Claims Reviewer
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Nipomo, CA · On-site
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
$26 - $28.67/hr
Medication Claims Reviewer Department: 340B Reports To: Director of 340B Program FLSA Status: Non-Exempt Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour SUMMARY Under the ...
Madison, WI · On-site +1
$72K/yr
The Disability Claims Reviewers will maintain the capability and flexibility to efficiently process a variety of disability claim types. Salary Information The starting pay is between $35.00 and $37 ...
New
Madison, WI · On-site +1
$72K/yr
The Disability Claims Reviewers will maintain the capability and flexibility to efficiently process a variety of disability claim types. Salary Information The starting pay is between $35.00 and $37 ...
New
Baltimore, MD · On-site
Reviewing and processing all hearing related documents received in claims queues via CompHub, such as emergency hearings, rehearing, postponements, other motions and petitions, withdraw issues, etc ...
Baltimore, MD · On-site
Reviewing and processing all hearing related documents received in claims queues via CompHub, such as emergency hearings, rehearing, postponements, other motions and petitions, withdraw issues, etc ...
The Supervisor, Medicaid Claims Review is responsible for leading a high-performing team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. This role oversees daily ...
The Supervisor, Medicaid Claims Review is responsible for leading a high-performing team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. This role oversees daily ...
Somerville, MA · On-site +1
The Supervisor, Medicaid Claims Review is responsible for leading a high-performing team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. This role oversees daily ...
Somerville, MA · On-site +1
The Supervisor, Medicaid Claims Review is responsible for leading a high-performing team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. This role oversees daily ...
$43K - $85K/yr
The Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Reviewer will identify and rectify claim inaccuracies that ...
$43K - $85K/yr
The Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Reviewer will identify and rectify claim inaccuracies that ...
Hi, Our client is looking for an Physician ED Claims Reviewer Role for Remote below is the detailed requirement. Job Title: Physician ED Claims Reviewer Location: Remote * Bachelor's degree in ...
Hi, Our client is looking for an Physician ED Claims Reviewer Role for Remote below is the detailed requirement. Job Title: Physician ED Claims Reviewer Location: Remote * Bachelor's degree in ...
Prosper, TX · On-site
$201K - $239K/yr
Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review ...
Prosper, TX · On-site
$201K - $239K/yr
Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review ...
Prosper, TX · Remote
$225K - $267K/yr
Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review ...
Quick apply
Prosper, TX · Remote
$225K - $267K/yr
Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing ...
Charleston, WV · On-site
... claims ... Reviewer must meet or exceed production and quality standards and follow documented policies and ...
Charleston, WV · On-site
... claims ... Reviewer must meet or exceed production and quality standards and follow documented policies and ...
$30.5K - $35.9K
1% of jobs
$35.9K - $41.3K
3% of jobs
$41.3K - $46.7K
5% of jobs
$51.5K is the 25th percentile. Wages below this are outliers.
$46.7K - $52.1K
17% of jobs
$52.1K - $57.5K
11% of jobs
The median wage is $62.3K / yr.
$57.5K - $63K
14% of jobs
$63K - $68.4K
13% of jobs
$73.6K is the 75th percentile. Wages above this are outliers.
$68.4K - $73.8K
11% of jobs
$73.8K - $79.2K
10% of jobs
$79.2K - $84.6K
9% of jobs
$84.6K - $90K
6% of jobs
$30.5K
$64.6K
$90K
A Claims Reviewer evaluates insurance claims to determine their validity and ensures they comply with company policies and regulations. They analyze documentation, verify details, and may consult with medical or industry experts. Their role helps prevent fraud, control costs, and ensure fair compensation for policyholders. Strong attention to detail and knowledge of insurance policies are essential for this role.
As a Claims Reviewer, your typical day involves evaluating insurance claims to determine their validity, reviewing supporting documents, and making recommendations for approval or denial based on policy guidelines. You will often collaborate with team members, adjusters, and occasionally interact with clients or healthcare providers to obtain additional information or clarification. The role frequently requires balancing multiple cases simultaneously while adhering to strict deadlines and maintaining high accuracy. Most Claims Reviewers work in an office setting, but some companies also offer remote or hybrid options, making the work environment flexible. This position offers the opportunity to develop expertise in insurance practices and can lead to advancement into supervisory or specialized claims roles.
To thrive as a Claims Reviewer, you need a solid understanding of insurance policies, claim evaluation procedures, and strong analytical skills, often supported by a degree in a related field or equivalent experience. Familiarity with claims management software, electronic documentation systems, and knowledge of relevant regulations or coding (such as ICD or CPT) is typically required. Attention to detail, critical thinking, and effective written and verbal communication are essential soft skills in this position. These skills are vital for accurately assessing claims, ensuring compliance, and maintaining efficiency in a detail-oriented, deadline-driven environment.
Cities with the most Claims Reviewer job openings:
The most popular types of Claims Reviewer jobs are:
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States with the most job openings for Claims Reviewer jobs include:
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Sourced by ZipRecruiter
Law firms
51 - 200 Employees
Atlanta, GA, US
2009