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Claims Processor Jobs in Southfield, MI (NOW HIRING)

Claims Processor

Warren, MI ยท On-site

$15/hr

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...

The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy. This position is located at our corporate office in ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout ...

Coin Processor-Warehouse

Detroit, MI ยท On-site

$19.45 - $23.25/hr

The Coin Processor - Warehouse Role: In branch locations around the world, we're doing the critical coin accounting work that keeps modern commerce moving. Our work is essential, so our team members ...

The Coin Processor - Warehouse Role: In branch locations around the world, we're doing the critical coin accounting work that keeps modern commerce moving. Our work is essential, so our team members ...

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Claims Processor information

See Southfield, MI salary details

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$17

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How much do claims processor jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for claims processor in Southfield, MI is $17.70, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $19.09 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 Southfield, MI?

The most popular types of Claims Processor jobs in Southfield, MI are:

What are popular job titles related to Claims Processor jobs in Southfield, MI?

For Claims Processor jobs in Southfield, MI, the most frequently searched job titles are:

What cities near Southfield, MI are hiring for Claims Processor jobs?

Cities near Southfield, MI with the most Claims Processor job openings:

Infographic showing various Claims Processor job openings in Southfield, MI as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $36,569 per year, or $17.6 per hour.

Claims Processor

Warren, MI โ€ข On-site

Northwood, Inc.
Health Care and Social Assistanceย โ€ขย 51 - 200 employees

$15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Job description

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply with all company information security policies and responsibilities as detailed during onboarding and annual security awareness training.

Company Description

Northwood plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies.

Northwood also serves auto and workers compensation clients and their PIP claimants.