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Claims Processing Job Jobs (NOW HIRING)

Humana

Claims Processing Representative

Seymour, IN

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Seymour, IN

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Louisville, KY

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Corydon, IN · On-site

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Corydon, IN · On-site

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Seymour, IN

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Louisville, KY

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Louisville, KY · On-site

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Humana

Claims Processing Representative

Corydon, IN

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

Amwins

Claims Processing Associate

Scottsdale, AZ · On-site

$18 - $24.25/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 Amwins Self-Funded, LLC., as a Claims ...

Humana

Claims Processing Representative

Clarksville, IN · On-site

$40K - $52K/yr

The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi ...

AllCare Georgia

CLAIMS PROCESSING ASSISTANT

Grants Pass, OR · On-site

$18.25 - $23/hr

Summary of the Position This position supports claims operations and financial integrity by performing a variety of administrative and department functions related to claims processing, system COB ...

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Claims Processing Job information

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$26

How much do claims processing job jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for claims processing job 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 are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

To thrive as a Claims Processor, you need strong attention to detail, analytical skills, and knowledge of insurance policies, typically supported by a high school diploma or equivalent. Familiarity with claims management software, databases, and sometimes certification such as AIC (Associate in Claims) is beneficial. Effective communication, problem-solving abilities, and time management are vital soft skills that help in resolving issues and working efficiently with clients and colleagues. These skills ensure accurate, timely, and fair claims processing, which is critical for customer satisfaction and organizational compliance.

What is the difference between Claims Processing Job vs Claims Adjuster?

AspectClaims Processing JobClaims Adjuster
CertificationsBasic insurance or claims processing certifications often preferredAdjuster licenses required in many states
Work EnvironmentOffice-based, administrative settingFieldwork, site visits, or office-based
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent agencies
Job FocusReviewing and processing claims, data entryInvestigating claims, determining liability, negotiating settlements

While both roles are integral to the insurance industry, Claims Processing Jobs primarily handle administrative review and data management of claims, whereas Claims Adjusters focus on investigating claims and making settlement decisions. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

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

One of the main challenges in claims processing is managing a high volume of claims while ensuring accuracy and compliance with regulations. Errors or delays can impact customer satisfaction and company reputation. Staying organized, regularly updating knowledge on policy changes, and using workflow tools can help manage workloads efficiently. Additionally, collaborating closely with team members and supervisors can help resolve complex cases and maintain consistent processing standards.

What are claims processing jobs?

Claims processing jobs involve reviewing, evaluating, and handling insurance claims submitted by policyholders. Professionals in this role verify the accuracy of claim information, determine coverage eligibility, and process payments or denials according to policy guidelines. Claims processors may work in health, auto, home, or other types of insurance, and they often interact with customers, healthcare providers, or adjusters to gather necessary documentation. Attention to detail and strong organizational skills are important for success in this field.
More about Claims Processing Job jobs
What cities are hiring for Claims Processing Job jobs? Cities with the most Claims Processing Job job openings:
What job categories do people searching Claims Processing Job jobs look for? The top searched job categories for Claims Processing Job jobs are:
Claims Processing Job jobs near you
Infographic showing various Claims Processing Job job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Claims Processing Specialist

Claims Processing Specialist

WinMax Systems Corporation

Rancho Cordova, CA • On-site

$25 - $28/hr

Other

Medical, Retirement

Posted 4 days ago

Job description

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
Job Description:
The Claims Processing Specialist identifies and provides solutions for processing unique claims, refunds, overpayments, and underpayments. Other duties include processing special claims which may involve manual review of actual treatment compared to authorized treatment, and adjudicating VA CCN claims.
ESSENTIAL DUTIES:
  • Performs analysis of authorizations compared to submitted claims.
  • Processes special claim payments, specifically for VA CCN client.
  • Processes returned client checks, personal checks, undeliverable checks, stale dated checks, and requests for voids/stop-payments/re-issues. Determines refund amounts, changes status of outstanding overpayments.
  • Reviews monthly reports for outstanding overpayments and coordinates with finance on special issues.
  • Reviews and handles special professional reviews and service issues, quality complaints and coordinates with Special Correspondence Unit.
  • This list is not all-inclusive and you are expected to perform other duties as requested or assigned

Skills/Experience:
Minimum Qualifications
  • 2+ years of experience w/High School Diploma/GED
  • Previous/recent experience in claims processing
  • Ideal to have Dental Claims processing experience
  • High attention to detail
  • Some customer service experience and claims adjudication experience including the understanding of re-adjudication is preferred.

Additional Experience:
  • Proficient in MS Excel
  • Strong analytical and critical thinking skills.
  • Ability to maintain strict attention to detail.
  • Excellent customer service skills with ability to evaluate and respond to the contact needs.
  • Ability to independently prioritize work and establish, understand, and follow work rules and procedures, and take action to improve existing processes.
  • Ability to confront difficult situations and make appropriate and timely decisions.
  • Excellent organizational skills, including the ability to follow-up on commitments on a timely basis and adhere to deadlines.
  • Ability to collaborate effectively with others.
  • Basic knowledge of accounting principles.
  • Knowledge of Enterprise policies, procedures, and guidelines

Pay Transparency: "The expected pay range for this position is $25.00-$28.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."

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