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Claims Processor Jobs in Seattle, WA (NOW HIRING)

Claims Adjuster Trainee

Everett, WA · On-site

$28.61 - $30.53/hr

In a fast-paced environment, you'll learn how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative ...

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Claims Processor information

See Seattle, WA salary details

$13

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How much do claims processor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for claims processor in Seattle, WA is $21.82, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $23.56 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.

What are the most commonly searched types of Claims Processor jobs in Seattle, WA?

The most popular types of Claims Processor jobs in Seattle, WA are:

What job categories do people searching Claims Processor jobs in Seattle, WA look for?

The top searched job categories for Claims Processor jobs in Seattle, WA are:

What cities near Seattle, WA are hiring for Claims Processor jobs?

Cities near Seattle, WA with the most Claims Processor job openings:

Infographic showing various Claims Processor job openings in Seattle, WA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $45,391 per year, or $21.8 per hour.

Manager, Digital Claims Optimization

Premera Blue Cross

Mountlake Terrace, WA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Key responsibilities

  • Lead the design and operational delivery of automation and AI-enabled workflow solutions for claims processes.

  • Own end-to-end delivery of automation initiatives, including process analysis, testing, implementation, and adoption.

  • Build and maintain dashboards and operational reports to measure workflow performance and automation effectiveness.


Premera Blue Cross rating

8.0

Company rating: 8.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

173rd of 315 rated insurance


Job description

Workforce Classification:

Telecommuter


Join Our Team: Do Meaningful Work and Improve People's Lives

Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed tobeinga workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development,we'reable to better serve our customers.It'sthis commitment that has earned us recognition as one of the best companies to work for.Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.

About the role of the Manager, Digital Claims Optimization

Help redefine how claims work gets done-at scale and with purpose. As the Manager, Digital Claims Optimization, you'll lead the design and operational delivery of automation and AI-enabled workflow solutions that replace manual, repetitive work with reliable digital decisioning. You'll partner across Product, Technology, and Configuration to build well-controlled process automations, performance dashboards, and data-driven improvements that shorten cycle times, strengthen accuracy, and elevate the member experience. This is a hands-on leadership role for someone who wants to build, not just manage-someone energized by solving complex operational problems through smart use of technology and motivated by advancing Premera's values through thoughtful decisions and making healthcare work better for our members.

The Manager, Digital Claims Optimization is responsible for transforming Claims Operations by translating business needs into scalable automation solutions and system enhancements. This role owns end-to-end operational delivery of automation initiatives-from process analysis and requirements definition through testing, implementation, and adoption into day-to-day workflows-and serves as the business owner for automation and enterprise changes impacting Claims Operations. Success in this role requires strong systems thinking, a data-driven mindset, and the ability to lead across teams, balancing hands-on solution development with coaching and developing a team to deliver impactful, sustainable outcomes.

Note: Candidates that live within 30 miles of Mountlake Terrace, WA will be required to work hybrid.

Impact that you will have:

  • Drive the digitization and automation of priority Claims Operations workflows-using process automation and AI-enabled decisioning-to improve cycle time, accuracy, and customer experience.

  • Design scalable, well-controlled automated workflows and decision paths that are aligned to operational needs and enterprise claims strategy.

  • Build and maintain dashboards and operational reporting to measure workflow performance, automation effectiveness, and post-implementation outcomes.

  • Use data to identify bottlenecks and continuously optimize workflows through targeted automation and process improvements.

  • Own end-to-end delivery for claims automation and operational change (requirements, testing/UAT coordination, defect management, readiness sign-off, and implementation).

  • Ensure strong governance by understanding and operating assigned internal controls and overseeing third parties (as applicable) in alignment with contracts and Premera standards.

What you will bring:

  • Bachelor's degree in a technical or quantitative field (e.g., computer science, information systems, engineering, data analytics, or a related discipline) is preferred or 4 years of relevant experience (Required).

  • 5 years of experience in the following areas (Required):

    • Digitizing and automating operational workflows, or

    • Application development in a business environment, or

    • Data analysis and business intelligence reporting.

  • 2 years of handson experience in data analysis and reporting, including building and using dashboards and operational reports (e.g., Tableau, Power BI) (Required).

  • 3 years of management experience, including accountability for delivery quality, team development, and leading teams through change (Required).

  • Experience scaling automation across multiple workflows or operational areas using repeatable delivery patterns.

  • Familiarity with claims operations or similar processdriven domains.

  • Experience building dashboards and operational reporting using Power BI, Tableau, or equivalent BI tools.

  • Familiarity with SDLC practices and backlog or ticketing tools.

  • Practical application of continuous improvement methods within automated operations.

  • Demonstrated ability to operate at the intersection of business and technology, translating system or automation changes into practical, operational outcomes.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

  • Medical, vision, and dental coverage with low employee premiums.

  • Voluntary benefit offerings, including pet insurance for paw parents.

  • Life and disability insurance.

  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

  • Generous paid time off to reenergize.

  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

  • Commuter perks make your trip to work less impactful on the environment and your wallet.

  • Free convenient on-site parking.

  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Salary Range:

$118,900.00 - $202,100.00

National Plus Salary Range:

$135,600.00 - $230,500.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.

We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions.


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