Processor, Claims I
$17.50 - $22/hr
Claims Processor FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational ...
Processor, Claims I
$17.50 - $22/hr
Claims Processor FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational ...
CLAIMS PROCESSOR I WITH ADJUDICATION
Forest Hill, MD · On-site
$16.75 - $21/hr
Additional Information All your information will be kept confidential according to EEO guidelines.
CLAIMS PROCESSOR I WITH ADJUDICATION
Forest Hill, MD · On-site
$16.75 - $21/hr
Additional Information All your information will be kept confidential according to EEO guidelines.
Data Entry/Claims Processor
Mason, OH · On-site
$16 - $20.25/hr
Familiar with Cloud-based applications (i.e. OneDrive) * Ability to multi-task and perform duties using multiple sources or systems * Data Entry Data Entry/Claims Processor duties: * Monitor team ...
Data Entry/Claims Processor
Mason, OH · On-site
$16 - $20.25/hr
Familiar with Cloud-based applications (i.e. OneDrive) * Ability to multi-task and perform duties using multiple sources or systems * Data Entry Data Entry/Claims Processor duties: * Monitor team ...
Claims Processor
Tampa, FL · On-site
$14 - $17/hr
Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ... I'm Interested Button to email your resume.
Claims Processor
Tampa, FL · On-site
$14 - $17/hr
Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ... I'm Interested Button to email your resume.
Claims Processor
Cincinnati, OH · On-site
$16.25 - $20.75/hr
Claims Analyst I Make banking a Fifth Third better ® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. General ...
New
Claims Processor
Cincinnati, OH · On-site
$16.25 - $20.75/hr
Claims Analyst I Make banking a Fifth Third better ® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. General ...
New
Processor, Claims I
$17.50 - $22/hr
The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely ...
Processor, Claims I
$17.50 - $22/hr
The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely ...
Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis * Adjudicate claims according to ...
New
Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis * Adjudicate claims according to ...
New
Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis * Adjudicate claims according to ...
New
Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis * Adjudicate claims according to ...
New
Foreign Claims Processor
Atlanta, GA · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Atlanta, GA · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Newark, NJ · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Newark, NJ · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Omaha, NE · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Omaha, NE · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Des Moines, IA · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Des Moines, IA · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Denver, CO · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Denver, CO · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Detroit, MI · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Detroit, MI · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Marion, IL · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Marion, IL · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Charlotte, NC · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Charlotte, NC · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Indianapolis, IN · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Indianapolis, IN · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Kansas City, MO · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Foreign Claims Processor
Kansas City, MO · On-site
$18.50/hr
Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...
Claims Processor I Pgba information
See salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do claims processor i pgba jobs pay per hour?
As of Jul 13, 2026, the average hourly pay for claims processor i pgba 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 Processor I Pgba vs Claims Processor II?
| Aspect | Claims Processor I Pgba | Claims Processor II |
|---|---|---|
| Required Credentials | High school diploma or equivalent; basic insurance knowledge | High school diploma; some experience or certification preferred |
| Work Environment | Entry-level, clerical setting within insurance companies | More complex claims processing, possibly supervisory tasks |
| Employer & Industry Usage | Common in insurance companies, healthcare providers | Used in similar settings, often with increased responsibilities |
The main difference between Claims Processor I Pgba and Claims Processor II lies in experience and responsibilities. Claims Processor II typically handles more complex claims and may assist or supervise Claims Processor I Pgba roles. Both positions require similar credentials but differ in scope and expertise.
What does a Claims Processor I PGBA do?
A Claims Processor I PGBA is responsible for reviewing, processing, and adjudicating insurance claims in accordance with company policies and industry regulations. They verify the accuracy of information, determine eligibility, and ensure claims are processed efficiently and correctly. This entry-level position often involves communicating with policyholders, healthcare providers, and other stakeholders to resolve discrepancies or gather additional information. Attention to detail and knowledge of insurance procedures are essential for success in this role.
What are the key skills and qualifications needed to thrive as a Claims Processor I PGBA, and why are they important?
To thrive as a Claims Processor I PGBA, you need strong attention to detail, analytical skills, and a high school diploma or equivalent. Familiarity with claims processing software, data entry systems, and knowledge of insurance or healthcare terminology are typically required. Exceptional organizational skills, time management, and effective communication set top performers apart. These abilities ensure accurate and timely processing of claims, reducing errors and supporting customer satisfaction in a high-volume environment.
What are some common challenges faced by a Claims Processor I at PGBA, and how can they be successfully managed?
Claims Processors at PGBA often encounter challenges such as high volumes of claims, strict accuracy requirements, and tight deadlines. Successfully managing these involves strong attention to detail, effective time management, and familiarity with claims processing software. Collaboration with team members and clear communication with supervisors can help resolve complex cases efficiently. Continuous learning about updated policies and procedures also plays a key role in overcoming daily obstacles.
More about Claims Processor I Pgba jobs
What cities are hiring for Claims Processor I Pgba jobs? Cities with the most Claims Processor I Pgba job openings:
What states have the most Claims Processor I Pgba jobs? States with the most job openings for Claims Processor I Pgba jobs include:
What job categories do people searching Claims Processor I Pgba jobs look for? The top searched job categories for Claims Processor I Pgba jobs are:
$17.50 - $22/hr
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Job description
Claims Processor
FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
ESSENTIAL FUNCTIONS:
- Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
- Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions.
- Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
- Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: more than three years experience processing claim documents. Experience with processing Inter-Plan Teleprocessing System (ITS) Claims.
Preferred Qualifications 5+ years Claims processing, billing, or medical terminology experience
Knowledge, Skills and Abilities (KSAs) Demonstrated analytical skills, Proficient Demonstrated reading comprehension and ability to follow directions provided, Proficient Basic written/oral communication skills, Proficient Demonstrated ability to navigate computer applications, Proficient
Previously adjudicated 200-300 medical claims daily with accuracy of 98% or above for prior roles.
About Ageatia Global Solutions
Sourced by ZipRecruiter
Ageatia Global Solutions, located in Schaumburg, IL, US, is a reputable IT consultant company that offers a range of premium technical and IT staffing services across numerous industries. Its official website, ageatia.com, is a testament to its dedication to top-tier delivery. Since its inception in 2002, Ageatia has consistently provided optimal services specific to each client's needs. Ageatia's core competency lies in identifying and delivering expert engineers and IT professionals on contract and permanent placements. The company is known for maintaining a business model that ultimately focuses on solving client's workforce challenges. Ageatia's mission is to provide companies with the most skilled set of candidates, while also offering advancing opportunities to potential employees.
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Schaumburg, IL, US
Year founded
2002