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Claims Trainee Jobs in Rochester, NY (NOW HIRING)

Wegmans

Pharmacy Technician Trainee

Newark, NY

$19/hr

Troubleshoot the rejected insurance claims and address issues to support customers' needs * Accurately and efficiently input prescription information * Maintain strict patient confidentiality in ...

Wegmans

Pharmacy Technician Trainee

Newark, NY · On-site

$19 - $19.50/hr

Troubleshoot the rejected insurance claims and address issues to support customers' needs * Accurately and efficiently input prescription information * Maintain strict patient confidentiality in ...

Wegmans

Pharmacy Technician Trainee

Newark, NY

$19 - $19.50/hr

Troubleshoot the rejected insurance claims and address issues to support customers' needs * Accurately and efficiently input prescription information * Maintain strict patient confidentiality in ...

Wegmans

Pharmacy Technician Trainee

Fairport, NY · On-site

$19 - $19.50/hr

Troubleshoot the rejected insurance claims and address issues to support customers' needs * Accurately and efficiently input prescription information * Maintain strict patient confidentiality in ...

Wegmans

Pharmacy Technician Trainee

Newark, NY · On-site

$19 - $19.50/hr

Troubleshoot the rejected insurance claims and address issues to support customers' needs * Accurately and efficiently input prescription information * Maintain strict patient confidentiality in ...

SimcoHR

H&A CSR

Canandaigua, NY · On-site

$45K - $75K/yr

Serve as the primary point of contact for client inquiries related to coverage, billing, and claims * Provide clear, accurate explanations of policy details, including coverage limits, exclusions ...

SimcoHR

H&A CSR

Canandaigua, NY · Hybrid

$45K - $75K/yr

Serve as the primary point of contact for client inquiries related to coverage, billing, and claims * Provide clear, accurate explanations of policy details, including coverage limits, exclusions ...

Lthc

Utilization Management Services Rep I

Rochester, NY

$15.75 - $21.50/hr

Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues ...

Lthc

Utilization Management Services Rep I

Rochester, NY

$15.75 - $21.50/hr

Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues ...

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All JobsClaims JobsClaims Trainee JobsClaims Trainee Jobs in Rochester, NY

Claims Trainee information

See Rochester, NY salary details

$28.6K

$32.1K

$34.5K

How much do claims trainee jobs pay per year?

As of Jul 14, 2026, the average yearly pay for claims trainee in Rochester, NY is $32,066.00, according to ZipRecruiter salary data. Most workers in this role earn between $30,600.00 and $33,500.00 per year, depending on experience, location, and employer.

What is the difference between Claims Trainee vs Claims Adjuster?

AspectClaims TraineeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer a relevant certificationHigh school diploma; often requires licensing or certification depending on the region
Work EnvironmentTraining programs, supervised settings, office or remoteFieldwork, office, or remote; handling claims directly with clients and providers
Employer & Industry UsageInsurance companies, training roles for entry-level claims positionsInsurance companies, claims departments, adjusting claims for damages or losses

Claims Trainee roles are entry-level positions focused on training and learning the claims process, often under supervision. Claims Adjusters handle actual claims, assess damages, and make settlement decisions. While Claims Trainees are in a learning phase, Claims Adjusters are responsible for managing claims independently once trained.

What are Claims Trainees?

Claims Trainees are entry-level professionals in the insurance industry who are learning how to evaluate, process, and settle insurance claims. They typically work under the supervision of experienced adjusters or managers and receive on-the-job training to understand company policies, claims procedures, and relevant legal regulations. Claims Trainees investigate claims, communicate with policyholders, and gradually take on more responsibility as they gain experience. This role is often a starting point for a career in claims adjusting or insurance management.

What are the key skills and qualifications needed to thrive as a Claims Trainee, and why are they important?

To thrive as a Claims Trainee, you need a bachelor's degree (often in business or a related field), analytical thinking, and basic knowledge of insurance principles. Familiarity with claims management systems, Microsoft Office Suite, and sometimes industry certifications such as AIC (Associate in Claims) is beneficial. Strong attention to detail, effective communication, and a customer-oriented mindset are standout soft skills for this role. These competencies are crucial for accurately evaluating claims, ensuring customer satisfaction, and supporting efficient claims resolution.

What are some common challenges a Claims Trainee might face during their initial training period?

As a Claims Trainee, one common challenge is quickly understanding complex insurance policies and regulations while handling real claims. Trainees often need to develop strong attention to detail and effective communication skills to gather information from claimants and collaborate with more experienced adjusters. Balancing training sessions, shadowing opportunities, and managing a growing caseload can feel overwhelming at first. However, most organizations provide mentorship and structured support to help trainees build confidence and proficiency as they progress.
What are the most commonly searched types of Claims jobs in Rochester, NY? The most popular types of Claims jobs in Rochester, NY are:
What are popular job titles related to Claims Trainee jobs in Rochester, NY? For Claims Trainee jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Claims Trainee jobs in Rochester, NY look for? The top searched job categories for Claims Trainee jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Claims Trainee jobs? Cities near Rochester, NY with the most Claims Trainee job openings:
Claims Trainee jobs near you
Infographic showing various Claims Trainee job openings in Rochester, NY as of July 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, 20% Hybrid, and 20% Remote job distribution, with an average salary of $32,066 per year, or $15.4 per hour.
Clm Resltion Rep III, Hosp/Prv

Clm Resltion Rep III, Hosp/Prv

University of Rochester

Rochester, NY

$20.30 - $27.41/hr

Full-time

Re-posted 6 days ago

University Of Rochester rating

8.4

Company rating: 8.4 out of 10

Based on 183 frontline employees who took The Breakroom Quiz

80th of 553 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

905 Elmgrove Rd, Rochester, New York, United States of America, 14624

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500011 Patient Financial Services

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Performs follow-up activities designed to bring all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Resolves complex claims. Acts as a resource for lower level staff.

Location: Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State.

ESSENTIAL FUNCTIONS

  • Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid accounts working claims. Reviews reasons for claim denial. Reviews payer website or contacts payer representatives to determine why claims are not paid. Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks. Researches and calculates under or overpaid claims; determines final resolution. Contacts payers on incorrectly paid claims completing resolution and adjudication. Adjusts accounts or processes insurance refund credits. Reviews and advises leadership on incorrectly paid claims from specific payers. Works with leadership on communication to payer representatives regarding payment trends and issues.
  • Bills primary and secondary claims to insurance.
  • Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists department leadership with credit balances account reviews/resolutions and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works all insurance credits in electronic health record. Enters electronic health record notes, documenting actions taken.
  • Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations. Assists with patient related questions. Communicates and coordinates with other departments to resolve claim issues. Assists with all audits as needed.
  • Other duties as assigned.


MINIMUM EDUCATION & EXPERIENCE

  • Associate's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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