Investigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements.
Investigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements.
Claims Coordinator
Tustin, CA · On-site +1
$21 - $26/hr
Support audit processes by communicating findings, coordinating outreach, and influencing providers to obtain audit signoff * Manage daily claims activities, including sending audit findings and ...
Claims Coordinator
Tustin, CA · On-site +1
$21 - $26/hr
Support audit processes by communicating findings, coordinating outreach, and influencing providers to obtain audit signoff * Manage daily claims activities, including sending audit findings and ...
Coordinates requests for contract updates and system configuration. * Collaborates with various departments to ensure system, documentation, and processes are up to date for appropriate claims ...
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Coordinates requests for contract updates and system configuration. * Collaborates with various departments to ensure system, documentation, and processes are up to date for appropriate claims ...
Manager, Claims
Marshfield, WI · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Manager, Claims
Marshfield, WI · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Claims Coordinator Behavioral Health Claims & Managed Care | Part-Time | Hybrid | Middletown, CT ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
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Claims Coordinator Behavioral Health Claims & Managed Care | Part-Time | Hybrid | Middletown, CT ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
Disaster Restoration Claims Coordinator Position Overview As the hub of all water, fire and mold ... Coordinate billing, document collection, and payment processing for mitigation claims * Communicate ...
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Disaster Restoration Claims Coordinator Position Overview As the hub of all water, fire and mold ... Coordinate billing, document collection, and payment processing for mitigation claims * Communicate ...
Manager, Claims
North Sioux City, SD · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Manager, Claims
North Sioux City, SD · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Manager, Claims
Fargo, ND · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Manager, Claims
Fargo, ND · Remote
Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that ...
New
Claims Coordinator Behavioral Health Claims & Managed Care Part-Time Hybrid Middletown, CT - must ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
Claims Coordinator Behavioral Health Claims & Managed Care Part-Time Hybrid Middletown, CT - must ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
Claims Coordinator Behavioral Health Claims & Managed Care | Part-Time | Hybrid | Middletown, CT ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
Claims Coordinator Behavioral Health Claims & Managed Care | Part-Time | Hybrid | Middletown, CT ... Process and adjust claims for the BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
In addition to claims processing and fraud prevention, the Medicare Supplement Claims Examiner will ... and Coordination: o Liaise with Customer Service Team Lead/Supervisor to coordinate with ...
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In addition to claims processing and fraud prevention, the Medicare Supplement Claims Examiner will ... and Coordination: o Liaise with Customer Service Team Lead/Supervisor to coordinate with ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Director of Claims
Manhattan, NY · Hybrid
Responsibilities Lead process improvement initiatives within the department to achieve operational ... coordinating and monitoring reporting activities to issue key metrics related to goal attainment ...
Director of Claims
Manhattan, NY · Hybrid
Responsibilities Lead process improvement initiatives within the department to achieve operational ... coordinating and monitoring reporting activities to issue key metrics related to goal attainment ...
Claims Resolution Coordinator
Redding, CA · On-site
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Claims Resolution Coordinator
Redding, CA · On-site
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Claims Resolution Coordinator
Fairfield, CA · On-site
$37.22 - $46.53/hr
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
New
Claims Resolution Coordinator
Fairfield, CA · On-site
$37.22 - $46.53/hr
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
New
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Coordinates with Claims, Member Services, Health Services departments, the development, maintenance ... Processes CIF's and adjustments as needed. * Writes and runs reports in Business Objects to obtain ...
Director of Claims
Manhattan, NY · Hybrid
Responsibilities Lead process improvement initiatives within the department to achieve operational ... coordinating and monitoring reporting activities to issue key metrics related to goal attainment ...
Director of Claims
Manhattan, NY · Hybrid
Responsibilities Lead process improvement initiatives within the department to achieve operational ... coordinating and monitoring reporting activities to issue key metrics related to goal attainment ...
Claims Processing Coordinator information
See salary details
$12.02 - $13.70
2% of jobs
$13.70 - $15.38
7% of jobs
$15.38 - $17.07
10% of jobs
$17.59 is the 25th percentile. Wages below this are outliers.
$17.07 - $18.75
17% of jobs
The median wage is $19.90 / hr.
$18.75 - $20.43
20% of jobs
$20.43 - $22.12
13% of jobs
$23.24 is the 75th percentile. Wages above this are outliers.
$22.12 - $23.80
9% of jobs
$23.80 - $25.48
10% of jobs
$25.48 - $27.16
5% of jobs
$27.16 - $28.85
4% of jobs
$28.85 - $30.53
2% of jobs
$12
$21
$30
How much do claims processing coordinator jobs pay per hour?
As of Jun 26, 2026, the average hourly pay for claims processing coordinator in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.04 per hour, depending on experience, location, and employer.
What is the difference between Claims Processing Coordinator vs Claims Examiner?
| Aspect | Claims Processing Coordinator | Claims Examiner |
|---|---|---|
| Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; insurance licensing or certifications often preferred |
| Work Environment | Office setting, handling claims processing tasks | Office setting, reviewing and evaluating claims |
| Employer & Industry | Insurance companies, healthcare providers, third-party administrators | Insurance companies, healthcare organizations, government agencies |
| Common Search & Comparison | Yes | Yes |
While both roles work within the insurance claims process, Claims Processing Coordinators focus on managing and coordinating claims workflows, whereas Claims Examiners evaluate and authorize claims based on policy coverage. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.
What are the typical challenges a Claims Processing Coordinator faces, and how can they be managed effectively?
One of the main challenges for a Claims Processing Coordinator is managing a high volume of claims while ensuring accuracy and compliance with regulations. Coordinators must stay organized and detail-oriented to avoid errors that can delay claim resolutions. Additionally, they often need to communicate with multiple departments, providers, and policyholders, which requires strong interpersonal and problem-solving skills. Utilizing effective workflow tools and maintaining up-to-date knowledge on insurance policies and industry standards can help overcome these challenges.
What does a Claims Processing Coordinator do?
A Claims Processing Coordinator is responsible for reviewing, processing, and managing insurance claims to ensure they are complete, accurate, and compliant with company policies. They work closely with clients, healthcare providers, and insurance companies to collect necessary documentation, verify information, and resolve any discrepancies. Their role also involves entering claim data into systems, following up on outstanding issues, and helping to ensure timely reimbursement. Attention to detail and strong communication skills are essential for this position.
What are the key skills and qualifications needed to thrive as a Claims Processing Coordinator, and why are they important?
To thrive as a Claims Processing Coordinator, you need a strong understanding of insurance policies, claims procedures, and attention to detail, often supported by a high school diploma or associate degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent organizational skills, effective communication, and problem-solving abilities help you manage multiple claims efficiently and resolve discrepancies. These combined skills ensure accurate, timely claims processing and high customer satisfaction in a regulated environment.
What cities are hiring for Claims Processing Coordinator jobs? Cities with the most Claims Processing Coordinator 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 Coordinator jobs? States with the most job openings for Claims Processing Coordinator jobs include:
Full-time
Posted 28 days ago
Job description
- Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions.
- Investigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements.
- Manage open claims issues to ensure timely resolution in compliance with internal SLAs and regulatory standards.
Collaborate with internal teams to conduct training sessions and measure effectiveness of training. - Provide support for audits, appeals, and compliance-related activities
- Participate in system updates, and cross-functional meetings to stay current on claims processing procedures and benefit plan designs.
- Document all interactions, updates, and outcomes clearly in case management or claims systems.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
About Hawaii Medical Service Association
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938