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Claims Processor Jobs in York, PA (NOW HIRING)

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

One year of experience within a medical billing, medical collecting or claims processing role. * Private and commercial claims collection experience (ideally provider side) * Medicare and Medicaid ...

Farmers Fire Insurance

Director of Claims

East York, PA · On-site

The Director of Claims will oversee all Property & Casualty claims for the company, with assistance ... They will address and resolve any disputes that arise in the claim process, review and approve ...

Sedgwick

Claims Representative , Auto

Harrisburg, PA · On-site

$50K/yr

Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. * Develops and ...

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

One year of experience within a medical billing, medical collecting or claims processing role. * Private and commercial claims collection experience (ideally provider side) * Medicare and Medicaid ...

Erie Insurance

Property Claims Specialist

Lancaster, PA · On-site

$79K - $126K/yr

Optimizes Work Processes (IC) * Ensures Accountability * Decision Quality Qualifications Minimum Educational and Experience Requirements * High School Diploma or GED and five years of claims handling ...

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Claims Processor information

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$11

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How much do claims processor jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for claims processor in York, PA is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.34 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.
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What cities near York, PA are hiring for Claims Processor jobs?

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Claims Processor jobs near you
Infographic showing various Claims Processor job openings in York, PA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,232 per year, or $18.9 per hour.

Claims Review Management Nurse (RN)

Harrisburg, PA • On-site

The CKHobbie Group
Recruiting and Staffing Services • 11 - 50 employees
Learn more about The CKHobbie Groupexternal

$56K - $60K/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

We are seeking an experienced Claims Review Management Nurse (RN) to support the Pennsylvania Medicaid program in a long-term, full-time contract role based in Harrisburg, PA, with a hybrid schedule (three days remote, two days onsite). This position plays a critical role in overseeing claims review processes, supporting operational improvements, and collaborating with leadership and stakeholders to ensure efficient and compliant program operations.

The ideal candidate will bring an active Pennsylvania RN license along with at least five years of experience in claims review, coding, or claims processing. Strong knowledge of HCPCS II, CPT, or dental coding is required, along with familiarity with Medicare and Medical Assistance guidelines. Experience working within systems such as PROMISe or similar claims platforms, as well as proficiency in Microsoft Office tools (Excel, Word, PowerPoint), is essential for success in this role.

In this position, you will review, analyze, and process medical claims while providing operational input and guidance on claims decisions. You will contribute to coding activities, assist with procedure code groupings, and support annual coding updates for the Pennsylvania Medical Assistance program. The role also involves evaluating current workflows, identifying opportunities for improvement, and participating in system enhancements related to provider enrollment, inquiries, and medical review functions.

Additionally, you will collaborate with senior leadership to identify operational challenges and develop data-driven solutions, participate in cross-functional work groups and project teams, and serve as a liaison between the Department of Human Services and external stakeholders. Responsibilities also include assisting with policy research, reviewing regulations and criteria, and contributing to studies or comparisons that support program effectiveness and compliance.

This role requires the ability to work both independently and collaboratively, managing assignments with minimal supervision while contributing to broader team initiatives. You will be provided with the necessary equipment and will be expected to work onsite in Harrisburg two days per week, with flexibility for telework based on program needs.