ZipRecruiter

Log In

1

Health Claims Jobs (NOW HIRING)

Managed Staffing

Healthcare Claims Examiner

Whittier, CA · On-site

$31 - $32/hr

Healthcare Claims Examiner Location: Whittier, CA Shift: Monday - Friday | 7:00 AM - 3:30 PM Position Overview We are seeking an experienced Claims Examiner with strong UB-92 and HCFA-1500 claims ...

Apply Early

SBT

Be Seen First

Claims Specialist

Boca Raton, FL · On-site

$20 - $24/hr

Boca Raton, FL (on-site) Pay range: $20 - 24 (Based on Experience) We deliver hands-on, process-driven operational support to behavioral health programs. We're hiring a Claims Specialist to drive ...

CareMore Health

Director, Claims Support

California, MD · Remote

$144K - $238K/yr

Summary The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant ...

CareMore Health

Director, Claims Support

Nevada, IA · Remote

$144K - $238K/yr

Summary The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant ...

CareMore Health

$144K - $238K/yr

Summary The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant ...

Citizens, Inc.

PR · On-site

Associate, Life & Health Claims (ALHC) and Associate, Life Management Institute (ALMI) certifications are necessary for advancement to a claims manager position. * Must be fluently bilingual with the ...

Apply Early

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · Remote

$25 - $30/hr

Claims Follow-Up Lead Behavioral Health | Government & Commercial Payers | Lean Growth Organization | Remote WellPsyche Medical Group is a leading telehealth behavioral health organization providing ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · On-site +1

$25 - $30/hr

Claims Follow-Up Lead-CA Department: Finance Employment Type: Full Time Location: California ... Kim Compensation: $25.00 - $30.00 / hour Description Behavioral Health | Government & Commercial ...

next page

Showing results 1-20

All JobsHealth Claims Jobs

Health Claims information

See salary details

$15

$21

$27

How much do health claims jobs pay per hour?

As of Jul 1, 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.

How to get into medical claims?

To pursue a career in health claims, typically you need a high school diploma or equivalent, with some roles requiring a postsecondary certificate or associate degree in health information management or related fields. Familiarity with medical terminology, insurance procedures, and claims processing software is important, and obtaining certifications like the Certified Coding Associate (CCA) can enhance job prospects. Entry-level positions often involve on-the-job training in claims processing and customer service environments.

What does a healthcare claims specialist do?

A healthcare claims specialist reviews and processes insurance claims to ensure accurate billing and reimbursement. They verify patient information, coding accuracy, and compliance with insurance policies, often using claims processing software, and may handle appeals or discrepancies as needed.

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 skills do you need to be a claims specialist?

A claims specialist in health claims needs strong attention to detail, excellent communication skills, and knowledge of insurance policies and medical terminology. Proficiency with claims processing software and the ability to analyze and resolve discrepancies are also important. Certifications such as the Certified Claims Professional (CCP) can enhance job prospects.

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 is the easiest healthcare job that pays well?

A health claims specialist is considered an accessible healthcare role that offers competitive pay. It typically requires strong attention to detail, knowledge of insurance policies, and often involves working in an office or remote setting with minimal physical demands.

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 June 2026, with employment types broken down into 10% Full Time, 65% Part Time, 1% Temporary, 23% 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.
Healthcare Claims Examiner

Healthcare Claims Examiner

Managed Staffing

Whittier, CA • On-site

$31 - $32/hr

Contractor

Posted 20 days ago

Be an early applicant

Job description

Healthcare Claims Examiner

Location: Whittier, CA
Shift: Monday – Friday | 7:00 AM – 3:30 PM
 

Position Overview

We are seeking an experienced Claims Examiner with strong UB-92 and HCFA-1500 claims processing experience. The Claims Examiner will be responsible for reviewing, adjudicating, and processing professional and facility claims for HMO patients. This role reports directly to the Claims Manager and requires prior experience working in a healthcare or managed care environment.

Key Responsibilities

  • Process and adjudicate UB-92 and HCFA-1500 claims for medical groups, hospitals, and ancillary providers.

  • Ensure claims are paid accurately and in compliance with timeliness and payment guidelines.

  • Interpret provider contracts and apply correct reimbursement terms.

  • Identify and manage non-contracted providers for Letter of Agreement (LOA) consideration.

  • Maintain accurate claim records and perform data entry within managed care systems.

  • Collaborate with internal teams to resolve claim discrepancies or escalations.

Required Qualifications

  • Education: High School Diploma or GED (must be verifiable).

  • Experience: Minimum 2 years of claims adjudication experience in an ambulatory, hospital, HMO, or IPA environment.

  • Hands-on experience with UB-92 and HCFA-1500 claims forms.

  • Knowledge of payment methodologies for hospitals, skilled nursing facilities, and professional services.

  • Understanding of compliance, Medi-Cal, and commercial claims processing standards.

  • Strong computer and data entry skills with managed care systems.