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Claims Processor Ii Jobs (NOW HIRING)

Amwins

Claims Processor

Phoenix, AZ · On-site

$17 - $21.25/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

CYNET SYSTEMS

Claims Processor

Mason, OH · On-site

$17 - $22/hr

Efficiently and accurately processes a variety of vision insurance claims or adjustments ... Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards ...

Healthcare Support Staffing

Claims Processor

Tampa, FL

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Math skills. * 0-2 years mortgage default or mortgage servicing related experience. * Prior PC experience to include advanced Excel, Word and Access. Claims Processor At Fifth Third, we understand ...

Napleton Corporate

Claims Processor

Oakbrook Terrace, IL · On-site

$19/hr

Located in Oakbrook Terrace, the Claims Processor works with our Warranty team reviewing and ... Job Requirements: * 1-2 years of data entry experience * Speed, accuracy, and attention to detail ...

New

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 ... Minimum of 1-2 years of experience in automotive service, collision repair, or insurance claims.

Amwins

Claims Processor

Gilbert, AZ · On-site

$17 - $21.50/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $21.75/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

Fifth Third

Claims Processor

Cincinnati, OH

$16.25 - $20.75/hr

Math skills. * 0-2 years mortgage default or mortgage servicing related experience. * Prior PC experience to include advanced Excel, Word and Access. Claims Processor At Fifth Third, we understand ...

Fifth Third Bank

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Math skills. * 0-2 years mortgage default or mortgage servicing related experience. * Prior PC experience to include advanced Excel, Word and Access. Claims Processor At Fifth Third, we understand ...

Amwins

Claims Processor

Mesa, AZ

$16.75 - $21.25/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $22/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

Premera Blue Cross

Claims Processor IV

Spokane, WA · On-site

$17.25 - $21.75/hr

Two (2) years claims processing experience in medical and/or dental plans, or 2 years prior medical and/or dental office/insurance industry experience. (Required) * Detailed processing knowledge on ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Correctly calculating claims payable amount using applicable methodology/fee schedule Requirements: * 1-3 years hands-on experience in Healthcare Claims Processing * 2+ years using a computer with ...

Premera Blue Cross

Claims Processor IV

$17.50 - $22/hr

Two (2) years claims processing experience in medical and/or dental plans, or 2 years prior medical and/or dental office/insurance industry experience. (Required) * Detailed processing knowledge on ...

Amwins

Claims Processor

Glendale, AZ · On-site

$17 - $21.50/hr

Join Amwins Self-Funded as a Claims Analyst ... This is an in-office position, that offers the flexibility to work from home up to 2 days a week ...

Premera Blue Cross

Claims Processor IV

Mountlake Terrace, WA · On-site

$18.50 - $23.25/hr

Two (2) years claims processing experience in medical and/or dental plans, or 2 years prior medical and/or dental office/insurance industry experience. (Required) * Detailed processing knowledge on ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Computer with 2 Monitors * High Speed Internet Connection * Ability to work remote 8 hour day, Mon ... Timely and accurate processing and adjudication of all types of claims from assigned workflow ...

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All JobsFinance And Insurance JobsInsurance JobsClaim Processing Specialist JobsClaims Processor II Jobs

Claims Processor Ii information

See salary details

$12

$19

$26

How much do claims processor ii jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for claims processor ii 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 II?

A Claims Processor II is a mid-level professional responsible for reviewing, analyzing, and processing insurance claims to determine eligibility and ensure proper payment. They examine claim forms, verify policy information, and communicate with policyholders, healthcare providers, or other relevant parties to gather additional information when needed. This role typically requires a strong attention to detail, knowledge of insurance policies and procedures, and experience with claims management systems. Claims Processor IIs may also assist in resolving discrepancies, handling more complex cases, and mentoring junior staff.

What are the key skills and qualifications needed to thrive as a Claims Processor II?

To thrive as a Claims Processor II, you need a solid understanding of insurance policies, claims procedures, and attention to detail, usually supported by a high school diploma or equivalent experience in claims processing. Familiarity with claims management software, document imaging systems, and sometimes certification such as AIC (Associate in Claims) is often required. Strong organizational skills, problem-solving ability, and effective communication make individuals stand out in this role. These skills and qualities are crucial for ensuring accurate, timely claims resolution and high customer satisfaction while minimizing errors and compliance risks.

What are some common challenges faced by a Claims Processor II and how can they be managed effectively?

As a Claims Processor II, one common challenge is handling a high volume of claims while maintaining accuracy and meeting strict deadlines. You may also encounter complex or disputed claims that require additional research and coordination with other departments, such as customer service or medical review teams. Effective time management, attention to detail, and strong communication skills are essential to succeed in this role. Leveraging workflow management tools and seeking clarification when needed can help you manage your workload efficiently and ensure claims are processed correctly.

What is the difference between Claims Processor Ii vs Claims Processor I?

AspectClaims Processor IiClaims Processor I
Required CredentialsHigh school diploma; some roles may prefer certification in claims processingHigh school diploma; on-the-job training
Work EnvironmentOffice setting; handling complex claimsOffice setting; processing basic claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare providers
Typical ResponsibilitiesReviewing complex claims, verifying information, resolving discrepanciesProcessing straightforward claims, data entry, initial claim review

The Claims Processor Ii generally handles more complex claims and requires some experience or certifications, whereas the Claims Processor I focuses on basic claims processing with less experience needed. Both roles are common in insurance and healthcare industries, but the Claims Processor Ii often takes on more responsibility and handles more detailed cases.

What cities are hiring for Claims Processor Ii jobs?

Cities with the most Claims Processor Ii job openings:

What states have the most Claims Processor Ii jobs?

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

What are popular job titles related to Claims Processor Ii jobs?

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

Claims Processor Ii jobs near you
Infographic showing various Claims Processor Ii job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 87% Full Time, 10% 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

Phoenix, AZ • On-site

Amwins
Insurance Services • 5 - 10K employees
Learn more about Amwinsexternal

$17 - $21.25/hr

Full-time

PTO

Re-posted yesterday

Amwins rating

7.8

Company rating: 7.8 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

Job description

Join Our Team as Claims Analyst at Amwins Self-Funded!

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst. This is an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training.

Why Choose Amwins?

At Amwins, we value our team members and offer a range of benefits to enhance your work experience:

  • Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
  • Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
  • Continual Learning: Thrive in a collaborative, education-focused work environment.
  • Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

Learn more about us at amwins.com/benefits.

Responsibilities:

  • Learn Amwins Business Model: Understand Amwins business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
  • Effective Correspondence: Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
  • Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
  • Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
  • Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
  • Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
  • Reimbursement Issuance: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
  • Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
  • Year-End Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client's account.
  • Adaptability and Team Collaboration: Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.

 

Qualifications

  • Education and Experience: A college degree or equivalent work experience is strongly preferred.
  • Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
  • Critical Thinking: The ability to critically think and problem-solve.
  • Confidentiality: Ability to maintain strict confidentiality.
  • Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
  • Communication Skills: Effective written and verbal communication skills with both internal and external parties.
  • Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
  • Eager to Learn: Eagerness to learn Amwins business model is a necessity.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

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