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Claims Processing Job Jobs (NOW HIRING)

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 ...

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 ...

Amwins

Claims Processing Associate

Bluffton, IN

$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 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 ...

Amwins

Claims Processing Associate

Scottsdale, AZ · On-site

$18 - $24.50/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 ...

Amwins

Claims Processing Associate

Scottsdale, AZ

$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 ...

Amwins

Claims Processing Coordinator

Scottsdale, AZ

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 ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

... process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance. • Handles escalated calls from customers and payers to ensure proper resolution. • ...

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

Report to Manager any trends occurring with payers and/or processes Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and ...

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Claims Processing Job information

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How much do claims processing job jobs pay per hour?

As of Aug 9, 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 is a claims processing job?

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 August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Processing Executive

Apolis

Iowa City, IA • On-site

$16.50 - $20.75/hr

Other

Posted 5 days ago

Job description

Job Title: Healthcare Claims Processing Executive (QNXT Claims)
Location: Remote ( Iowa Residents Only)
Tax Term: W2
Job Type: Contract
Duration: 3-6 Months
Job Description:
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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