Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. * Identify and communicate trends or problems identified during ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
Sr Manager, Life & Annuities Claims
Tulsa, OK ยท On-site
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
Sr Manager, Life & Annuities Claims
Tulsa, OK ยท On-site
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
Sr Manager, Life & Annuities Claims
Tulsa, OK ยท On-site
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
Sr Manager, Life & Annuities Claims
Tulsa, OK ยท On-site
This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team. Key ...
Coin Processor
Tulsa, OK ยท On-site
$17/hr
SHIFT: 6AM UNTIL DONE (EXPECT AN 8-10 HOUR WORKDAY) As a Coin Processor, you work with your team to maintain inventory in our cash vaults for our Loomis customers Responsibilities * Count, sort, and ...
Coin Processor
Tulsa, OK ยท On-site
$17/hr
SHIFT: 6AM UNTIL DONE (EXPECT AN 8-10 HOUR WORKDAY) As a Coin Processor, you work with your team to maintain inventory in our cash vaults for our Loomis customers Responsibilities * Count, sort, and ...
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Quick apply
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Quick apply
Healthcare Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Learn and work within the QNXT claims processing system. * Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing.
Claims Specialist
Tulsa, OK ยท Hybrid
$21/hr
You explain the claims process and Sixt coverage, ensuring clients fully understand their options * You gather necessary documentation from clients, insurers, and other parties, ensuring thoroughness ...
Claims Specialist
Tulsa, OK ยท Hybrid
$21/hr
You explain the claims process and Sixt coverage, ensuring clients fully understand their options * You gather necessary documentation from clients, insurers, and other parties, ensuring thoroughness ...
Claims Adjuster
Tulsa, OK ยท On-site
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Claims Adjuster
Tulsa, OK ยท On-site
Claims Investigation & Evaluation * Handle cargo, property, and auto damage claims from intake ... Manage the investigation process by determining what outside resources (e.g., appraisers, adjusters ...
Will work closely with trainer on training needs identified through the quality review process. KEY RESPONSIBILITIES: * Audit claims, enrollment and customer service personnel daily of randomly ...
Will work closely with trainer on training needs identified through the quality review process. KEY RESPONSIBILITIES: * Audit claims, enrollment and customer service personnel daily of randomly ...
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties: * Delivers a high level of customer service to exceed customer needs consistently.
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties: * Delivers a high level of customer service to exceed customer needs consistently.
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties * Delivers a high level of customer service to exceed customer needs consistently.
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties * Delivers a high level of customer service to exceed customer needs consistently.
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties: * Delivers a high level of customer service to exceed customer needs consistently.
Warranty Claims Representative I
Tulsa, OK ยท On-site
Process and maintain warranty paperwork to ensure proper documentation and criteria for claims. Primary Duties: * Delivers a high level of customer service to exceed customer needs consistently.
Medical Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Review claims-related processes for accuracy. * Support testing in the QNXT system. * Verify member benefits are processed correctly. * Check provider contract handling for accuracy. * Identify ...
Medical Claims Specialist
Tulsa, OK ยท On-site
$18 - $20/hr
Review claims-related processes for accuracy. * Support testing in the QNXT system. * Verify member benefits are processed correctly. * Check provider contract handling for accuracy. * Identify ...
Claims Processor information
See Tulsa, OK salary details
$10.98 - $12.18
2% of jobs
$12.18 - $13.37
6% of jobs
$13.37 - $14.57
9% of jobs
$15.19 is the 25th percentile. Wages below this are outliers.
$14.57 - $15.77
14% of jobs
$15.77 - $16.97
18% of jobs
The median wage is $17 / hr.
$16.97 - $18.16
17% of jobs
$18.82 is the 75th percentile. Wages above this are outliers.
$18.16 - $19.36
16% of jobs
$19.36 - $20.56
7% of jobs
$20.56 - $21.76
4% of jobs
$21.76 - $22.95
4% of jobs
$22.95 - $24.15
2% of jobs
$10
$17
$24
How much do claims processor jobs pay per hour?
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 some common challenges faced by claims processors, and how can they be managed effectively?
Is claims processing a stressful job?
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.
What are the key skills and qualifications needed to thrive as a claims processor?
Do you need a degree to be a claims processor?
What does a claims processor do?

Full-time
This job post hasย expired 1 day ago.ย Applications are no longer accepted.
Job description
The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.
KEY RESPONSIBILITIES:
- Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
- Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.
- Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.
- Identify and communicate trends or problems identified during adjudication process.
- Contribute to the creation of a pleasant working environment with peers and other departments.
- Assist in investigating and solving claims that require additional research.
- Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.
- Perform other job-related duties as assigned.
QUALIFICATIONS:
- Self-motivated and able to work with minimal direction.
- Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.
- Ability to read and understand health benefit booklets.
- Demonstrated learning agility.
- Successful completion of Health Care Sanctions background check.
- Knowledge in the contracted managed care plan terms and rates.
- General understanding of unbundling methods, COB, and other over-billing methodologies.
- Must have high attention to detail.
- Proficient in Microsoft applications.
- Ability to perform basic mathematical calculations.
- Possess strong oral and written communication skills.
EDUCATION/EXPERIENCE:
- High School Diploma or Equivalent required.
- Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin