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Health Claims Jobs (NOW HIRING)

Withum

Health Claims Audit Supervisor

San Ramon, CA · Hybrid

$85K - $110K/yr

Withum is seeking an experienced health claims audit supervisor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC ...

Chubb

Accident & Health Claims Adjuster

San Juan, PR

$64K - $83K/yr

Role Purpose The Accident and Health Claims Adjuster is responsible to handle, investigate, analyze, calculate and approve insurance claims filed by policyholders and determine the extent of ...

Rsli

Sup. - Supplemental Health Claims

Phoenix, AZ · On-site

The Supplemental Health Claims Supervisor is responsible for ensuring that all Wellness, Accident, Critical Illness, and Hospital Indemnity claims assigned to his/her team are accurately and fairly ...

Managed Care Staffers

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Hybrid Supplemental Health Claims Examiner

Lombard, IL · On-site

$25/hr

Hybrid Temp-to-Hire Supplemental Health Claims Examiner Our client a busy and fast-growing Insurance Company is currently looking to fill a hybrid temp-to-hire, Supplemental Health Claims Associated ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Role : Conduct retrospective review of medical, surgical, and behavioral health claims. * Focus : Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.

Adventist Health

Health Plan Claims Examiner

Roseville, CA · On-site

$24.40 - $32.49/hr

Three years' experience processing health claims on a computerized claims payment system: Preferred Essential Functions: * Processes medical claims for payment up to $15,000.00 per Health Plan ...

Seminole Tribe of Florida

Claims Auditor

Hollywood, FL · On-site

Health & Human Services Location: HOLLYWOOD Posted: 02/23/2026 The incumbent in this position is responsible for auditing and reviewing employee's benefits activities and processing health claims ...

Symetra

Supplemental Health Claims Examiner - Remote

$22.38 - $37.32/hr

Symetra has an exciting opportunity to join our growing team as a Supplemental Health Claims Examiner ! About the role The Claims Examiner is responsible for accurate and timely adjudication of ...

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$21

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How much do health claims jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for health claims in the United States is $21.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $23.56 per hour, depending on experience, location, and employer.

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

To thrive as a Health Claims Specialist, you need a solid understanding of medical terminology, insurance policies, and claims processing, usually supported by a high school diploma or associate degree in a related field. Familiarity with claims management software, electronic health records (EHR), and industry coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving discrepancies and interacting with providers or policyholders. These skills ensure accurate, efficient claims processing and help maintain compliance with healthcare regulations and customer satisfaction.

What is the difference between Health Claims vs Health Claims Specialist?

AspectHealth ClaimsHealth Claims Specialist
Required CredentialsTypically none or basic certificationsCertifications in health insurance, compliance, or related fields
Work EnvironmentInsurance companies, healthcare providers, government agenciesInsurance firms, healthcare organizations, regulatory bodies
Employer & Industry UsageUsed broadly in health insurance and healthcare sectorsSpecialized role focusing on claims processing and compliance
Common Search & ComparisonUnderstanding health claims processesRoles related to health claims management and review

Health Claims refer to the actual submissions or requests for reimbursement for healthcare services, while a Health Claims Specialist is a professional who reviews, processes, and ensures compliance of these claims. The specialist role involves expertise in insurance policies, regulations, and claims procedures, making it a more specialized position within the healthcare and insurance industries.

What are health claims jobs?

Health claims jobs involve processing, reviewing, and adjudicating insurance claims related to healthcare services. Professionals in these roles ensure that medical claims are accurate, complete, and comply with insurance policies and regulations. They often work for insurance companies, healthcare providers, or third-party administrators, and may interact with patients, healthcare professionals, and insurers to resolve issues or discrepancies. Common positions in this field include health claims processor, claims examiner, and claims adjuster. Attention to detail, knowledge of medical billing codes, and understanding of healthcare policies are essential for success in health claims jobs.

What are some common challenges faced by health claims professionals and how can they be managed?

Health claims professionals often encounter challenges such as processing high volumes of claims accurately and within tight deadlines, interpreting complex medical documentation, and staying updated with changing insurance regulations. Managing these challenges requires strong organizational skills, attention to detail, and continuous training on industry updates. Working closely with healthcare providers and other team members can also help clarify discrepancies and ensure claims are processed efficiently.
More about Health Claims jobs
What cities are hiring for Health Claims jobs? Cities with the most Health Claims job openings:
What states have the most Health Claims jobs? States with the most job openings for Health Claims jobs include:
What job categories do people searching Health Claims jobs look for? The top searched job categories for Health Claims jobs are:
Health Claims jobs near you
Infographic showing various Health Claims job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 11% Full Time, 64% Part Time, 1% Temporary, 22% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $43,917 per year, or $21.1 per hour.

Health Claims Audit Supervisor

WithumSmith+Brown

San Ramon, CA • Hybrid

$85K - $110K/yr

Other

Medical, Dental, Vision

Posted 4 days ago

Job description

Withum is seeking an experienced health claims audit supervisor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment systems.

How You'll Spend Your Time:

  • Working closely with our clients, and their vendors, to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents
  • Reviewing client's claims adjudication internal controls policies and procedures
  • Completing audit workpapers documenting procedures, findings and conclusions within assigned budgets and deadlines

The Kinds of People We Want to Talk to Have Many of the Following:

  • BS Degree
  • Must be qualified at analyzing and interpreting group health insurance contract provisions and reviewing administrative policies and PPO contracts
  • Experience working within a team environment
  • Must be familiar with HIPAA and ACA compliance standards
  • Must have a minimum of 3-5 years of health claims processing experience (internal auditing skills a plus)
  • Good computer skills (Microsoft office preferred), excellent communication skills
  • Ability to travel as needed based on client assignments 

The compensation range for this position is $85,000-$110,000. In addition to the base compensation, Withum offers a competitive benefits package and bonus program (for eligible roles) based on individual and firm performance. Final offer amounts are based on multiple factors such as the specific role, hiring location, as well as the individual's skills, experience, and qualifications. For additional information on our benefits, visit our website at https://www.withum.com/careers/.

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