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Claims Processor Jobs (NOW HIRING)

Ampcus

Claims - Processor, Claims I

Baltimore, MD · Remote

$17 - $21.25/hr

Claims Processor, Claims I Ampcus Inc. is a certified global provider of a broad range of technology and business consulting services. We are in search of a highly motivated candidate to join our ...

ActiveCampaign

Claims Processor - Remote

Manhattan, NY · Remote

$22 - $28/hr

Maintain accurate and up-to-date notes of all claims processed. Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating ...

Sidecar Health

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

About the Role The Claims Processor is responsible for accurately reviewing, validating, and entering medical claims information in accordance with Sidecar Health policies and processing guidelines.

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and ...

millenniumsoft

Senior Claims Processor

Franklin Lakes, NJ · On-site

$17.25 - $21.75/hr

Senior Claims Processor Location : Franklin Lakes, NJ Duration : 6 months contract Total Hours/week : 25.00 5 Hours per day Description: * The primary responsibility of this position is the ...

Ourhrconnect

Claims Processor II

Columbia, SC · On-site

$15.75 - $20/hr

Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of ...

Kriete Truck Centers

Warranty Claims Processor

Milwaukee, WI · On-site

$16.75 - $21.25/hr

The Centralized Warranty Analyst is responsible for reviewing, processing, and analyzing warranty claims submitted across a network of service locations or dealerships. This role ensures warranty ...

WPS Health Solutions

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

The Appeals Claims Processor is responsible for reviewing and making determinations on MVH appealable denials, from receipt through resolution in accordance with MVH regulations, guidelines, quality ...

New

ProCare Rx

Claims Processor l

Southfield, MI

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...

Ourhrconnect

Claims Processor II

Columbia, SC · On-site

$15.75 - $20/hr

Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of ...

Easy Recruiter

$15/hr

Remote Claims Processor - Data Entry This exciting opportunity will require a Claims Processor - Data Entry who can provide a high level of service and attention to their patients. If you are a ...

New

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How much do claims processor jobs pay per hour?

As of Jun 5, 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 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?

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.

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Claims Processor jobs near you
Claims - Processor, Claims I

Claims - Processor, Claims I

Ampcus

Baltimore, MD • Remote

$17 - $21.25/hr

Full-time

Posted 14 days ago

Job description

Claims Processor, Claims I

Ampcus Inc. is a certified global provider of a broad range of technology and business consulting services. We are in search of a highly motivated candidate to join our talented team. Location: Baltimore, MD. (Remote) Purpose: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.

Essential functions:

  • 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also uses automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
  • 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive coaching from leadership. Required participation in ongoing developmental training to perform daily functions.
  • 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
  • 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.

Qualifications:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills and Abilities (KSAs):

  • Demonstrated analytical skills, proficient.
  • Demonstrated reading comprehension and ability to follow directions provided, proficient.
  • Basic written/oral communication skills, proficient.
  • Demonstrated ability to navigate computer applications, proficient.

Education:

  • Level: High School Diploma or GED.

Experience:

  • Less than one year's experience processing claim documents.

Preferred Qualifications:

  • 1-3 years claims processing, billing, or medical terminology experience.

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.

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About Ampcus

Sourced by ZipRecruiter

Ampcus Inc. is a ISO 20000, ISO 27000, ISO 9001, CMMI DEV/3 SM and CMMI SVC/3 SM certified global provider of a broad range of Technology and Business consulting services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, client goals become our goals. Their success is our satisfaction. It’s why our clients sleep well at night. We believe that the success of an engagement is determined by strong project management, as well as clear communication and mutual commitment working collaboratively. Our methodology begins with listening to the customer about their needs, then working with their team to gain a clear understanding of the requirements, while providing knowledge transfer of best practices for the organization.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Chantilly, VA, US

Year founded

2004

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