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Claims Processing Jobs (NOW HIRING)

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

Report to Manager any trends occurring with payers and/or processes Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

... process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance. • Handles escalated calls from customers and payers to ensure proper resolution. • ...

Ascension

Claims Processing Assistant

Jacksonville, FL · On-site

$17.25 - $22/hr

Review and prepare insurance claims for third-party payers and responsible parties, ensuring ... or hiring process. Our legitimate email communications will always come from an @ascension.org ...

Medix

Claims Processor

Seattle, WA · On-site

$28.20 - $32.46/hr

We're looking for detail-oriented professionals with experience processing medical claims in a payer environment or candidates with strong provider-side medical billing and revenue cycle experience.

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How much do claims processing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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.
More about Claims Processing jobs
What cities are hiring for Claims Processing jobs? Cities with the most Claims Processing job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
What states have the most Claims Processing jobs? States with the most job openings for Claims Processing jobs include:
Claims Processing jobs near you
Infographic showing various Claims Processing job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Processing Supervisor

PharMerica

Louisville, KY • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 29 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

65th of 111 rated pharmacies

Job description

Our Company

PharMerica

OverviewPharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States. The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis, ensuring the timely resolution of claims, accurate billing, and the effective distribution of work to support operational efficiency. This is a remote opportunity. Applicants can live anywhere within the Continental USA.Night Shift Schedule: 10:00pm to 6:30am eastern. Must be able to work eastern time zone hours. The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing/collections experience. REQUIRED: Long-Term Care adjudication experience 

Benefits and perks for You! 

  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k) 
  • Company Paid Time Off*
  • Shift Differential 
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs 
Responsibilities

Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking and quality assessment audits. Establish and maintain professional and effective relationship with staff, peers, payers and other stakeholders. Provides associates assignments and work queues on a daily and/or weekly basis. Including resolution, billing, and appropriate distribution of work. Monitors quality of work performed by all associates, including interaction and compliance. Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals. Report to Manager any trends occurring with payers and/or processes Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance. Handles escalated calls from customers and payers to ensure proper resolution. Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager. Manages staff attendance and time sheets for payroll (Kronos) system. Assures staff is meeting attendance policies and reports any variations to Manager. In conjunction with feedback provided by Team Lead and/or Associate, monitor work performance including quality Ensure assignments are fair and balanced based on Team Lead/Associate level skills sets. Works to update, create and/or maintain Standard Operations Procedures for the department. Ensures Sarbanes Oxley (SOX) compliance on all variance, write-off and convert exception reports inclusive of adequate signatures are obtained. Proper storage of completed documents per Compliance policies. Performs other tasks as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Works to update, create and/or maintain Standard Operations Procedures for the department.

Qualifications

Education/Learning Experience Required: Associates degree, 4 year college , technical degree or 4+ years equivalent experienceWork Experience Required: 3+ years direct supervisory experience Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician.Skills/Knowledge Required: Proficiency in MS Office Products (Excel, Word) and Basic computer knowledge Required: Ability to maintain confidentiality Desired: AS400 Computer Systems ExperienceBehavior Competencies Required: Excellent communication skills, both written and oral Required: Problem solving and detail oriented Required: Strong time management, organizational skills and self-starter Required: Strong attendance and leadership

About our Line of BusinessPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.Employment Type: FULL_TIME

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