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Claims Processing Specialist Jobs (NOW HIRING)

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized, accurate, and moving quickly through the right next steps. We're looking for someone who is detail ...

The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical ... Processes COE claims accurately and timely in accordance with established procedures and program ...

The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical ... Processes COE claims accurately and timely in accordance with established procedures and program ...

The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical ... Processes COE claims accurately and timely in accordance with established procedures and program ...

Claims Referral Specialist II (Remote - Eastern Time Zone State) Bring Your Dental Claims Expertise ... Process dental claims, pre-authorizations, referrals, and benefit determinations accurately and ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Showing results 21-40

Claims Processing Specialist information

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How much do claims processing specialist jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for claims processing specialist in the United States is $18.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $20.19 per hour, depending on experience, location, and employer.

What does a claims processing specialist do?

A Claims Processing Specialist is responsible for reviewing, evaluating, and processing insurance claims to determine their validity and accuracy. They verify information provided by claimants, ensure all necessary documentation is included, and follow company guidelines and regulatory requirements. Their role is crucial in ensuring that claims are processed efficiently, accurately, and in a timely manner, which helps both the insurer and the claimant. Additionally, they may communicate with policyholders, healthcare providers, or other parties to gather more information or resolve discrepancies.

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

A Claims Processing Specialist needs strong analytical skills, attention to detail, and knowledge of insurance policies or medical billing, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and basic office tools is typically required, and certifications like Certified Claims Professional (CCP) can be advantageous. Excellent communication, problem-solving, and organizational skills help specialists efficiently resolve discrepancies and interact with clients or providers. These abilities are crucial to ensure accurate, timely claims processing and maintain compliance with regulatory standards.

What are some common challenges claims processing specialists face, and how can they effectively manage them?

Claims Processing Specialists often encounter challenges such as handling high volumes of claims, navigating complex policy details, and ensuring accuracy under tight deadlines. To manage these, it's important to develop strong organizational skills, pay close attention to detail, and stay current with policy updates and regulatory requirements. Leveraging available technology, communicating clearly with team members, and seeking clarification from supervisors when needed can also help maintain efficiency and reduce errors.

What is the difference between Claims Processing Specialist vs Claims Examiner?

AspectClaims Processing SpecialistClaims Examiner
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications often preferred
Work EnvironmentOffice setting, processing claims, data entryOffice setting, reviewing and evaluating claims for accuracy
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding roles, job requirements, and career pathsEvaluating claims, assessing validity, and decision-making

While both roles involve working with insurance claims, Claims Processing Specialists focus on entering and managing claim data, whereas Claims Examiners review claims for accuracy and validity. The roles often overlap in skills and work environment, but their primary responsibilities differ, making them distinct career paths within the insurance industry.

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Who are the top companies hiring for Claims Processing Specialist jobs?

The top employers for Claims Processing Specialist jobs are:

What states have the most Claims Processing Specialist jobs?

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

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

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

Infographic showing various Claims Processing Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $39,500 per year, or $19 per hour.

EEOICPA Claims Processing and Verification Specialist

Richland, WA • On-site

ProSidian Consulting
Business Schools and Computer and Management Training • 11 - 50 employees

$17.75 - $22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago


Job description

Company Description

ProSidian is looking for "Great People Who Lead" at all levels in the organization.  Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment?  ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value.

ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management.  We help clients improve their operations.   

Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers.  Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information.

Job Description

ProSidian Seeks a EEOICPA Claims Processing and Verification Specialist located in The Hanford Tri-Cities Area (Kennewick | Pasco | Richland) to support an engagement for the US Dept. of Energy (DOE) Hanford in Eastern Washington (Tri-Cities - Kennewick | Pasco | Richland) Area. 

The ProSidian Engagement Team Members work to provide General Support Services Contractor (GSSC) assistance to support DOE Hanford [which consists of Richland Operations Office (RL), and Office of River Protection (ORP)] in support of the Govt's operations, personnel management, and general administration of regional operations at the Hanford Site in Richland, Washington. 

EEOICPA OP AB Support Candidates shall work to support requirements as a EEOICPA Claims Processing and Verification Specialist and support to the Energy Employees Occupational Illness Compensation Program (EEOICPA) Program Mgr.  across the U.S. Dept.  of Energy (DOE), Richland Operations Office (RL), Assistant Mgr.  for Mission Support (AMMS), Site Stewardship Division (SSD). EEOICPA Claims Processing and Verification Specialist shall provide staff to effectively support the EEOICPA Program Mgr.  in all phases of program implementation, including but not limited to managing all incoming and outgoing EEOICPA claims, preparing verifications of employment, and providing support for data capture requests from the National Institute of Occupational Safety and Health (NIOSH), Dept.  of Labor (DOL) and other involved parties.

