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Claims Processor Jobs in Massachusetts (NOW HIRING)

NFP Corp

Claims Processor - Flex Benefits

Agawam, MA · On-site +1

$43K - $50K/yr

The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans ...

NFP Corp

Claims Processor - Flex Benefits

Agawam, MA · On-site +1

$43K - $50K/yr

The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans ...

thg

Auto PD - Adjuster Service Claims

Howell, MI · Hybrid

$46K - $60K/yr

Utilize technology and data tools to enhance claims processing efficiency and accuracy. * Resolve claims with empathy and customer-centricity; prepare documentation and evidence. * Maintain detailed ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims processor in Massachusetts is $20.93, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
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Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Massachusetts as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Hybrid job distribution, with an average salary of $43,536 per year, or $20.9 per hour.

Claims Processor - Flex Benefits

NFP Corp

Agawam, MA • On-site, Remote

$43K - $50K/yr

Full-time

Medical, Retirement, PTO

Re-posted 8 days ago

Job description

Posting Description
Who We Are:
NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.
American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services. We are transforming the benefits administration industry with empowering technology and a world-class customer service experience. Come join us and be a part of a team of outstanding individuals working towards building benefit solutions and creating great futures.
We're proud to be on the leading edge of our industry today, and as we move into the future of Consumer Directed Health Care. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationships with our clients, brokers, consultants, and participants. Welcome to American Benefits Group.
Position Summary:
The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. The position requires working with our claims team to ensure that participant claims are handled accurately and promptly.
Core Competencies:
  • Understand and follow all claims procedures
  • Stay up to date on all applicable regulations related to claims processing.
  • Collaborate with the claims team to optimize efficiency.
  • Handle confidential information according to all HIPAA legislation.
  • Enter, adjudicate and audit claims following internal process and procedure.
  • Provide excellent experience for our participants and clients.
  • Perform claims adjustments per internal procedure.
  • Perform any other duties, pertaining to the business needs as assigned by Department Manager.

Requirements:
  • Be a self-starter who can take initiative.
  • Superior written, verbal, and organizational skills.
  • Be highly detail-oriented and possess strong multitasking and time management.
  • Highly organized, embracing challenges and workflow changes.
  • Work well under stressful situations and handle a large client book with high call and email volumes at times.
  • Ability to set and exceed expectations.
  • Be a team player but able to work independently.

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 compliance requirements governing pre-tax benefits. IRS Sections 125, 105, and 132.
  • Associates Degree preferred

What We Offer:
We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $43,000 -$50,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
NFP and You... Better Together!
NFP is an inclusive Equal Employment Opportunity employer.
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