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Claims Research Associate Jobs in Tennessee (NOW HIRING)

Instant Serve LLC

Managed Care /Claims

Nashville, TN · On-site

... research, analysis of legal papers, and draft legal documents. Document findings accurately. · ... Requirements and Skills · Must have a bachelor's or associate degree. · A background in Paralegal ...

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Claims Research Associate information

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$12

$19

$27

How much do claims research associate jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for claims research associate in Tennessee is $19.05, according to ZipRecruiter salary data. Most workers in this role earn between $15.48 and $20.96 per hour, depending on experience, location, and employer.

What is a claims research associate?

Claims Research Associates are professionals who investigate and analyze insurance claims to determine their validity and ensure they comply with policy terms. They gather and review documentation, interview relevant parties, and communicate findings to claims adjusters or insurance companies. Their work helps prevent fraud and ensures that clients receive fair compensation. Claims Research Associates often work in insurance companies, healthcare organizations, or third-party administrators.

What are the key skills and qualifications needed to thrive as a claims research associate?

To thrive as a Claims Research Associate, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field—often supported by a relevant degree or experience. Familiarity with claims management software, databases, and Microsoft Office Suite is typically required, and some positions may value industry certifications like AIC (Associate in Claims). Excellent communication, problem-solving skills, and the ability to manage time effectively help set top performers apart. These skills ensure accurate investigation and resolution of claims, which is essential for minimizing risk and providing excellent customer service.

What are some common challenges faced by claims research associates, and how can they be effectively managed?

Claims Research Associates often encounter challenges such as analyzing incomplete or ambiguous claim information, managing a high volume of cases, and coordinating with multiple departments to resolve discrepancies. Successfully managing these challenges requires strong attention to detail, effective organizational skills, and clear communication with both internal teams and external parties. Utilizing available claims management systems and regularly collaborating with colleagues can help streamline processes and ensure accurate claim resolution.

What is the difference between Claims Research Associate vs Claims Adjuster?

AspectClaims Research AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer associate degreesHigh school diploma or equivalent; licensing may be required depending on state
Work EnvironmentOffice setting, research-focused tasksField and office settings, investigating claims
Industry UsageInsurance companies, third-party administratorsInsurance companies, public agencies
Common Search/ComparisonClaims Research Associate vs Claims Adjuster

The main difference between a Claims Research Associate and a Claims Adjuster lies in their roles. Claims Research Associates primarily focus on gathering and analyzing information related to insurance claims, often working in an office environment. Claims Adjusters, on the other hand, investigate claims directly, sometimes in the field, and make decisions on claim validity and settlement. Both roles require knowledge of insurance policies, but Claims Adjusters typically need licensing, whereas Claims Research Associates focus more on research skills.

How can I become a claims research associate?

To become a claims research associate, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like insurance, business, or related areas. Relevant skills include attention to detail, analytical thinking, and proficiency with data management tools. Gaining experience through internships or entry-level positions in insurance or claims processing can also improve job prospects.

Is claims research a stressful job?

Claims research as a Claims Research Associate involves analyzing insurance claims, which can be demanding due to tight deadlines and the need for accuracy. The job may involve repetitive tasks and detailed data review, but stress levels vary depending on workload, company environment, and individual coping skills.

What cities in Tennessee are hiring for Claims Research Associate jobs?

Cities in Tennessee with the most Claims Research Associate job openings:

Claims Research Associate jobs near you

Dental Claims Coordinator- Special Needs Clinic

The University of Tennessee

Memphis, TN • On-site

$19.67/hr

Full-time

Medical, Dental

Re-posted 23 days ago

Job description

Market Range:  06        
Hiring Salary: $19.67/Hourly 

JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: 

The Dental Claims Coordinator for the Special Needs Clinic oversees all dental insurance billing, claims processing, and provider credentialing for AEGD, UDP, and Special Needs Clinic. This position ensures accurate, timely claims and pre-authorizations, with a strong focus on services commonly required by patients with special health care needs such as hospital-based dentistry, sedation, and multidisciplinary treatment. This position serves as the clinic's subject matter expert on CDT coding, payer requirements, and documentation standards for insurance.

EDUCATION:

 High School Diploma or GED. (TRANSCRIPT REQUIRED)

EXPERIENCE: 

Four (4) years of public and private dental claims processing; OR Associate's Degree and two (2) years of public and private dental claims processing. 

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Ability to organize and prioritize work to meet competing deadlines. 
  • Knowledge of special needs patient population guidelines, regulations, policy, and procedures 
  • Knowledge of public and private dental insurance billing policies.
  • Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail.
  • Expert knowledge of dental terminology, treatment planning, CDT coding, accounts receivable and collections processes.
  • Ability to communicate professionally and courteously with faculty, residents, students, patients and staff. 
  • Ability to identify, research and/or resolve financial conflicts with insurance companies and patient accounts. 
  1. Prepares and submits insurance claims and pre-authorizations (electronic and paper); monitors all unsubmitted or denied claims. 
  2. Identifies and resolves payment issues proactively, coordinating with payers to obtain claim approvals.
  3. Audits patient records for accurate financial and CDT coding documentation; initiates corrections and communicates with providers to ensure compliant submissions.
  4. Collaborates with the hospital to create a streamlined process (create and monitor PAs, insurance coordination, and hospital coordination). 
  5. Assists students, residents, and staff in understanding insurance protocols.
  6. Maintain up-to-date knowledge of CDT coding, Medicaid/Medicare rules, and payer regulations for dentistry.
  7. Explains treatment costs and insurance coverage. 
  8. Performs other duties as assigned.

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