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Disability Claims Processor Jobs in Oregon (NOW HIRING)

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... claims processing as well as providing suggestions for potential process improvements. * Performs ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... Proficiency in claims processing systems; Facets, Word, and Excel. * Knowledge and understanding of ...

PacificSource

Claims Team Leader

Springfield, OR

... with a disability, or other protected status, such as race, religion, color, sex, sexual ... Assure claims processing, production and quality meet department and company standards. * Evaluate ...

New

Allcat Claims Service

Claims Examiner

OR · On-site +1

Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ... disability, or status as a protected veteran. #allcatclaims

Moda Health

Medical Claims Entry Operator

Milwaukie, OR

$17.34 - $18.92/hr

Position Summary Enters the processing system all claims received by mail or route claims as ... Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ...

Dabella

Finance Processor

Hillsboro, OR · On-site

$22 - $24/hr

The Finance Processor plays a crucial role in organizing and processing financial data from sales ... Supplemental Life Insurance * Long-term and short-term disability * Accident protection * Employee ...

Corvel

Liability Claims Assistant

Portland, OR · Remote

$13.38 - $23.42/hr

Process incoming faxes * Input notes/diary entries in the claims system * Process payments, as ... disability management industries. CorVel was founded in 1987 and has been publicly traded on the ...

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Disability Claims Processor information

What does a disability claims processor do?

A Disability Claims Processor reviews and evaluates disability insurance claims to determine whether applicants are eligible for benefits. They analyze medical records, employment history, and other relevant documentation to make informed decisions in accordance with policy guidelines and legal regulations. These professionals communicate with claimants, healthcare providers, and employers to gather necessary information and explain claim decisions. Their goal is to ensure accurate, timely, and fair processing of disability claims.

What are the key skills and qualifications needed to thrive as a disability claims processor?

To thrive as a Disability Claims Processor, you need strong analytical skills, attention to detail, and a solid understanding of insurance regulations, often supported by a background in business, healthcare, or insurance. Familiarity with claims management systems, medical terminology, and relevant software like MS Office or specialized claims platforms is typically required. Excellent communication, empathy, and problem-solving abilities are important soft skills for working with claimants and coordinating with medical professionals. These competencies ensure accurate, timely claims processing while maintaining compliance and delivering compassionate service to clients.

What are some common challenges faced by disability claims processors, and how can applicants prepare for them?

Disability Claims Processors often encounter challenges such as managing a high volume of complex cases, interpreting medical and legal documentation, and maintaining compliance with evolving regulations. Applicants can prepare by developing strong organizational skills, attention to detail, and the ability to communicate clearly with claimants, healthcare providers, and legal professionals. Familiarity with specialized claims processing software and a willingness to stay updated on policy changes will also help new hires succeed in this dynamic role.

What is the difference between Disability Claims Processor vs Disability Claims Examiner?

AspectDisability Claims ProcessorDisability Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsBachelor's degree often preferred; certifications in insurance or healthcare are common
Work EnvironmentOffice setting, processing claims, data entry, customer communicationOffice or government agency, reviewing detailed claims and medical documentation
Employer & Industry UsageInsurance companies, government agencies, third-party administratorsInsurance companies, government disability programs, healthcare organizations
Common Search & ComparisonYesYes

Disability Claims Processors primarily handle the initial processing of disability claims, focusing on data entry and customer communication. Disability Claims Examiners review detailed medical documentation and make determinations on claim validity. While both roles work within the disability insurance industry and require similar credentials, Examiners typically have more in-depth review responsibilities and may require higher education or certifications.

How to get a job as a disability claims processor?

To become a disability claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring post-secondary education or relevant experience. Strong organizational skills, attention to detail, and familiarity with claims processing software are important. Certification in claims or insurance processing can enhance job prospects, and positions often require working in an office environment with standard business hours.

Is claims processing a stressful job?

Disability claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling sensitive information and managing a high volume of cases, which can contribute to work-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

Who processes disability claims?

Disability claims are processed by claims processors or adjudicators working for government agencies, insurance companies, or third-party administrators. These professionals review medical records, application forms, and supporting documentation to determine eligibility based on policy or program criteria, often using specialized software and adhering to regulatory guidelines.

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

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

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

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

Disability Claims Processor jobs near you
Infographic showing various Disability Claims Processor job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, 3% Contract, and 1% Nights. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution.

Claims Processor

Zenith American Solutions, Inc.

Tualatin, OR • On-site

$17.75 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Zenith American Solutions rating

8.6

Company rating: 8.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

60th of 500 rated business services

Job description

Title: Claims Processor Department: Claims
Bargaining Unit: UFCW 555 Grade: 3
Position Type: Non-exempt Hours per Week: 40
Position Summary
The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
  • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
  • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
  • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Performs other duties as assigned.

Minimum Qualifications
  • High school diploma or GED.
  • Six months of experience processing health and welfare claims.
  • Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
  • Possesses a strong work ethic and team player mentality.
  • Highly developed sense of integrity and commitment to customer satisfaction.
  • Ability to communicate clearly and professionally, both verbally and in writing.
  • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
  • Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
  • Computer proficiency including Microsoft Office tools and applications.

Preferred Qualifications
  • Experience working in a third-party administrator.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

What Zenith American Solutions employees say

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