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Health Insurance Claims Processor Jobs (NOW HIRING)

MedPOINT Management

Claims Processor

Sherman Oaks, CA · Remote

$19 - $21/hr

Health insurance * Opportunity for advancement * Paid time off * Parental leave * Savings bank ... Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial ...

Kelly

Be Seen First

Claims Processor

Springfield, IL · On-site

$17 - $17.75/hr

Are you looking to build your career in healthcare claims processing? Join our team as a Claims ... Solid computer and typing skills * 6+ months of office-clerical, medical, or insurance claims ...

NR Consulting

Claims Processor - Insurance

Claims Processor - Insurance Location: New Haven, CT (Hybrid) Duration: 6-12 Months Overview: Processes death claims for life and annuity products and life riders for all products; terminates ...

Conduent, Inc.

Claims Processor II

Lexington, KY · On-site

$16/hr

Claims Processor Onsite: Must live in or near Lexington, KY $16 per hour 7:00am- 3:30pm Monday ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

MVT Holdings

Claims Processor I

Las Cruces, NM · On-site

$15/hr

The Claims Processor serves as a mediator on claims between company drivers, Insurance and at times ... Health Insurance * Life Insurance * Paid Time Off * Tuition Reimbursement * Vision insurance ...

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Responsible for processing claims in a timely manner, verifying insurance coverage for date of ... Company Description Northwood plays an integral role in health plan benefit administration for ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

Marpai Administrators LLC

Claims Processor

Tampa, FL · Remote

$24 - $30/hr

We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members ... The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ...

WPS Health Solutions

Foreign Claims Processor

Atlanta, GA · On-site

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

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All JobsHealth Insurance Claims Processor Jobs

Health Insurance Claims Processor information

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$12

$22

$34

How much do health insurance claims processor jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for health insurance claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is the difference between Health Insurance Claims Processor vs Medical Billing Specialist?

AspectHealth Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like Certified Claims Professional (CCP)High school diploma; certifications like Certified Medical Billing Specialist (CMBS)
Work EnvironmentInsurance companies, healthcare providers, claims departmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify insurance coverage, manage patient accounts

While both roles involve handling healthcare financial transactions, the Health Insurance Claims Processor primarily focuses on reviewing and processing insurance claims submitted by providers, whereas the Medical Billing Specialist manages the billing process from patient registration to payment collection. Both roles require knowledge of insurance policies and coding, but their daily tasks and work environments differ slightly.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage eligibility and payout amounts. They verify policy details, process claim documentation, and ensure claims are handled accurately and efficiently, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

Is claims processing a stressful job?

Health insurance claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex information and resolving discrepancies, which can contribute to work-related stress, especially during high-volume periods or when dealing with difficult cases.

What does a Health Insurance Claims Processor do?

A Health Insurance Claims Processor reviews and evaluates insurance claims submitted by policyholders or healthcare providers. They verify the accuracy of the information, ensure that the claims comply with policy terms, and determine the amount payable for each claim. Claims processors may also correspond with providers or claimants for additional documentation, resolve discrepancies, and help prevent fraudulent claims. Their work ensures that claims are processed efficiently and payments are made accurately according to insurance policies.

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

To thrive as a Health Insurance Claims Processor, you need attention to detail, knowledge of insurance policies and medical terminology, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic health record (EHR) systems, and basic coding (ICD-10, CPT) is standard in this role. Strong organizational skills, problem-solving abilities, and effective communication help you manage claims efficiently and resolve discrepancies. These competencies ensure accurate processing, minimize errors, and support timely reimbursement within the healthcare system.

How to become a health insurance claims processor?

To become a health insurance claims processor, candidates typically need a high school diploma or equivalent, along with strong attention to detail and computer skills. Some employers prefer candidates with experience in healthcare or insurance, and training is often provided on the job. Certification is not mandatory but can improve job prospects and may include courses in medical billing or claims processing.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized claims adjuster roles, such as catastrophe or large-loss adjusters, which often require extensive experience and certifications like the Chartered Property Casualty Underwriter (CPCU). These positions can offer higher salaries due to the complexity and severity of claims handled, with some earning over $100,000 annually.

What are some common challenges Health Insurance Claims Processors face, and how can they effectively manage them?

Health Insurance Claims Processors often encounter challenges such as interpreting complex policy language, managing high volumes of claims, and ensuring compliance with changing regulations. To effectively manage these challenges, processors benefit from developing strong attention to detail, staying up to date with industry guidelines, and utilizing time management strategies. Collaboration with other departments such as customer service and medical coding teams is also key to resolving discrepancies and ensuring accurate claim outcomes.
More about Health Insurance Claims Processor jobs
What cities are hiring for Health Insurance Claims Processor jobs? Cities with the most Health Insurance Claims Processor job openings:
What states have the most Health Insurance Claims Processor jobs? States with the most job openings for Health Insurance Claims Processor jobs include:
What job categories do people searching Health Insurance Claims Processor jobs look for? The top searched job categories for Health Insurance Claims Processor jobs are:
Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Claims Processor

Claims Processor

MedPOINT Management

Sherman Oaks, CA • Remote

$19 - $21/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Company parties
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources

About the Role:
Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial role in our dynamic team. This position offers an exciting opportunity to work in a fast-paced environment while ensuring accurate and timely processing of claims.
Responsibilities:
  • Review and process insurance claims with accuracy and efficiency.
  • Ensure compliance with company policies and regulatory requirements.
  • Communicate with clients and insurance companies to resolve claims discrepancies.
  • Maintain detailed records of claims processing activities.
  • Analyze claims data to identify trends and areas for improvement.
  • Assist in training new team members on claims processing procedures.
  • Participate in team meetings to discuss workflow and process enhancements.
  • Stay updated on industry changes and best practices related to claims processing.
Requirements:
  • High school diploma or equivalent; associate degree preferred.
  • Minimum of 2 years experience in claims processing or related field.
  • Strong attention to detail and excellent organizational skills.
  • Proficient in claims management software and Microsoft Office Suite.
  • Ability to work independently and collaboratively in a team environment.
  • Effective communication skills, both written and verbal.
  • Knowledge of medical terminology and insurance policies is a plus.
  • Strong problem-solving skills and ability to handle challenging situations.
About Us:
MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to excellence and innovation is why customers love us, and our supportive work environment is why employees thrive here.

This is a remote position.