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Claims Processor Jobs in Springfield, IL (NOW HIRING)

Insurance Claims Specialist

Springfield, IL ยท On-site

$50K - $60K/yr

Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process * Review claim documentation, medical records, and supporting materials ...

Claims Analyst

Springfield, IL ยท On-site

$45K - $55K/yr

Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process * Maintain accurate and timely documentation within the claims ...

Claims Analyst

Springfield, IL ยท On-site

$45K - $55K/yr

Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process * Maintain accurate and timely documentation within the claims ...

Remote Auto Claims Specialist

Springfield, IL ยท On-site +1

$50K - $55K/yr

A leading risk and claims administration company is seeking a Claims Representative in Springfield, Illinois to analyze and process auto claims. The role requires a bachelor's degree and three years ...

Claims Specialist

Springfield, IL ยท On-site

$20 - $25/hr

About the Role The Claims Specialist will coordinate the handling and processing of client claims to proper conclusion, including reviewing for adequacy, completeness, and accuracy. Will also provide ...

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Claims Processor information

See Springfield, IL salary details

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How much do claims processor jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for claims processor in Springfield, IL is $18.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.48 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 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 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 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 is the qualification for claims processor?

A claims processor typically needs a high school diploma or equivalent, strong attention to detail, good organizational skills, and familiarity with claims processing software. Some employers may prefer candidates with prior experience in insurance or customer service, and certifications such as the Certified Claims Professional (CCP) can be advantageous.

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 most commonly searched types of Claims Processor jobs in Springfield, IL? The most popular types of Claims Processor jobs in Springfield, IL are:
What are popular job titles related to Claims Processor jobs in Springfield, IL? For Claims Processor jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Springfield, IL look for? The top searched job categories for Claims Processor jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Claims Processor jobs? Cities near Springfield, IL with the most Claims Processor job openings:

Claims Operations Support Specialist

MEM Insurance

Springfield, IL โ€ข On-site

Full-time

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

A reputable insurance company in Illinois is seeking a Claims Care Advocate to provide essential administrative and workflow support within the Claims Department. This role involves managing records, coordinating requests, and responding to customer inquiries to ensure efficient claims processes. The ideal candidate should have a high school diploma and at least one year of office experience, with a preference for those familiar with Workers' Compensation.

The position promotes teamwork and high-quality customer experience. #J-18808-Ljbffr