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Enter Claims Jobs (NOW HIRING)

Vanguard Furniture Co Inc

CLAIMS

Conover, NC · On-site

Accurately enter and maintain claim details within the CRM system. * Track, expedite, and follow up ... Investigate claims using internal systems and resources, including AS400 and company websites.

Diverse Lynx

Claims Associate

Tampa, FL · On-site

$16.25 - $21.75/hr

Enter claim details and maintain accurate records within the claims management system. * Continuous Improvement: Identify opportunities for process improvement to enhance claims accuracy and ...

Cross Insurance

Associate Claims Advocate

Boston, MA · On-site

$19.25 - $26/hr

When appropriate, enter claim information in AMS and produce a loss notice. * Report claim(s) to ... For Claims-Made coverages, provide clients with instructions regarding identification of potential ...

Cross Insurance

Associate Claims Advocate

Norwell, MA · On-site

$18.75 - $25.25/hr

When appropriate, enter claim information in AMS and produce a loss notice. * Report claim(s) to ... For Claims-Made coverages, provide clients with instructions regarding identification of potential ...

Cross Insurance

Associate Claims Advocate

Washington, DC · On-site

$20 - $27.25/hr

When appropriate, enter claim information in AMS and produce a loss notice. * Report claim(s) to ... For Claims-Made coverages, provide clients with instructions regarding identification of potential ...

Diverse Lynx

Claims Adjudicator

$19/hr

Enter claim details accurately into the claims system and maintain complete records. * Problem Resolution: Investigate discrepancies and resolve disputes promptly. * djustments: Handle rework and ...

C. Winchell Agency, Inc.

Claims Advocate

Parsippany, NJ · On-site

Enter all required data into system to maintain current file data. Obtain, analyze and critique adjusters' notes periodically for all claims. Submit claims reports, evaluate files for settlement and ...

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All JobsEnter Claims Jobs

Enter Claims information

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$11

$24

$42

How much do enter claims jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for enter claims in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What is the difference between Enter Claims vs Claims Processor?

AspectEnter ClaimsClaims Processor
Required CredentialsHigh school diploma; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, data entry tasksOffice environment, reviewing and processing claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance firms, healthcare organizations
Common Search & ComparisonYesYes

Enter Claims primarily involves inputting claim data into systems, focusing on data entry tasks. Claims Processors review, verify, and process claims for approval or denial. While both roles work within insurance and healthcare industries, Claims Processors have more responsibility in decision-making and claim evaluation, whereas Enter Claims focuses on data entry and accuracy.

What are Enter Claims jobs?

Enter Claims jobs typically involve processing and entering insurance claims data into a company's system. Employees in this role ensure that all information is accurate, complete, and submitted in a timely manner for further review and processing. This position may require attention to detail, familiarity with insurance terminology, and the ability to use specialized claims management software. Enter Claims professionals often work closely with other departments to resolve discrepancies and ensure compliance with company policies and regulations.

What are the key skills and qualifications needed to thrive as an Enter Claims Specialist, and why are they important?

To thrive as an Enter Claims Specialist, you need strong attention to detail, data entry skills, and a solid understanding of insurance or healthcare claims processes, often supported by a high school diploma or relevant experience. Familiarity with claims management systems, billing software, and knowledge of HIPAA regulations is typically required. Excellent organizational skills, accuracy, and the ability to communicate clearly with team members and clients are important soft skills. These abilities ensure efficient, error-free claim processing and contribute to timely reimbursements and customer satisfaction.

What are some common challenges faced by professionals in an Enter Claims role, and how can they be addressed?

Professionals in Enter Claims roles often encounter challenges such as handling high volumes of data entry, maintaining accuracy under time pressure, and ensuring compliance with company and industry standards. To address these challenges, it’s important to develop strong organizational skills, become proficient with claims management software, and establish routines for double-checking work. Regular communication with team members and supervisors can also help clarify procedures and support continuous improvement. Employers typically provide training to help new hires adapt and succeed in this fast-paced environment.
More about Enter Claims jobs
What job categories do people searching Enter Claims jobs look for? The top searched job categories for Enter Claims jobs are:
Infographic showing various Enter Claims job openings in the United States as of June 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.
Document Service Representative 1

