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Claims Processor Ii Jobs (NOW HIRING)

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

Healthcare 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 ...

Medical Claims Processor

Doral, FL · On-site

$22 - $23/hr

High school diploma or equivalent; college degree preferred. * 2-4 years of healthcare or managed care claims processing experience. * Strong knowledge of Medicare and DSNP claims. * Experience with ...

Medial Claims Processor In this role the candidate will be responsible for processing of ... Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using ...

Credentials & Experience Minimum of 2 years' experience in reviewing and processing claims * Minimum of 2 years' experience with Flexible Spending Accounts with a previous TPA * Familiarity with ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... include: * 2+ year(s) of Medical Claims experience * 2+ year(s) using a computer with Windows ...

Copay Claims Processor

New York, NY · On-site +1

$18.50 - $23.50/hr

Maintain accurate records of all claims processed ... Meet productivity and quality standards Requirements: * 2+ years of experience in medical billing ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

... claims Process and evaluate hospital claims manually or through claims work flow Validate ... (2) years experience entering and updating hospital or medical claims in a health insurance or ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

Showing results 41-60

Claims Processor Ii information

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$12

$19

$26

How much do claims processor ii jobs pay per hour?

As of Sep 11, 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:

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.

Medical Claims Processor - Remote

Remote

NTT DATA
IT Services • 10K+ employees

$18/hr

Other

Dental, Vision, Life, Retirement

Re-posted 20 days ago


NTT Data rating

7.5

Company rating: 7.5 out of 10

Based on 93 frontline employees who took The Breakroom Quiz


Job description

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote-Work From Home Pay Rate: $18.00 per hour Start Date: 8/26/2026 Shift: M-F 7:00-4:00 pm CT Employment Type: Contract to Hire

In this role the candidate will be responsible for:

  • Processing of professional claim forms files by provider
  • Reviewing the policies and benefits
  • Complying with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculate claims payable amount using applicable methodology/fee schedule

Requirements:

  • 1-3 year(s) hands-on experience in Healthcare Claims Processing
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED
  • Previously performing – in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity – Toggling back and forth between screens/can you navigate multiple systems
  • Working knowledge of MS office products – Outlook, MS Word and MS-Excel
  • Must be able to work 7am - 4 pm CST online/remote (training is required on-camera)
  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a complex, changing environment
  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

  • Amisys Preferred

NTT DATA provides a reasonable range of compensation for U.S. based positions. The starting hourly range for this remote role is $18.00. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future.


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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967