately create or update claim files based upon the incoming information.

ย 

Qualifications

  • Excellent organizational, multi-tasking and time management skills.
  • Ability to build and sustain internal and external business relationships.
  • Enjoys working in a fast-paced work environment.
  • Self-motivator and effective at prioritization.
  • Proactive in identifying process improvements and adaptive to change.
  • Collegial team member who contributes to an upbeat, inclusive environment.

The Company is open to considering candidates in Philadelphia (PA). The base salary range anticipated for this position isย $51,000-60,000, plus opportunity for company bonus based upon a percentage of eligible pay.ย  In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).ย 

Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.

At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. ย ย 

We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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