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Claims Reviewer Jobs in Oregon (NOW HIRING)

Capitol Bridge, LLC.

$75/hr

The Claims Review Position will play a crucial role in the Florida Statewide Health Plan Claim ... Prepare documents for the clinical reviewer assigned and provide instruction as needed.

Allcat Claims Service

Claims Examiner

OR · On-site +1

This is a predominantly Flood QA review position with desk adjusting possibilities. In this position you will be required to review flood claims and provide feedback to field adjusters based on your ...

Capitol Bridge, LLC.

$250/wk

We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim disputes submitted by various parties ...

Corvel

Claims Specialist

Portland, OR · On-site

$52K - $85K/yr

Adheres to client and carrier guidelines and participates in claims review as needed * Assists other claims professionals with more complex or problematic claims as necessary * Additional projects ...

Corvel

Claims Specialist

Portland, OR · Remote

$52K - $85K/yr

Adheres to client and carrier guidelines and participates in claims review as needed * Assists other claims professionals with more complex or problematic claims as necessary * Additional projects ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

Review, analyze, and resolve claims through the utilization of available resources for complex claims. * Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB ...

RiteChoice Rx

Claims Auditor

Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes ... Supervision The Claims Auditor will report directly to the Compliance Manager. * This is a ...

Epitec

Claims Adjuster

Portland, OR · On-site

$47 - $52/hr

Claims Adjuster Contract Duration: 3 months, possible extension Location: Portland, OR Work ... Under limited supervision, receives assignments and reviews claim and policy information to provide ...

Chubb

ESIS Claims Associate

Portland, OR · On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

Chubb

ESIS Claims Associate

Portland, OR · On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

Chubb

ESIS Claims Associate

Portland, OR · On-site

$47K - $67K/yr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

Chubb

ESIS Claims Associate

Portland, OR · On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

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All JobsClaims Reviewer JobsClaims Reviewer Jobs in Oregon

Claims Reviewer information

See Oregon salary details

$32.2K

$68.3K

$95.2K

How much do claims reviewer jobs pay per year?

As of Aug 30, 2026, the average yearly pay for claims reviewer in Oregon is $68,310.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,900.00 and $79,800.00 per year, depending on experience, location, and employer.

What is a claims reviewer?

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.

What are the daily responsibilities of a claims reviewer?

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.

What skills and qualifications are needed to be a claims reviewer?

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.

Is claims processing a stressful job?

Claims reviewers often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially during high workloads or complex cases. The job requires strong organizational skills and knowledge of insurance policies, and some individuals may find the workload demanding at times.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they comply with policy terms. They analyze documentation, verify information, and make decisions on claim approval or denial, often using specialized software and following company guidelines. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Claims Reviewer jobs in Oregon?

For Claims Reviewer jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Claims Reviewer jobs in Oregon look for?

The top searched job categories for Claims Reviewer jobs in Oregon are:

What cities in Oregon are hiring for Claims Reviewer jobs?

Cities in Oregon with the most Claims Reviewer job openings:

Claims Reviewer jobs near you
Infographic showing various Claims Reviewer job openings in Oregon as of August 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $68,310 per year, or $32.8 per hour.

Pharmacy Technician - Claims Review

Portland, OR • On-site

Consonus Pharmacy
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Consonus Pharmacyexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Overview
Pharmacy Technician - Claims Review Specialist
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Claims Review Specialist to join our team!
As the Claims Review Specialist, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians, work daily rejects, communication with internal departments.
Some benefits may include:
  • Paid training & career advancement opportunities
  • $25,000 toward ongoing education benefit
  • Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
  • Medical/Dental/Vision insurance
  • Free access to MDLIVE - allowing access to your health benefits from anywhere
  • 401K With Employer Match
  • Employee Assistance Program: with free access to counseling & support services

Qualifications
  • Current Pharmacy Technician License in the appropriate state
  • Experience in a Pharmacy setting
  • Knowledge of billing procedures, working with insurance processors
  • Excellent Customer Service skills, with high attention to detail

EEO Statement
"Be here. Be you."
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.

Apply