DELIVERABLES

The EEOICPA Claims Processing and Verification Specialist shall provide support to the DOE-RL EEOICPA Program Mgr. . Such support shall include limited support to the DOE EEOICPA Program Mgr. , as requested, in support of the completion of DOE's requirements to support DOL and NIOSH during on-site data capture visits and in preparation for the data capture visits.  The ProSidian Engagement Team may be required to escort visitors to classified meetings, assist in documenting data captures, and providing other various administrative or basic technical support during these data capture visits, as directed by the EEOICPA Program Mgr.

Other direct support by definitive work category shall include:

  • Have the ability to review and analyze personnel records for relevant information, as well as skills at preparing summary documents, as requested.
  • After receipt of the information from others on site, ,EEOICPA Claims Processing and Verification Specialist shall compile the entire package including the employment verification prepared, evaluate it for completeness and process the claim to the requesting agents.
  • Ensure that these duties are performed in a competent, professional manner that meets established milestones and delivery schedules.
  • Work products are expected to be thorough, accurate, appropriately documented, and comply with mandated schedules.
  • Contacts with claimants or other EEOICPA related staff are expected to be of the highest competence and professionalism, recognizing the personal dynamics and issues of the claimants and other impacted personnel.

CLAIMS PROCESSING

  • Provide support on the day-to-day administration, management and tracking of all aspects of the EEOICPA claim process applicable to the Hanford and PNNL facilities and Hanford and PNNL employees.
  • Process all requests in a timely manner, as is within their scope of work and control.
  • Prepare reports, correspondence, copying, computer input, documentation as requested.
  • Communicate effectively with all Federal and contractor staff, as well as with all claimants that are in contact with the office.
  • Keep DOE-RL Program Mgr.  informed of work progress, new issues, concerns, or other items as appropriate.
  • Shipments and electronic downloads/uploads of claim related information shall be in accordance with the DOE-RL EEOICPA Program Mgr. ' s and DOE-HQ direction, policies and procedures
  • Provide routine monthly status reports and other reports as requested by the DOE-RL Program Mgr. . .
  • Conduct research to respond to inquiries from DOL and NIOSH relating to Hanford past practices or history to support claim development. These requests for research will be sporadic but require some specialized knowledge of Hanford's past contractor history.
  • Compile finding aids, as available, that document unusual sources of employment information, including historical lists of Hanford's contractors.  Manage that information collection in a secure and appropriate manner.

VERIFICATION OF EMPLOYMENT SUPPORT

  • Provide verification of employment reports on employees for former contractors, based on review and analysis of personnel records available. These verifications should include a narrative of the job title and work location, as well completion of the EE-5 forms required by Dept.  of Labor.

TECHNICIAN SUPPORT

  • Assist in logging documents/boxes into an established tracking system.
  • Move records boxes from one location in a work area to another to ensure the boxes are accurately staged for various work processes.
  • The ProSidian Engagement Team employee will scan personnel, medical or claim records from paper and electronic format and merge and consolidate the scanned files e-claim files.
  • The .contractor employee will provide typing, scanning, or records management support to EEOICPA claim and other EEOICPA related functions.
  • Create documents, lists or indices from various sources.
Qualifications

The EEOICPA Claims Processing and Verification Specialist shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position.

QUALIFICATIONS REQUIREMENTS

  • Depending on specific task assignments, certain permanent employees must have the ability to obtain a "Q" Clearance.
  • High school diploma required;
  • 6 years of relevant experience; and,
  • Contractor must be a U.S. citizen. 

TRAVEL:  Travel, both offsite and local onsite travel on the Hanford Site as coordinated with the EEOICPA Program Mgr.  and Contracting Officer is allowed, in accordance with the Federal Travel Regulations, on an as needed basis. Local travel on the Hanford Site is expected to facilitate the transfer of claim related or data capture related information.

LOCATION:  Work shall be conducted at the Dept.  of Energy - Richland Operations Office located in Richland, WA.

Additional Information

As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting.  

CORE COMPETENCIES

  • Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader
  • Leadership - ability to guide and lead colleagues on projects and initiatives
  • Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people
  • Communication - ability to effectively communicate to stakeholders of all levels orally and in writing
  • Motivation - persistent in pursuit of quality and optimal client and company solutions
  • Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams
  • Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications
  • Organization - ability to manage projects and activity, and prioritize tasks

------------ ------------ ------------

OTHER REQUIREMENTS

  • Business Tools -  understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary.
  • Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary.
  • Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors
  • Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together
  • Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference
  • Willingness - to constantly learn, share, and grow and to view the world as their classroom

------------ ------------ ------------

BENEFITS AND HIGHLIGHTS

ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees:

  • Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis.
  • Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife.
  • Group Vision Health Insurance Benefits:ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP.
  • 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match.
  • Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given.
  • Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees.
  • Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis.
  • Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials.
  • ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program.
  • Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support.
  • Flexible Spending Account: FSAs  help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projec...

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About ProSidian Consulting

Sourced by ZipRecruiter

ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/ProSidianfor more information.

Industry

Business schools and computer and management training

Company size

11 - 50 Employees

Headquarters location

Charlotte, NC, US

Year founded

2004

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