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Claims Processor Jobs (NOW HIRING)

Real Soft, Inc.

Claims Processor

Mason, OH · On-site

$25/hr

CLAIMS PROCESSOR Budgeted Bill rate: $25.00 MARKUP 33.05% / Tenure discount 13 months 22.50% Payment Terms - Net 90 (paid when paid) EYEMED Background check & 5-panel drug screening required before ...

Accentuate Staffing

Claims Processor

Raleigh, NC · Hybrid

$20/hr

Accentuate Staffing is currently recruiting for a hybrid Claims processor to join an established commercial insurance company in Raleigh. This role will be hybrid (2 days from home ). The Claims ...

Accentuate Staffing

Claims Processor

Raleigh, NC · On-site

$15.25 - $19.25/hr

Accentuate Staffing is currently recruiting for a hybrid Claims processor to join an established commercial insurance company in Raleigh. This role will be hybrid (2 days from home ). The Claims ...

Global Channel Management

Claims Processor

Westford, MA · On-site

$17.75 - $22.25/hr

Claims Processor Westford, Massachusetts, United States $ 16.00 - 17.00 (US Dollar) About the Job Claims Processor needs 1+years experience Claims Processor requires: * Ability to learn and adopt new ...

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

Claims Processor Location(s): Fairfax, VA * Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational ...

Real Soft

Claims Processor

Mason, OH · On-site

$25/hr

CLAIMS PROCESSOR Budgeted Bill rate: $25.00 MARKUP 33.05% / Tenure discount 13 months 22.50% Payment Terms - Net 90 (paid when paid) EYEMED Background check & 5-panel drug screening required before ...

Zenith American Solutions

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes ...

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass. Through demonstrated experience and knowledge, process standard, non-complex claims requiring ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes ...

Integrated Resources

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Title: Claims Processor Location: Mason OH Contract: 3 Months and Possibility of Extension Work hours: full-time (8h day / 40 week). Standard 9am-5pm GENERAL FUNCTION The Claims Coordinator ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a ...

CYNET SYSTEMS

Claims Processor

Mason, OH · On-site

$20 - $22/hr

Efficiently and accurately processes a variety of vision insurance claims or adjustments. * Determines any special plan requirements prior to billing. * Reviews claims before entry for completeness ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes ...

Express Employment

Claims Processor

Honolulu, HI

$22/hr

The Claims Processer is responsible for the processing of all medical, hospital, vision, chiropractor and ancillary claims, which includes coordination of benefit and third-party liability claims in ...

Carrot

Claims Processor

Des Moines, IA · On-site

$16.50 - $21/hr

Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher * Promptly and empathetically attend to member questions * Support both US and non-complex global claims ...

Total Recon Auto Center

Claims Processor

Rockville, MD · On-site

$23 - $26/hr

As a Claims Processor at Total Recon, a Tesla-approved body shop, you will be the primary liaison with insurance companies. You will ensure that all claims progress smoothly and are properly ...

AVA Consulting

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Claims Coordinator The Claims Coordinator accurately and efficiently processes all types of claims from source documents, maintaining compliance with the insurance plan requirements and with high ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total ...

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Claims Processor information

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$12

$19

$26

How much do claims processor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for claims processor 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 a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

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

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
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Cities with the most Claims Processor job openings:

What are the most commonly searched types of Claims Processor jobs?

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Who are the top companies hiring for Claims Processor jobs?

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What states have the most Claims Processor jobs?

States with the most job openings for Claims Processor jobs include:

What are popular job titles related to Claims Processor jobs?

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

Infographic showing various Claims Processor job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Processor

Mason, OH • On-site

Real Soft, Inc.
IT Services • 501 - 1,000 employees
Learn more about Real Soft, Inc.external

$25/hr

Other

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

CLAIMS PROCESSOR
Budgeted Bill rate: $25.00
MARKUP 33.05% / Tenure discount 13 months 22.50%
Payment Terms - Net 90 (paid when paid)
EYEMED Background check & 5-panel drug screening required before start date.
HYBRID - 2-3x in Mason Office.
Duration: unknown - Pending Extension
Data Entry Test Scores required on Resumes. If not received, the resume will be declined.
Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch)
Must have adequate WFH space and follow all Luxottica remote protocol.
A $ 2,000.00 missing equipment fee is assessed if equipment is not returned.
GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
  • Processing - Efficiently and accurately processes standard claims or adjustments
  • Consistently achieves key internals with respect to production, cycle time, and quality
  • May participate on non-complex special claims projects initiatives, including network efforts
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team
  • Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
  • Proactively works with supervisor to develop self-remediation plan when standards are not being met

KNOWLEDGE & SKILLS:
  • Data entry and claims processing knowledge
  • Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and EyeNet
  • Some basic working knowledge of software programs, specifically Excel and Access
  • Understands third party benefits and administration
  • Strong customer service focus
  • Ability to work well under pressure and multi-task

EXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION: High school mandatory
There will actually be 5 courses that required for all temporary employees:
3 for Compliance purposes and 2 for HiTrust / Security requirements:
1. General Compliance
2. HIPAA
3. Fraud, Waste, and Abuse
4. Security Essentials
5. Introduction to Phishing

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