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Claims Processor Associate Jobs in Pittsburgh, PA

EFT Processor II

Bellevue, PA ยท On-site

$15.50 - $20/hr

Investigate and escalate suspicious or fraudulent claims in accordance with policies * Process EFT ... Associate's Degree Business Administration/Finance preferred Northwest is an equal opportunity ...

EFT Processor II

Bellevue, PA

$15 - $19.25/hr

Investigate and escalate suspicious or fraudulent claims in accordance with policies * Process EFT ... Associate's Degree Business Administration/Finance preferred Northwest is an equal opportunity ...

QA Associate

Pittsburgh, PA ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Operations Quality Assurance Associate I serves as a subject matter expert for assigned ... Call center and/or claims processing experience is a plus. Skills * Proficiency with Microsoft ...

Liability Specialist

New Kensington, PA

$63K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Processes (IC) Instills Trust Ensures Accountability Job-Specific Knowledge Decision Quality ... Associate degree and three years of claims related experience required; or * Bachelor's degree and ...

Liability Specialist

New Kensington, PA ยท On-site

$63K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Processes (IC) Instills Trust Ensures Accountability Job-Specific Knowledge Decision Quality ... Associate degree and three years of claims related experience required; or * Bachelor's degree and ...

Supervisor, Patient Support

Pittsburgh, PA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate's degree or equivalent experience (4 years) required in business, marketing, or related discipline. * Two years in a healthcare setting, including experience in a claims processing or high ...

Supervisor, Patient Support

Pittsburgh, PA ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate's degree or equivalent experience (4 years) required in business, marketing, or related discipline. * Two years in a healthcare setting, including experience in a claims processing or high ...

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Claims Processor Associate information

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How much do claims processor associate jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for claims processor associate in Pittsburgh, PA is $18.61, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.05 per hour, depending on experience, location, and employer.

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 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 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.

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, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Pittsburgh, PA?

The most popular types of Claims Processor jobs in Pittsburgh, PA are:

What are popular job titles related to Claims Processor Associate jobs in Pittsburgh, PA?

For Claims Processor Associate jobs in Pittsburgh, PA, the most frequently searched job titles are:

What cities near Pittsburgh, PA are hiring for Claims Processor Associate jobs?

Cities near Pittsburgh, PA with the most Claims Processor Associate job openings:

Infographic showing various Claims Processor Associate job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 27% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $38,700 per year, or $18.6 per hour.

Field Claims Specialist II, Property Content (Pittsburgh, PA - WFH)

Nationwide Mutual Insurance Company

Pittsburgh, PA โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday


Job description

If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you! At Nationwideยฎ, "on your side" goes beyond just words. Our customers and partners are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care.
This is a work-from-home position with day travel to policy locations in Western PA via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Travel is estimated to be 50% for this role.
Candidate Location: Pittsburgh, PA (preferred)
Qualifications:
โ€ข 3-5 years of insurance field/property claims handling or adjusting experience
โ€ข Solid experience with XactContents
โ€ข Content Inventory, Pricing and Repair/Mitigation experience
โ€ข Construction background/experience - Residential, Remodeling, Water mitigation, etc.
โ€ข Strong customer service competency
โ€ข Strong written & verbal communication skills
Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off and more.
#LI-JJ1
#LI-Remote
Job Description Summary
No two property claims are ever the same and each customer has unique needs. Our team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you!
As a Property Contents, Field Claims Specialist, you'll assist with the investigation and evaluation of moderate to severe losses focusing on the contents portion of the loss. You will meet with customers or their representative to complete an inventory of damaged contents and conduct research to establish pricing for damaged contents. During the claim, you will work with vendors on cleaning, restoring and replacing damaged contents.
Job Description
Key Responsibilities:
  • Handles all assigned claims, promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures.
  • Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
  • Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.
  • Maintains current knowledge of insurance and applicable product/services, court decisions which may impact the claims function, current guidelines in the claims function and policy changes and modifications. This may require attending various seminars and/or training sessions.
  • Maintains current knowledge of local industry repair procedures and local market pricing.
  • Submits severe incident reports, reinsurance reports and other information to claims management as needed.
  • Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation.
  • Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service.
  • Mentors less experienced claims associates and helps with training/presentations as assigned by claims management.

May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager. Individual contributor role.
Typical Skills and Experiences:
Education: Undergraduate degree or equivalent experience.
License/Certification/Designation: State licensing where required. Successful completion of required/applicable claims certification training/classes.
Experience: Three to five years related property claims experience. Experience in a customer service environment, including flexible work schedules and extended work hours preferred.
Knowledge, Abilities and Skills: General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, discussion and settlement activities used to resolve extensive property damage claims.
Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues in application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully resolve property claims. Organizational skills to appropriately prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public. Ability to efficiently operate a personal computer and related claims and business software.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing exceptions to the above must be approved by the business unit executive and HR Business Partner.
Values: Regularly and consistently demonstrates the Nationwide Values.
Job Conditions:
Overtime Eligibility: Not Eligible (Exempt)
Working Conditions: Normal office environment. May require ability to sit and operate phone and personal computer for extended periods of time. Must be willing to work irregular hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT sites with multiple onsite responsibilities for extended periods of time. Extended and/or non-standard hours as required. Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards.
ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.
Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.
Benefits
We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here.
Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.
#claims
NOTE TO EMPLOYMENT AGENCIES:
We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.
The national salary range for Field Claims Specialist II, Property Content : $62,500.00-$115,500.00
The expected starting salary range for Field Claims Specialist II, Property Content : $62,500.00 - $93,500.00