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Claims Processing Representative Jobs (NOW HIRING)

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments Consistently ... Client Representatives and EyeMed leadership team. Drives Key Performance Indications ...

Ampcus

Claims - Processor, Claims I

Baltimore, MD · On-site

$17 - $21.25/hr

... processing requirements based on contracts, policies and procedures. Process product or system ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments * Consistently ... Client Representatives and EyeMed leadership team * Drives Key Performance Indications ...

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

... processing requirements based on contracts, policies and procedures. Process product or system ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22/hr

... processing requirements based on contracts, policies and procedures. Process product or system ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22/hr

... processing requirements based on contracts, policies and procedures. Process product or system ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

Avesis

Claims Supervisor

Phoenix, AZ · On-site

We have a proven track record for processing clean claims within 30 calendar days or less, reducing ... Collaborative: ability to represent your own interests while being fair to those representing other ...

Avēsis

Claims Supervisor

We have a proven track record for processing clean claims within 30 calendar days or less, reducing ... Collaborative: ability to represent your own interests while being fair to those representing other ...

Premera Blue Cross

Claims Processor IV

Spokane, WA · On-site

$17.25 - $21.75/hr

The Claims Processor IV is responsible for the accurate and timely review, research, and resolution ... processing, contracting statues) and complete all reprocessing documentation (claim notes, CSR ...

Avesis

Claims Supervisor

We have a proven track record for processing clean claims within 30 calendar days or less, reducing ... Collaborative: ability to represent your own interests while being fair to those representing other ...

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Claims Processing Representative information

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$11

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$42

How much do claims processing representative jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for claims processing representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What does a claims processing representative do?

A Claims Processing Representative is responsible for reviewing, processing, and resolving insurance claims submitted by policyholders or healthcare providers. They verify claim information, ensure all necessary documentation is included, and determine whether claims meet policy requirements. These professionals communicate with customers, providers, and other stakeholders to clarify details and resolve discrepancies. Their role is vital in ensuring that claims are handled accurately and efficiently, and that policyholders receive timely payments or explanations of benefits.

What skills and qualifications are needed to be a claims processing representative?

To thrive as a Claims Processing Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, typically supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes specific certifications like the Associate in Claims (AIC) are commonly required. Excellent communication, problem-solving, and organizational skills help representatives resolve issues efficiently and provide quality customer service. These competencies are crucial for accurately processing claims, minimizing errors, and ensuring timely payments to policyholders.

How does a claims processing representative collaborate with other departments?

Claims Processing Representatives frequently work alongside other teams such as underwriting, customer service, and medical review to ensure claims are processed accurately and efficiently. They may consult with underwriters to clarify policy details, coordinate with medical reviewers for documentation, and communicate with customer service to update clients on claim statuses. This collaborative environment helps resolve complex cases more quickly and ensures compliance with company policies and regulations. Strong communication skills and the ability to work cross-functionally are key to success in this role.

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

AspectClaims Processing RepresentativeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance certificationsHigh school diploma; state licensing or certification often required
Work EnvironmentOffice settings, customer service centersField work and office settings, inspecting claims
Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusters
Common Search/ComparisonClaims Processing Representative vs Claims Adjuster

The main difference is that Claims Processing Representatives handle administrative tasks, review claims, and communicate with claimants, while Claims Adjusters investigate and evaluate claims, often inspecting damages or losses. Both roles are essential in the insurance industry but focus on different stages of the claims process.

What are popular job titles related to Claims Processing Representative jobs?

For Claims Processing Representative jobs, the most frequently searched job titles are:

Claims Processing Representative jobs near you

Claims Processor

Mason, OH • On-site

Collabera
IT Services • 5 - 10K employees
Learn more about Collaberaexternal

$16 - $20.25/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Company Description

Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. 

Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance.


Job Description

Position Details :

Industry: (Eye Wear Company)

Location: Mason - OH

Job Title: Claim Processor

Duration: 3 Months (possible extension)


Roles and Responsibilities:  

Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass. 

Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication. 

Major duties and responsibilities:

Processing - Efficiently and accurately processes standard claims or adjustments

Consistently achieves key internals with respect to production, cycle time, and quality

May participate on non-complex special claims projects initiatives, including network efforts 

Understands and quickly operationalizes processing changes resulting from new plans, benefit designs. 

Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team. 

Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy. 

Proactively works with supervisor to develop self-remediation plan when standards are not being met. 

Knowledge and skills: 

Data entry and claims processing knowledge. Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm Exclaim and EyeNet. Some basic working knowledge of software programs, specifically Excel and Access. 

Understands third party benefits and administration. 

Strong customer service focus. 

Ability to work well under pressure and multi-task. 

Experience: 

Claims processing/data entry experience. 

Knowledge of PCs and spreadsheet applications. 

Education: 

High school mandatory


Qualifications

Claims Processor

Additional Information

To know more about the position, please contact:

Abhinav singh


973-637-1957

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About Collabera

Sourced by ZipRecruiter

Collabera is a Global Digital Solutions Company providing Software Engineering Solutions for the world's most tech-forward organizations in the areas of Engineering, Cloud and Data/AI. With its roots serving the engineering needs of the world's most recognized businesses in Technology, Financial Services, Telecom and Healthcare, Collabera today operates across 60 locations in 11 countries, serves 30% of the Fortune 500, and has exceeded the industry growth rate by 3-4x for several years.

Industry

It services

Company size

5,001 - 10,000 Employees

Headquarters location

Morristown, NJ, US

Social media

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