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Health Insurance Claims Processor Jobs in Arizona

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

Investigate claim damages by conducting research from various sources, including the insured, third ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

Investigate claim damages by conducting research from various sources, including the insured, third ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

Investigate claim damages by conducting research from various sources, including the insured, third ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in Arizona

Health Insurance Claims Processor information

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

As of Sep 3, 2026, the average hourly pay for health insurance claims processor in Arizona is $20.82, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $23.75 per hour, depending on experience, location, and employer.

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?

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.

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.

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.

How to become a health insurance claims processor?

To become a health insurance claims processor, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and knowledge of insurance policies. Some employers prefer candidates with postsecondary education or certifications in health insurance or medical billing, and on-the-job training is common. Proficiency with claims processing software and understanding of healthcare terminology are also beneficial.

Is a health insurance claims processor job in demand?

The demand for health insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as insurance companies seek skilled workers familiar with claims processing software and regulations. Job opportunities are often available in healthcare organizations, insurance companies, and third-party administrators.

What are popular job titles related to Health Insurance Claims Processor jobs in Arizona?

For Health Insurance Claims Processor jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Health Insurance Claims Processor jobs in Arizona look for?

The top searched job categories for Health Insurance Claims Processor jobs in Arizona are:

Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in Arizona as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $43,297 per year, or $20.8 per hour.

Habitability Claims Specialist

Berkshire Hathaway GUARD Insurance Companies

Scottsdale, AZ • On-site

$100K - $170K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Overview
Good Things Start Here.
Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long-term careers.
Good Things You Can Count On.
  • Hybrid schedule: 2 days remote / 3 in-office
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses

Responsibilities
Berkshire Hathaway GUARD Insurance Companies is seeking a Habitability Claims Adjuster to manage litigated California habitability claims within the Complex Claims unit.
Key Responsibilities
  • Investigate and manage litigated California habitability claims from assignment through resolution.
  • Analyze coverage, liability and damages exposure and determine appropriate claim strategies.
  • Evaluate documentation, expert reports, inspection findings, medical records, and other evidence.
  • Establish and maintain reserves based on claim exposure and litigation developments.
  • Negotiate settlements within authority and make recommendations on higher-exposure claims.
  • Partner with defense counsel, experts, and other vendors to develop litigation strategies and drive claim resolution.
  • Conduct interviews with insureds, claimants, witnesses, and other involved parties.
  • Maintain accurate claim documentation and ensure compliance with company and regulatory requirements.
  • Issue indemnity and expense payments as appropriate.

Qualifications
  • Minimum 3 years of experience handling litigated California habitability claims.
  • Experience managing complex general liability or casualty claims.
  • Knowledge of California landlord-tenant and habitability litigation practices.
  • Demonstrated ability to evaluate coverage, liability, and damages.
  • Strong organization, analytical, negotiation, and communication skills.
  • Juris Doctor (JD) preferred, or Bachelor's degree or equivalent claims experience considered.
  • Experience working with defense counsel and litigated claims files.
  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including training and compliance with ongoing continuing education requirements.

Salary $100,000 - $170,000
In accordance with applicable pay transparency laws, this range represents a good-faith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.
This role may be based out of one of the following office locations:
Scottsdale, AZ; Rancho Cordova, CA; Plano, TX; Parsippany, NJ; Conshohocken, PA; Wilkes-Barre, PA; Alpharetta, GA; and Rosemont, IL.
Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.

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