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Claims Processing Jobs in Washington, DC (NOW HIRING)

Investigate and resolve healthcare claims processing issues and incident tickets. * Analyze EDI 837 claim transactions, XML files, and claim processing errors. * Research transaction rejections, data ...

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Claims Adjuster II

Bethesda, MD ยท On-site

$63K - $92K/yr

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

5-8 Years' Experience Must have strong experience with EDI 837 Health Care Claims processing testing Must have strong working knowledge test automation using selenium java script, python cucumber ...

Claims Assistant

Rockville, MD ยท Hybrid

$15 - $23.42/hr

Process mail, handle files (until paperless), and input notes/diary entries in the claims system * Process payments, as needed * Process form letters, state forms and reports * Assist claims ...

Claims Assistant

Rockville, MD ยท On-site

$15 - $23.42/hr

Process mail, handle files (until paperless), and input notes/diary entries in the claims system * Process payments, as needed * Process form letters, state forms and reports * Assist claims ...

Medical Billing Specialist

Fairfax, VA ยท On-site +1

$18.50 - $24/hr

CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that ...

Commercial Auto Claims Adjuster - Remote

Washington, DC ยท On-site

$56K - $73K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Auto Claims Adjuster - Remote Requisition Number R7891 Commercial Auto Claims ...

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Claims Processing information

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How much do claims processing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for claims processing in Washington, DC is $21.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $23.41 per hour, depending on experience, location, and employer.

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 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 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 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.

How to get a job as a claims processing?

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

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.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, ensure accuracy, and process claims efficiently using claims management software, often adhering to company policies and industry regulations.

What are the most commonly searched types of Claims Processing jobs in Washington, DC?

The most popular types of Claims Processing jobs in Washington, DC are:

Infographic showing various Claims Processing job openings in Washington, DC as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% 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 $45,149 per year, or $21.7 per hour.

Java Developer - Healthcare Claims Processing

Lumen Solutions Group Inc.

Columbia, MD โ€ข On-site

$49.75 - $64.25/hr

Full-time

Re-posted 28 days ago


Job description

Job Summary:
Lumen Solutions Group Inc. is seeking a Java Developer with strong experience in Healthcare Claims Processing to join their agile development team. The role involves working on an enterprise-level system that manages end-to-end claims processing, including pricing, validation, and integration with external systems.
Responsibilities:
โ€ข Handle end-to-end claims processing, from intake to pricing and adjudication.
โ€ข Develop and maintain interfaces for claims pricing and validation.
โ€ข Design, implement, and enhance system functionality in an Agile environment.
โ€ข Collaborate with a team of developers to deliver reliable, high-performance solutions.
โ€ข Partner with business and technical teams to implement new features and improvements.
โ€ข Troubleshoot, optimize, and support production systems as needed.
Qualifications:
Required:
โ€ข 4+ years of hands-on development experience.
โ€ข Strong expertise in Java and Spring Framework โ€“ MUST HAVE (Top Priority).
โ€ข Healthcare Claims Processing experience โ€“ MUST HAVE.
โ€ข X12 file format understanding โ€“ MUST HAVE.
โ€ข Integration experience with JMS and JPA โ€“ MUST HAVE.
โ€ข AWS concepts and services โ€“ MUST HAVE.
Preferred:
โ€ข Strong SQL skills โ€“ Preferred.
โ€ข Experience with Kubernetes โ€“ Helpful / Nice to Have.
โ€ข Experience with Snowflake and Angular โ€“ Preferred.
โ€ข Oracle as the primary database โ€“ prior experience preferred.
Company:
Lumen Solutions Inc., is a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Virginia, USA. Founded in 1998, the company is headquartered in Sterling, USA, with a team of 51-200 employees. The company is currently Growth Stage.