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Claims Processor Jobs in Apache Junction, AZ (NOW HIRING)

USAA

Claims Auto Adjuster - Non Injury

Phoenix, AZ · Hybrid

$49K - $64K/yr

Clearly documents thought process including damage evaluation, investigation, negotiation, and ... Works various types of claims, including ones of higher complexity, and may be assigned additional ...

USAA

Claims Auto Adjuster - Non Injury

Phoenix, AZ · Hybrid

$49K - $64K/yr

Clearly documents thought process including damage evaluation, investigation, negotiation, and ... Works various types of claims, including ones of higher complexity, and may be assigned additional ...

USAA

Claims Auto Adjuster - Non Injury

Phoenix, AZ · Hybrid

$49K - $64K/yr

Clearly documents thought process including damage evaluation, investigation, negotiation, and ... Works various types of claims, including ones of higher complexity, and may be assigned additional ...

AIG

Complex Claims Director, Excess Claims

Scottsdale, AZ · Hybrid

$112K - $138K/yr

Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we ... Your deep technical claims expertise will be put to the test in the investigation, evaluation and ...

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

Maintain accurate, thorough, and current claim file documentation throughout the claims process. * Apply proficient knowledge of estimating technology platforms and virtual inspection tools; Utilize ...

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

Maintain accurate, thorough, and current claim file documentation throughout the claims process. * Apply proficient knowledge of estimating technology platforms and virtual inspection tools; Utilize ...

Arizona State Hospital

Job Page

Phoenix, AZ · On-site

$65K - $70K/yr

Responsibilities include issuing good faith and unfair claims processing practices awards, conducting complex audits and oversight and contributing to the divisional training programs. The role ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims processor in Apache Junction, AZ is $18.04, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.47 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 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 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?

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.

Do you need a degree to be a claims processor?

A claims processor typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, communication, and familiarity with claims processing software, and some positions may offer on-the-job training or certification programs.

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.
More about Claims Processor jobs
What job categories do people searching Claims Processor jobs in Apache Junction, AZ look for? The top searched job categories for Claims Processor jobs in Apache Junction, AZ are:
What cities near Apache Junction, AZ are hiring for Claims Processor jobs? Cities near Apache Junction, AZ with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Apache Junction, AZ as of August 2026, with employment types broken down into 86% Full Time, 10% Part Time, and 4% Contract. Highlights an 83% Physical, 6% Hybrid, and 11% Remote job distribution, with an average salary of $37,526 per year, or $18 per hour.

Claims Customer Service Supervisor

Arizona Priority Care

Chandler, AZ • Hybrid

Full-time

PTO

Posted 19 days ago

Job description

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 14 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.

The Claims Supervisor position focuses on the effective processing of all delegated Medicare claims, will work in a deadline-oriented environment as part of a growing operations team. Have a solid working knowledge of ICD-9, CPT, HCPCS, HCFA1500, UB92's, RBRVS, and RVS. Effectively works with all levels of staff and management.

POSITION DUTIES & RESPONSIBILITIES

  • Provide management support in reviewing, researching, scanning, archiving, statusing, and verifying eligibility of claims.
  • Oversee the preparation of medical records for scanning and routing to appropriate departments
  • Analyze data, identify trends and design/provide reports as necessary.
  • Communicate, collaborate and research claims inquiries or issues as they arise, applying appropriate knowledge and experience.
  • Apply knowledge of applicable laws, regulations and compliance requirements to ensure that claims are processed properly according to HIPAA, state specific regulations and grievance procedures.
  • Apply the respective and timely scanning and submitting of claims for data entry.
  • Use appropriate documentation, reference materials and/or websites to ensure that claims are processed accurately and efficiently.
  • Monitor inbound provider calls to ensure accurate information is shared in a timely and professional manner.
  • Respectfully and supportively collaborate with business partners to help address issues related to the Claims Customer Service area.
  • Identify, develop and implement new processes procedures and solutions as needed.
  • Identify and communicate opportunities to improve claims processing efficiency and reduce rework.
  • Track, trend, and communicate claim errors with leadership along with training recommendations.
  • Supervise, monitor, track and direct day to day operations staff.
  • Oversee annual internal reviews and audits of claims operations as part of an ongoing quality control process.
  • Develops staff through performance management, goal setting, training, and effective employee relations and retention efforts.
  • Ensure that departmental standards and timelines are met within each unit.
  • Reviews time records, sets schedules and approves all vacation/time off requests for subordinate associates.
  • Supervise daily activities of claim examiners, workflow, production, pended claims, and audits.
  • Makes recommendations for process improvement as needs are identified.
  • Perform other duties as assigned.

EDUCATION, TRAINING AND EXPERIENCE

  • Minimum of 5 years Supervisory experience in Manage Care Claims and minimum of 5 years' experience with health care claims adjudication.
  • Knowledge of claims life cycle, medical terminology, ICD-9, CPT, HCPCS, HCFA1500, UB92's, RBRVS, RVS and Coordination of Benefits (COB).
  • Thorough understanding of claims operations to include payment of claims, interpretation of contracts; communication of benefits and eligibility.
  • Ability to draw upon knowledge and experience to anticipate issues, potential risks, implications, and changes to Medicare.
  • Strong math and analytical skills, including the ability to analyze and organize data.
  • Excellent ability to build and maintain business relationships with providers by providing prompt and accurate service.
  • Strong attention to detail.
  • Proficiency in Microsoft Office products, including Power Point, Word, and Excel.
  • Proven ability to lead team members in a positive and productive manner.
  • Demonstrated strong organizational, analytical, oral presentation, written communications, decision-making skills and leadership skills.
  • Must be able to work under general guidance of Claims Manager with little direct supervision.

*This role requires 60 days FT in office presence, hybrid options will be available after the 60-day period.*