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Claims Processing Jobs in Massachusetts (NOW HIRING)

Berkley

Claims Correspondence Analyst

Marlborough, MA · Hybrid

$50K - $60K/yr

Prior experience in claims processing, healthcare administration or customer service strongly preferred * Strong organizational skills and attention to detail * Excellent verbal and written ...

Robert Half

Medical Billing Specialist

Holyoke, MA · On-site

$19.25 - $20.50/hr

This role is responsible for preparing and submitting claims, posting payments, following up on outstanding balances, and helping support the overall revenue cycle process. The ideal candidate has ...

Sweetwater Care

Medicaid Specialist

Boston, MA · On-site

Claims Processing and Billing: You will be responsible for processing and billing Medicaid claims, ensuring accurate and timely submission to minimize delays and denials. * Patient Advocacy: You will ...

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Claims Processing information

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How much do claims processing jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for claims processing in Massachusetts is $20.93, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress. However, workload and stress levels vary depending on the employer and work environment.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, process claims using specialized software, and ensure compliance with policies and regulations. Strong attention to detail and knowledge of insurance procedures are essential for this role.

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

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

How to get a job as a claims processing?

To get a job in claims processing, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Relevant experience in customer service or administrative roles can be beneficial, and familiarity with claims management software is often preferred. Certifications such as the Certified Claims Professional (CCP) can enhance prospects.

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

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in Massachusetts? The most popular types of Claims Processing jobs in Massachusetts are:
What cities in Massachusetts are hiring for Claims Processing jobs? Cities in Massachusetts with the most Claims Processing job openings:
Claims Processing jobs near you
Infographic showing various Claims Processing job openings in Massachusetts as of August 2026, with employment types broken down into 78% Full Time, 16% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $43,536 per year, or $20.9 per hour.

Claims Correspondence Analyst

Berkley

Marlborough, MA • Hybrid

$50K - $60K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1 #LI-Hybrid

The Company is an equal employment opportunity employer.

Responsibilities

The Claims Correspondence Analyst will serve as a first point of contact for inquiries related to claims. This role is responsible for handling Explanation of Reimbursement (EOR) requests, claim status inquiries, general claim-related questions, and prescreening information received for initial claim file setups. The ideal candidate will have strong communication skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

This position will be based in one of our offices:

  • Hamilton Square, NJ
  • Marlborough, MA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities 
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

  • Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators
  • Review and prescreen information received for initial claim file setups
  • Maintain accurate records of all interactions and updates in the claims system and/or shared drive
  • Ensure compliance and company policies, regulatory requirements and confidentiality standards by ensuring that all external communications that contain PHI/PII are sent securely.
  • Provide exceptional customer service by delivering clear, concise and professional communication
  • Complete all assigned requests within a 48 to 72-hour handling timeframe
  • Projects and other work as assigned
Qualifications

What you need to have:

  • High school diploma

  • Prior experience in claims processing, healthcare administration or customer service strongly preferred

  • Strong organizational skills and attention to detail

  • Excellent verbal and written communication skills

  • Ability to work independently and as part of a team

  • Proficiency in Microsoft Office Suite software

  • Customer-focused mindset

  • Problem-solving and critical thinking

  • Time management and multitasking

  • Adaptability in a dynamic environment

Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $50,000 - $60,000 Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER

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