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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Orthopedic Medical Biller - Remote
Springfield, IL · On-site +1
$18 - $23.25/hr
... processing of insurance claims including worker's compensation (if assigned) for all financial classes. Communicate with insurance companies to ensure that claims are paid; identify and correct ...
Orthopedic Medical Biller - Remote
Springfield, IL · On-site +1
$18 - $23.25/hr
... processing of insurance claims including worker's compensation (if assigned) for all financial classes. Communicate with insurance companies to ensure that claims are paid; identify and correct ...
Account Executive II, Construction
Springfield, IL · On-site
$150K - $195K/yr
Skills And Experience That Will Lead To Success Strong professional background in client services leadership, process improvement, and innovative problem‐solving. Deep claims acumen across workers ...
Account Executive II, Construction
Springfield, IL · On-site
$150K - $195K/yr
Skills And Experience That Will Lead To Success Strong professional background in client services leadership, process improvement, and innovative problem‐solving. Deep claims acumen across workers ...
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 ...
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 ...
Follow-Up Specialist
$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 ...
Follow-Up Specialist
$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 ...
Follow-Up Specialist
$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 ...
Follow-Up Specialist
$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 ...
... processes while performing quality assurance testing within a large-scale Enterprise Data Warehouse (EDW) environment. This position combines program knowledge--eligibility, claims, encounters ...
Quick apply
... processes while performing quality assurance testing within a large-scale Enterprise Data Warehouse (EDW) environment. This position combines program knowledge--eligibility, claims, encounters ...
Billing Adjustment Specialist
$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:
Billing Adjustment Specialist
$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:
Billing Adjustment Specialist
$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:
Billing Adjustment Specialist
$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:
Billing Adjustment 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:
Billing Adjustment 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:
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
... claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the ...
Risk Management Coordinator
$31.51 - $48.83/hr
... General Liability Claims Administration, and Data Management Support. Minimum Qualifications ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Risk Management Coordinator
$31.51 - $48.83/hr
... General Liability Claims Administration, and Data Management Support. Minimum Qualifications ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Risk Management Coordinator
$31.51 - $48.83/hr
... Professional and General Liability Claims Administration, and Data Management Support ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Risk Management Coordinator
$31.51 - $48.83/hr
... Professional and General Liability Claims Administration, and Data Management Support ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Risk Management Coordinator
Springfield, IL · On-site
$31.51 - $48.83/hr
... Claims Administration, and Data Management Support. Qualifications Minimum Qualifications ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Risk Management Coordinator
Springfield, IL · On-site
$31.51 - $48.83/hr
... Claims Administration, and Data Management Support. Qualifications Minimum Qualifications ... with established processes, policies, and procedures. * Recommend levels of appropriate ...
Claims Processor information
See Springfield, IL salary details
$11.91 - $13.21
2% of jobs
$13.21 - $14.51
6% of jobs
$14.51 - $15.81
9% of jobs
$16.49 is the 25th percentile. Wages below this are outliers.
$15.81 - $17.11
14% of jobs
$17.11 - $18.41
18% of jobs
The median wage is $18.45 / hr.
$18.41 - $19.71
17% of jobs
$20.42 is the 75th percentile. Wages above this are outliers.
$19.71 - $21.01
16% of jobs
$21.01 - $22.31
7% of jobs
$22.31 - $23.61
4% of jobs
$23.61 - $24.91
4% of jobs
$24.91 - $26.21
2% of jobs
$11
$18
$26
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?
| Aspect | Claims Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require certification | High school diploma; certification often preferred |
| Work Environment | Office setting, processing claims efficiently | Office setting, reviewing and approving claims |
| Employer & Industry Usage | Insurance companies, healthcare providers | Insurance companies, government agencies |
| Common Search & Comparison | Claims 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.
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 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:
Springfield Clinic rating
6.6
Based on 57 frontline employees who took The Breakroom Quiz
559th of 865 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
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
What Springfield Clinic employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Springfield Clinic
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Springfield, IL, US
Year founded
1939