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Claims Processor Jobs in Springfield, IL (NOW HIRING)

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary. Analyze and process front-end system edits for correct ...

Memorial Health

REIMBURSEMENT SPECIALIST

Springfield, IL · On-site

$17.14 - $26.56/hr

Our Reimbursement Specialist creates and processes claims/invoices associated with patient care services and equipment provided via Memorial Home Services of Central Illinois, Inc. Analyzes and ...

Memorial Health

REIMBURSEMENT SPECIALIST

Springfield, IL

$17.14 - $26.56/hr

Overview Our Reimbursement Specialist creates and processes claims/invoices associated with patient care services and equipment provided via Memorial Home Services of Central Illinois, Inc. Analyzes ...

Memorial Health

REIMBURSEMENT SPECIALIST

Springfield, IL · On-site

$17.14 - $26.56/hr

Overview Our Reimbursement Specialist creates and processes claims/invoices associated with patient care services and equipment provided via Memorial Home Services of Central Illinois, Inc. Analyzes ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Follow-Up Specialist

Springfield, IL

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Follow-Up Specialist

Springfield, IL

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required. Other Knowledge/Skills/Abilities: * Demonstrates thorough knowledge of the ...

Memorial Health

Credit/ Refund Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Must possess the technical knowledge to process credit amounts due on routine and the more complex claims and resolve errors and complex issues associated with them. Other Knowledge/Skills/Abilities:

Memorial Health

Credit/ Refund Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Must possess the technical knowledge to process credit amounts due on routine and the more complex claims and resolve errors and complex issues associated with them. Other Knowledge/Skills/Abilities:

Memorial Health

Credit/ Refund Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Must possess the technical knowledge to process credit amounts due on routine and the more complex claims and resolve errors and complex issues associated with them. Other Knowledge/Skills/Abilities:

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All JobsClaims Processor JobsClaims Processor Jobs in Springfield, IL

Claims Processor information

See Springfield, IL salary details

$11

$18

$26

How much do claims processor jobs pay per hour?

As of Aug 21, 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 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.
More about Claims Processor jobs

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 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 Processor jobs near you
Infographic showing various Claims Processor job openings in Springfield, IL 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 $39,509 per year, or $19 per hour.

Insurance Reviewer II

Springfield Clinic

Springfield, IL • On-site

Full-time

Re-posted 26 days ago

Springfield Clinic rating

6.7

Company rating: 6.7 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

532nd of 891 rated healthcare providers

Job description

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues.
Job Relationships
Reports to the Insurance Review Supervisor
Principal Responsibilities
Handle all phone calls and messages received specific to designated insurance area.
Update registration screens when requested by patients or as necessary.
Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary.
Process all secondary billing as requested by patients or defined by procedure.
Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests.
Process corrections/adjustments as necessary to correct the patient's invoice.
Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary.
Analyze and process front-end system edits for correct physician productivity and billing of claims.
Analyze and process back-end system edits for correct registration and billing of claims.
Analyze and process claims denied through clearinghouse.
Investigate and process claims in the insurance work files and/or on the insurance reports.
Must report all incidents to immediate Supervisor or Manager.
Assist with special projects and assignments as directed.
Must attend in-services and training relevant to position.
Perform other job duties as assigned.
Confidentiality required.
Comply with the Springfield Clinic incident reporting policy and procedures.
Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
Provide excellent customer service and adhere to SC Way customer service philosophy.
Education/Experience
High School graduate or GED required.
Previous experience in a medical billing office required.
Knowledge, Skills and Abilities
Working knowledge of medical terminology preferred.
Working knowledge of CPT and ICD-9 coding preferred.
Computer, typing and calculator skills required.
Must be able to work individually or on a team.
Working Environment
Office environment, sitting for long periods
PHI/Privacy Level
HIPAA1

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