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Claims Processor Associate Jobs in Tennessee (NOW HIRING)

Wellpath

Pharmacy Claims Reconciliation Specialist

Franklin, TN · On-site

$19 - $25.75/hr

The Pharmacy Claims Reconciliation Specialist also helps improve processes, ensure compliance, and ... Associate degree in Healthcare Administration, Business, Accounting, Finance, Pharmacy Billing, or ...

Wellpath

Pharmacy Claims Reconciliation Specialist

Franklin, TN · On-site

$18.50 - $25/hr

The Pharmacy Claims Reconciliation Specialist also helps improve processes, ensure compliance, and ... Associate degree in Healthcare Administration, Business, Accounting, Finance, Pharmacy Billing, or ...

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Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

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

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.
What are the most commonly searched types of Claims Processor jobs in Tennessee? The most popular types of Claims Processor jobs in Tennessee are:
What are popular job titles related to Claims Processor Associate jobs in Tennessee? For Claims Processor Associate jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Claims Processor Associate jobs in Tennessee look for? The top searched job categories for Claims Processor Associate jobs in Tennessee are:
What cities in Tennessee are hiring for Claims Processor Associate jobs? Cities in Tennessee with the most Claims Processor Associate job openings:
Claims Processor Associate jobs near you
Infographic showing various Claims Processor Associate job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 26% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution.

Claims Advocate

Commercial Insurance Associates LLC

Brentwood, TN • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Summary of Position
The Claims Advocate is responsible for directing and supporting initiatives related to the evaluation, processing, and handling of insurance claims.
Essential Job Functions and Responsibilities
Ability to meet deadlines, exhibit great attention to detail, and communicate in a positive manner is essential. Communicating professionally and clearly is required. A thorough understanding of software, systems, business procedures, and problem-solving is necessary for success.
  • Set-up new claims in CIA's agency management system (EPIC).
  • Record, track and maintain claim files for clients, ensuring timely payments, coverage decisions and addressing disputes from insureds and claimants.
  • Collect, interpret, and distribute vast amounts of information from various sources relating to the handling of claims.
  • Communicate with insureds to secure claim information, discuss various claim handling scenarios and possible obstacles prior to reporting claims.
  • Coordinate with carriers, Producers, and insureds on claim review meetings.
  • Assist Producers in coverage determinations.
  • Generate special claims projects as assigned.
  • Other duties as assigned by your manager.

Knowledge, Skills, and Abilities
  • Ability to manage scenarios of an urgent nature with an ability to maintain composure under situations of duress.
  • Knowledge/awareness of coverage application from policies and order of coverage presence in claim filing scenarios.
  • Ability to develop good working relationships and workflows with clients by providing prompt and accurate service.
  • Strong analytical skills and the ability to analyze and organize data.
  • Time management and ability to meet deadlines.
  • Strong organizational skills and ability to multitask.

Minimum Qualifications
  • 2+ years of experience in commercial insurance, specifically P&C.
  • Excellent verbal and written communication skills as well as stellar interpersonal skills.
  • Strong organizational skills, recordkeeping, note-taking, and advanced typing.

Apply