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Claims Processing Jobs in Nevada (NOW HIRING)

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

The Claims Supervisor will play a crucial role in ensuring the efficient and accurate processing of healthcare claims within our organization. You will lead a team of claims analysts, oversee claim ...

The Claims Supervisor will play a crucial role in ensuring the efficient and accurate processing of healthcare claims within our organization. You will lead a team of claims analysts, oversee claim ...

Claims Examiner

Las Vegas, NV · On-site

$70K - $85K/yr

Communicate with injured workers, employers, physicians, attorneys, and clients throughout the claims process * Monitor medical treatment plans and coordinate claim follow up activities * Issue ...

Mainframe Developer

Las Vegas, NV · On-site

$46.75 - $60.25/hr

The role involves daily development, maintenance, and support of mainframe health claims applications, as well as developing and deploying code changes for claims processing systems. Responsibilities ...

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Claims Processing information

See Nevada salary details

$12

$19

$26

How much do claims processing jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for claims processing in Nevada is $19.52, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $21.06 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.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. It requires attention to detail, knowledge of insurance policies, and often involves using specialized software to track claim status and ensure timely resolution.

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.

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 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 Nevada? The most popular types of Claims Processing jobs in Nevada are:
What cities in Nevada are hiring for Claims Processing jobs? Cities in Nevada with the most Claims Processing job openings:
Claims Processing Manager

Claims Processing Manager

Veteran Benefits Guide

Las Vegas, NV • Hybrid

$80K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago


Job description

Description

What is VBG:

Veteran Benefits Guide has been proud to serve our nation's service members for more than 10 years. Founded by a U.S. Marine Corps Veteran, VBG assists Veterans through the challenging VA claims process to efficiently secure their hard-earned benefits. Now operating with more than 250 team members nationwide, VBG has helped over 55,000 Veterans through the VA claims process. The company is dedicated to honoring service and supporting the Veteran community through ongoing advocacy, community partnerships, and meaningful opportunities within its workforce.

Who we're looking for:

Step into a pivotal leadership role driving operational excellence and team success at Veteran Benefits Guide. The Claims Processing Manager serves as the primary operational expert and visionary leader for an assigned "Pod"-a cross-functional team managing the daily flow of claims. You will collaborate closely with the Lead Conversion, Case Management, Underwriting and Case Review Managers to ensure seamless workflows, optimize staff performance, and champion our organizational mission. Leadership relies on this role to act as a credible coach and mentor, making sound business judgments to consistently achieve all operational goals. 


What do we offer: 

We invest in our people, supporting their growth through mentorship and professional development. We strive to offer a work-life balance, creating a culture that is people-focused and fun. Here are some of the benefits you can expect as part of our team:  

  • Work from home: Flexibility to work from home based on business needs and policies. 
  • Work/life balance: We offer a Monday - Friday 8 a.m. to 5 p.m. schedule. 
  • Benefits: Choice of Medical, Vision, and Dental plans with company premium contributions, vacation and sick time, 8 paid holidays plus a floating holiday, 401k with company match after 90 days &      other ancillary benefits.
  • Growth and development: In-house training and on-the-job development prepare our employees for promotional advancement,      leadership opportunities, and lateral transfer skill development. 

Essential functions: 

Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.  

  • Oversee daily operations and manage the flow of claims through the pod.
  • Identify and implement process improvements to increase efficiency and quality.
  • Monitor budgets, track costs, and optimize resource allocation.
  • Track performance metrics, prepare reports, and present findings to leadership.
  • Lead, coach, and develop team members; support hiring, onboarding, and performance management.
  • Maintain compliance, data security, and risk management standards.
  • Collaborate with managers and cross-functional teams to achieve shared goals.

Qualifications and Competencies:

  • 5-7 years of operations or production management experience, preferably in claims processing, insurance, finance, or healthcare.
  • At least 3 years of people management experience.
  • Strong analytical, communication, and time management skills.
  • Proficiency in Microsoft Office and general computer applications.
  • Detail-oriented, adaptable, and comfortable working in a high-pressure environment.
  • Strong leadership, coaching, and mentoring abilities.

Education

  • Bachelor's degree in Business Administration, Operations Management, Finance, or a related field required.
  • MBA or other advanced degree preferred.
  • Certifications such as PMP, Lean Six Sigma Green/Black Belt, or Certified Manager (CM) are a plus.

Supervisory Responsibilities

This position has supervisory responsibilities for pod team members and any additional assigned staff.


Travel:

Travel to out-of-state off-site training or meetings may be required and is estimated at up to 50% within the first 90 days of employment.


Why VBG:

  • VBG find meaning in their day-to-day work because every process, every project, and every decision connects back to real Veterans' lives.
  • VBG fosters a culture that values service, integrity, and continuous improvement.
  • When you work at VBG, you're not just advancing your career-you're honoring service, empowering Veterans, and helping to build a better system for those who gave so much.

 
 

EEO:

Veteran Benefits Guide provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex (including pregnancy, childbirth, breastfeeding or related medical conditions), gender (including gender identity and gender expression) genetic characteristic, sexual orientation, registered domestic partner status, age, military or veteran status, hairstyle or hair texture, reproductive health decision making, or any other characteristic protected by federal, state, or local laws.