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Claims Processor Jobs (NOW HIRING)

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

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 ...

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business needs) Training Schedule: 8-week paid training Pay Rate: $15.00 per hour- please note this rate may be ...

Claims Processor Onsite: Must live in or near Lexington, KY $16 per hour 7:00am- 3:30pm Monday- Friday with Overtime Opportunities Great Benefits Paid Training About the Claims Processor role As a ...

Claims Processor Onsite: Must live in or near Lexington, KY $16 per hour 7:00am- 3:30pm Monday- Friday with Overtime Opportunities Great Benefits Paid Training About the Claims Processor role As a ...

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business needs) Training Schedule: 8-week paid training Pay Rate: $15.00 per hour- please note this rate may be ...

The Claims Processor serves as a mediator on claims between company drivers, Insurance and at times 3 rd parties. Is responsible for the maintenance, audit and management of files assigned to he or ...

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business needs) Training Schedule: 8-week paid training Pay Rate: $15.00 per hour- please note this rate may be ...

Claims Processor I

Columbia, SC · On-site

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is ...

Claims Processor I

Columbia, SC · On-site

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Jun 26, 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. For claims processors, salaries generally range from $40,000 to $70,000 per year.

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?

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 job makes $10,000 a month without a degree?

A claims processor typically does not earn $10,000 a month without a degree; most roles in this field pay less. High-paying jobs that can reach this level without a degree often include specialized sales, real estate brokers, or certain entrepreneurial ventures, but they usually require experience, skills, or licensing. Most jobs with such high income potential without a degree involve sales, entrepreneurship, or skilled trades.

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 reviews insurance claims to determine their validity and ensure they comply with policy terms. They verify information, calculate payouts, and process payments using claims management software, often working within set deadlines and following company guidelines.

What jobs pay 2000 a day?

Claims processors typically do not earn $2,000 a day; their salaries are usually based on an annual or hourly rate. High-paying jobs that can reach this level include specialized roles such as surgeons, anesthesiologists, or certain high-level executives, often requiring advanced skills, certifications, or extensive experience. These roles are generally found in healthcare, finance, or executive management environments.
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 June 2026, with employment types broken down into 93% Full Time, and 7% Part Time. 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.
Medical Claims Processor

$16.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Job description

Join the DATAMARK, Inc. Team as a Medical Claims Processor!

Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that requires critical thinking and strong judgment? If so, we have the perfect role for you! As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.

We are seeking a detail-oriented and performance-driven Medical Claims Processor to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.

This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.

  • Verify insurance coverage for new and existing patients to support timely prescription fulfillment
  • Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
  • Conduct detailed research across multiple systems and portals
  • Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
  • Accurately document findings, decisions, and next steps in internal systems
  • Meet or exceed productivity expectations while maintaining accuracy
  • Identify and escalate complex cases or discrepancies as appropriate
  • Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

Requirements

  • Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
  • Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
  • Strong attention to detail and ability to process high volumes of information accurately
  • Excellent reading comprehension and research abilities
  • Comfortable making outbound calls to resolve insurance or coverage-related issues
  • Strong problem-solving and critical-thinking skills
  • Ability to manage productivity metrics in a fast-paced environment
  • Basic computer proficiency and experience navigating multiple systems

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Resources
  • $16.50 per hour