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Claims Processor Jobs in Oregon (NOW HIRING)

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes ...

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes ...

Certified Claims Processor I

Grants Pass, OR · On-site

$16.50 - $21/hr

Certified Claims Processor I Certified Claims Processor I at AllCare Health with the Claims department in Grants Pass, Oregon. We are seeking qualified candidates to join our team! AllCare Health ...

High School diploma or equivalent. * 1-2 years medical claims processing experience. * 10-key proficiency of 135 wpm. * Type a minimum of 35 wpm. * Knowledge of medical terminology, CPT codes and ICD ...

Inpatient Claims Processor I

Milwaukie, OR · Remote

$21.30 - $23.96/hr

High School diploma or equivalent. * 1-2 years medical claims processing experience. * 10-key proficiency of 135 wpm. * Type a minimum of 35 wpm. * Knowledge of medical terminology, CPT codes and ICD ...

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements. * Performs all ...

Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements. * Performs all ...

Position Summary Investigates and processes COB (Coordination of Benefits) COB claims, and completes all necessary steps needed for claims processing. Assists in customer service inquiries regarding ...

CLAIMS PROCESSING ASSISTANT

Grants Pass, OR · On-site

$18.25 - $23/hr

Summary of the Position This position supports claims operations and financial integrity by performing a variety of administrative and department functions related to claims processing, system COB ...

Claims Manager

Salem, OR · On-site

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely resolution and compliance with legal and contractual requirements. This role involves coordinating ...

In this role, you'll be responsible for accurately processing medical claims while ensuring compliance with plan documents, policies, and industry regulations. The ideal candidate is analytical ...

Participates in company continuous improvement processes. * Uphold Mission and Values * Other duties as assigned by Claims Manager. Equal Opportunity Employer This employer is required to notify all ...

Knowledge of workers' compensation claims processes, insurance coverages, and policy interpretation. Preferred * Experience managing complex or higher-exposure workers' compensation claims.

The Finance Processor plays a crucial role in organizing and processing financial data from sales representatives while managing diverse administrative and client support tasks. This position ...

Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ... Allcat Claims is an Equal Opportunity Employer. All qualified applicants will receive consideration ...

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Claims Processor information

See Oregon salary details

$12

$20

$27

How much do claims processor jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for claims processor in Oregon is $20.26, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.88 per hour, depending on experience, location, and employer.

What jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

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.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

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.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for 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.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

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 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 most commonly searched types of Claims Processor jobs in Oregon? The most popular types of Claims Processor jobs in Oregon are:
What job categories do people searching Claims Processor jobs in Oregon look for? The top searched job categories for Claims Processor jobs in Oregon are:
What cities in Oregon are hiring for Claims Processor jobs? Cities in Oregon with the most Claims Processor job openings:
Claims Processor

$17.75 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Zenith American Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

56th of 451 rated business services


Job description

Title: Claims Processor Department: Claims
Bargaining Unit: UFCW 555 Grade: 3
Position Type: Non-exempt Hours per Week: 40
Position Summary
The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
  • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
  • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
  • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Performs other duties as assigned.

Minimum Qualifications
  • High school diploma or GED.
  • Six months of experience processing health and welfare claims.
  • Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
  • Possesses a strong work ethic and team player mentality.
  • Highly developed sense of integrity and commitment to customer satisfaction.
  • Ability to communicate clearly and professionally, both verbally and in writing.
  • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
  • Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
  • Computer proficiency including Microsoft Office tools and applications.

Preferred Qualifications
  • Experience working in a third-party administrator.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

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