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Claims Processing Jobs (NOW HIRING)

Apolis

Claims Processing Executive

$17.50 - $22/hr

Healthcare Claims Processing Executive (QNXT Claims) Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage ...

Apolis

Claims Processing Executive

Iowa City, IA · On-site

$16.50 - $20.75/hr

Job Title: Healthcare Claims Processing Executive (QNXT Claims) Location: Remote ( Iowa Residents Only ) Tax Term: W2 Job Type: Contract Duration: 3-6 Months Join our team as a Claims Processing ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Become a part of our caring community As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Become a part of our caring community As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Become a part of our caring community As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility ...

Ztek Consulting INC

Claims Processing Executive

Phoenix, AZ · On-site

$17 - $21.25/hr

Claims Processing Executive Duration: 6-12 months Location: Onsite. Work Type: Rate: Pay range offered to a successful candidate will be based on several factors, including the candidate's education ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Become a part of our caring community As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility ...

WinMax

Claims Processing Specialist

Mather, CA · On-site

$25 - $28/hr

Claims Processing Specialist Location: Rancho Cordova, CA (Resources are required to work 100% onsite in Rancho Cordova from 6:00AM - 2:30PM) Contract: 6+ Months The Claims Processing Specialist ...

Winmax Systems

Claims Processing Specialist

Mather, CA · On-site

$25 - $28/hr

Claims Processing Specialist Location:Rancho Cordova, CA (Resources are required to work 100% onsite in Rancho Cordova from 6:00AM - 2:30PM) Contract: 6+ Months The Claims Processing Specialist ...

Amwins

Claims Processing Associate

Bluffton, IN · On-site

$16.25 - $21.75/hr

Join Our Team as a Claims Processing Associate at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Awmins Self Funded, LLC., as a Claims ...

Amwins

Claims Processing Associate

Bluffton, IN · On-site

$16.25 - $21.75/hr

Join Our Team as a Claims Processing Associate at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Awmins Self Funded, LLC., as a Claims ...

Amwins

Claims Processing Associate

Bluffton, IN · On-site

$16.25 - $21.75/hr

Join Our Team as a Claims Processing Associate at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Awmins Self Funded, LLC., as a Claims ...

The LaSalle Group

Claims Processing Specialist

Chicago, IL · On-site

$19 - $20/hr

Claims Processing Specialist LaSalle Network is recruiting on behalf of a premier organization to bring on a Claims Processing Specialist for their downtown Chicago team! Responsibilities * Process ...

The LaSalle Group

Claims Processing Specialist

Chicago, IL · On-site

$17 - $20/hr

Claims Processing Specialist LaSalle Network is recruiting on behalf of a premier organization to bring on a Claims Processing Specialist for their downtown Chicago team! Responsibilities * Process ...

Amwins

Claims Processing Coordinator

Scottsdale, AZ · On-site

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims ...

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How much do claims processing jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

How to get a job as a claims processing?

To get a job as a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Relevant experience in insurance, customer service, or data entry can be beneficial, and familiarity with claims processing software is often preferred. Certifications such as the Certified Claims Professional (CCP) can improve job prospects.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, ensure accuracy, and process claims efficiently using claims management software, often adhering to company policies and industry regulations.
More about Claims Processing jobs

What cities are hiring for Claims Processing jobs?

Cities with the most Claims Processing job openings:

What are the most commonly searched types of Claims Processing jobs?

The most popular types of Claims Processing jobs are:

What states have the most Claims Processing jobs?

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

Claims Processing jobs near you
Infographic showing various Claims Processing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Processing Executive

Apolis

Remote

$17.50 - $22/hr

Other

Posted 16 days ago

Job description

Healthcare Claims Processing Executive (QNXT Claims)

Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.

Roles & Responsibilities:
  • Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
  • Work on the QNXT claims platform (Required).
  • Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
  • Approve, deny, or adjust claims based on payer guidelines and policy terms.
  • Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
  • Record claim activity, maintain audit trails, and prepare reports for management.
  • Utilize MS Excel for claims tracking, reporting, and analysis.
Required Skills:
  • QNXT Claims Processing (Required)
  • Healthcare Claims Processing
  • Commercial Claims
  • Medicare
  • Medicaid
  • Commercial Insurance
  • Claims Adjudication
  • Eligibility Verification
  • HIPAA Compliance
  • CMS Guidelines
  • EDI Transactions
  • Claims Management Software
  • MS Excel
  • Insurance Policy Interpretation
  • Analytical & Problem-Solving Skills
  • Strong Communication Skills
  • Detail-Oriented
Qualifications:
  • High school diploma or equivalent (Required).
  • 2–4 years of experience in US healthcare claims processing.
  • Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
  • Familiarity with claims management software and EDI transactions.
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret insurance policies and payer guidelines.
  • Detail-oriented with strong problem-solving abilities.
  • Must be a resident of Iowa.
  • Must be comfortable with a 3–6 month contract.

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