Document Service Representative 1

w3r Consulting

Albany, NY • On-site

Contractor

Medical, Dental, Vision

Posted 26 days ago

Job description

Summary Description:
The Document Service Representative shall assume full responsibility for the completion of the necessary activities related to the processing of incoming mail for the entire organization, as well as the timely and accurate facilitation and handling of all incoming paper claim and correspondence documents. All tasks are performed on-site. This includes performing a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York State regulations, including prompt pay and to ensure accurate image routing to the appropriate business area to support customer service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system, utilizing and interpreting Desk Levels to accurately examine and data enter claims via OCR, Key from Image, and Key Entry. Required data elements as defined by each business area must be accurately captured in accordance with departmental Desk Levels, ensuring images are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area. The Document Service Representative will work closely with Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve claims examining and correspondence data entry issues. The Document Service Representative will also be required to successfully apply problem solving and time management methodology to balance multiple tasks as business needs arise while maintaining production and quality standards.
Essential Resource Responsibilities / Accountabilities:
  • Examine, data enter and re-write all physician, hospital, dental, and pharmacy claims utilizing established policies and procedures as well as medical claims coding guidelines.
  • Perform accurate FormWorks OCR error correction, Key from Image, and Key Entry on all medical, hospital, dental, and vision claims in accordance with departmental desk levels
  • Perform accurate FormWorks data entry on correspondence documents in accordance with departmental desk levels to ensure work items are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area
  • Report any scanning, data entry, or workflow issues to the Team Lead, Document Management and/or a member of management as appropriate. - Work mandatory overtime when deemed necessary to meet TAT service level metrics
  • Report any obvious provider billing problems observed
  • Provide value-added feedback regarding established desk levels and train newly hired staff when required.
  • Maintain the production and accuracy ratio as established by the department
  • Re-direct claims and correspondence to the appropriate resource/department as needed in accordance with established Desk Levels
  • Research and contact appropriate resources as warranted for information necessary for the completion of examining and/or data entry utilizing the corporate documentation system
  • Initiate and assist in the development of process improvements necessary to resolve claims examining and data entry issues and system limitations
  • Perform all scanning room functions, this includes but is not limited to sorting, prepping, and scanning of all claims and correspondence documents into FormWorks in accordance with established desk levels
  • Archive all incoming claim and correspondence documents in accordance with established Desk Levels
  • Complete the daily rejection report, including retrieval of archived claim and correspondence documents, within established time frames
  • Verify scanned documents for completeness
  • Report any system, filing, scanning, or workflow issues to the Team Lead, Document Management, and/or a member of management as appropriate
  • Perform general scanner maintenance as needed. - Identify and report deviations in provider practice and billing to the Team Lead, Document Management
  • Complete required department documents in an accurate and timely fashion as outlined in established procedures
  • The employee agrees to comply with companyâ??s Corporate Compliance Policy, and all laws, rules, regulations and standards of conduct relating to the Corporate Compliance Policy and has a duty and obligation to report any suspected violations of any law, the standards of conduct or Corporate Compliance Policy to his or her immediate Supervisor, the fraud and abuse hotline, the Compliance Officer, the Compliance Director, Human Capital Management or the Chief Executive Officer. - Performs other duties as assigned.

Minimum Resource Qualifications:
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION
Please choose one (1) box highlighting the minimum educational level required to successfully perform the job.
1. High school diploma or GED required.
2. Associates degree or two (2) years of equivalent experience required.
3. Bachelorâ??s degree or four (4) years of equivalent experience required.0Advanced degree preferred.
EXPERIENCE
  • Six (6) months alphanumeric data entry experience in a healthcare setting is required
  • Minimum of (1) year claims examining procedural review experience utilizing CPT-4, HCPCS, and ICD-9 codes is highly preferred
  • Experience with review, interpretation and scanning of correspondence from multiple sources is highly preferred
  • Experience or working knowledge with an on-line data entry system, especially Macess EXP and FormWorks , Web key is highly preferred.
  • A minimum of one year office experience with strong PC skills and Microsoft Windows is preferred.

SKILLS & ABILITIES
  • Demonstrated ability to determine, analyze, and solve problems related to claims examining, correspondence and data entry
  • Ability to successfully apply problem solving and time management methodology and balance multiple tasks as business needs arise
  • Ability to apply specialty claims handling and data entry Desk Levels with adherence to department turnaround time frames to ensure regulatory compliance Demonstrated ability to effectively communicate on both a verbal and written basis. Must utilize appropriate grammar, spelling, punctuation, and sentence structure in all written communications
  • Strong attention to detail and ability to meet established quality and production standards while maintaining department turnaround time frames
  • Ability to work independently with minimal supervision is required.
Physical Requirements:
  • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer.
  • Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

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