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Health Insurance Claims Processor Jobs in Illinois

Wilber Group

Claims Recovery Agent

Bloomington, IL · On-site

$19/hr

... health, dental, vision, 25K Life insurance policy paid for by Wilber and so much more! A strong ... Accurately process payments via card and ACH (electronic check payment) * Accurately notate files ...

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in Illinois

Health Insurance Claims Processor information

See Illinois salary details

$11

$21

$33

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 Illinois is $21.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $24.71 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 Illinois?

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

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

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

Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in Illinois as of August 2026, with employment types broken down into 100% Full Time. Highlights an 85% In-person, 10% Hybrid, and 5% Remote job distribution, with an average salary of $45,022 per year, or $21.6 per hour.

Property Claims Adjuster

Worthy Insurance Group, LLC

Skokie, IL • On-site

$55K - $65K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

Benefits:
  • 401(k) matching
  • Company parties
  • Competitive salary
  • Dental insurance
  • Free food & snacks
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Vision insurance

Claims Advocate
Worthy Insurance Group, a national Property & Casualty Insurance Brokerage located in Skokie, IL, is looking for a Claims Advocate with a background in Property Claims to join our team.
Key Responsibilities
  • In-take and report all claim to carriers, track when acknowledgments are received and when the first contact is made from adjuster to insured
  • Explain the claims process to insureds in an effective and detailed manner
  • Facilitate discussions between claims adjusters and insured's and monitor all claim activity and follow up with all relevant parties ensuring a seamless process
  • Review carrier reserve amounts throughout the claims process to ensure accuracy and update the insured as necessary
  • Provide regular updates to insured's corporate entities with full updates regarding claims
  • Assist Account Managers in gathering claim information as needed for marketing and renewals
  • Assist in identifying loss trends in reported claims and communicating with the Loss Control and Account Management teams to address them
  • Maintain and document all claim activity within agency management system (EPIC)
  • Must be able to take initiative and research relevant statutes as applies to claims

Qualifications
Preferred
  • College Degree OR equivalent work experience
  • 3+ years of Property & Casualty Insurance experience
  • Applied Epic -Property & Casualty agency management system.
  • Claims handling experience
  • Property Claims background/experience

Required
  • Proficient with computers and standard Microsoft software packages especially Excel
  • Excellent oral and written communication
  • Creative problem-solving skills
  • Superior organizational skills
  • Exceptional time management and attention to detail

Worthy employees enjoy:
  • Generous Paid Time Off (PTO)
  • 401k with company match
  • Health, Dental, and Vision Insurance
  • Onsite Gym Membership
  • Insurance education bonus program
  • Paid Time Off for Volunteering

Compensation: $55,000.00 - $65,000.00 per year
YOUR FUTURE as an Independent Insurance Agent Starts Here
If you're looking for a career that offers flexibility, job stability, competitive compensation, and more, then you've come to the right place! Working with an independent agency is a great career choice.
Independent insurance agents protect our customers by providing home, auto, business, life and health insurance policies to fit their individual needs. Independent agencies are not bound to offering products from only one insurance company. Instead, we can offer customers a choice of policies from a variety of insurance companies to provide the best protection at a competitive price.
The demand for insurance professionals is growing every day! Is this career right for you?
This agency is independently owned and operated. Your application will go directly to the agency, and all hiring decisions will be made by the management of this agency. All inquiries about employment at this agency should be made directly to the location, and not to Big I of Illinois Association.

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