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Claims Processor Jobs (NOW HIRING)

Claims Processor

Mason, OH ยท On-site

$20 - $22/hr

Efficiently and accurately processes a variety of vision insurance claims or adjustments. * Determines any special plan requirements prior to billing. * Reviews claims before entry for completeness ...

Claims Processor

Warren, MI ยท On-site

$16 - $20.25/hr

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...

Claims Processor

KY ยท Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

Claims Processor

Elkhart, IN ยท On-site

$16.25 - $20.50/hr

Process Warranty Claims submitted by our dealer base. * Answer questions regarding claims via phone/email. * Record retention and reporting. * Scanning documents. * Miscellaneous office duties.

Claims Processor

Tampa, FL ยท On-site

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

Claims Processor

Elkhart, IN ยท On-site

$16.50 - $20.75/hr

Process warranty claims submitted by our dealer base. * Answer questions regarding claims via phone/email. * Record retention and reporting. * Scanning documents. * Miscellaneous office duties.

Claims Processor

Cincinnati, OH ยท On-site

$16.25 - $20.75/hr

Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total ...

Claims Processor

Saint Bernard, OH ยท On-site

$15.75 - $20/hr

Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total ...

Claims Processor

Philadelphia, PA ยท On-site

$16.25 - $20.50/hr

SUMMARY OF JOB Reviews and ensures the timely and accurate daily submission of claims for all ... Ability to handle multiple tasks and accurately process high volumes of work * Ability to establish ...

Claims Processor

Scottsdale, AZ ยท On-site

$17.25 - $21.75/hr

Join Our Team as a Claims Processor at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This ...

Claims Processor

Scottsdale, AZ ยท On-site

$17.25 - $21.75/hr

Join Our Team as Claims Analyst at Amwins Self-Funded! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office ...

Claims Processor

Phoenix, AZ ยท On-site

$17 - $21.25/hr

Join Our Team as Claims Analyst at Amwins Self-Funded! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office ...

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Claims Processor

Mesa, AZ ยท On-site

$16.75 - $21.25/hr

Join Our Team as Claims Analyst at Amwins Self-Funded! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office ...

New

Claims Processor

Cincinnati, OH

$16.25 - $20.75/hr

Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total ...

Claims Processor

Gilbert, AZ ยท On-site

$17 - $21.50/hr

Join Our Team as Claims Analyst at Amwins Self-Funded! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office ...

New

Claims Processor

Scottsdale, AZ ยท On-site

$17.25 - $22/hr

Join Our Team as a Claims Processor at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This ...

Claims Processor

Philadelphia, PA ยท On-site

$16.25 - $20.50/hr

SUMMARY OF JOB Reviews and ensures the timely and accurate daily submission of claims for all ... Ability to handle multiple tasks and accurately process high volumes of work * Ability to establish ...

Claims Processor

Glendale, AZ ยท On-site

$17 - $21.50/hr

Join Our Team as Claims Analyst at Amwins Self-Funded! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office ...

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Claims Processor information

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$19

$26

How much do claims processor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for claims processor in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

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.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

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.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for 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.

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 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 cities are hiring for Claims Processor jobs? Cities with the most Claims Processor job openings:
What are the most commonly searched types of Claims Processor jobs? The most popular types of Claims Processor jobs are:
What states have the most Claims Processor jobs? States with the most job openings for Claims Processor jobs include:
Infographic showing various Claims Processor job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Claims Processor

Claims Processor

CYNET SYSTEMS

Mason, OH โ€ข On-site

$20 - $22/hr

Contractor

Posted 19 days ago


Job description

Job Overview:

Pay Range:ย $20hrย - $22hr

Requirement/Must Have:

  • High School diploma or equivalent work experience.
  • 3+ years of data entry experience.
  • Strong customer service focus.
  • Strong verbal and written communication skills.
  • Able to multi-task and prioritize issues.
  • Strong attention to details.

Responsibilities:

  • Efficiently and accurately processes a variety of vision insurance claims or adjustments.
  • Determines any special plan requirements prior to billing.
  • Reviews claims before entry for completeness and compliance with business requirements.
  • Effectively and accurately reviews images and transcribed data in the portal in preparation for auto adjudication.
  • Coordinates and completes claim error corrections.
  • Maintains the Medicare/Medicaid Pend Claims process.
  • Participates on special project initiatives, including rework efforts as needed.
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Maintains compliance with HIPAA guidelines and regulations.
  • Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Account Managers, Operations, Information Systems, Client Representatives and leadership team.
  • Assists Team Lead in a backup lead capacity.
  • Assists with root cause analysis of claim issues to resolve thoroughly and completely for clients.
  • Contacts stores or providers (when necessary) to obtain additional information or follow up on claims.

Nice to Have:

  • Knowledge of Medicare/Medicaid business.
  • Knowledge of vision benefits and/or insurance industry.
  • Proficient in Microsoft Word, Excel and Access.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asiaโ€”ensuring speed, quality, and consistency in every hire.

Cynet Systems logo

About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

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