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Health Insurance Claims Processor Jobs in Michigan

Northwood, Inc.

Be Seen First

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 ...

Northwood

Claims Processor

Warren, MI · On-site

$16 - $20.25/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 ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and ... Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.50 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and ... Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI · On-site

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to take a step towards a rewarding career ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to take a step towards a rewarding career ...

The EMAC Group

Mortgage Claims Specialist

Detroit, MI · On-site

POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout ...

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in Michigan

Health Insurance Claims Processor information

See Michigan salary details

$10

$19

$29

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

As of Jul 26, 2026, the average hourly pay for health insurance claims processor in Michigan is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $22.21 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.
What are popular job titles related to Health Insurance Claims Processor jobs in Michigan? For Health Insurance Claims Processor jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Health Insurance Claims Processor jobs in Michigan look for? The top searched job categories for Health Insurance Claims Processor jobs in Michigan are:
What cities in Michigan are hiring for Health Insurance Claims Processor jobs? Cities in Michigan with the most Health Insurance Claims Processor job openings:
Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in Michigan as of July 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $40,495 per year, or $19.5 per hour.
Claims Processor

Claims Processor

Northwood, Inc.

Warren, MI • On-site

$15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

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Job description

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply with all company information security policies and responsibilities as detailed during onboarding and annual security awareness training.

Company Description

Northwood plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies.
Northwood also serves auto and workers compensation clients and their PIP claimants.