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Health Insurance Claims Processor Jobs in Michigan

Great American Insurance Group

$69K - $92K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Summit provides independent insurance agents and their clients with market-leading workers' comp ... process. Learn more at *Excludes seasonal employees and interns.

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

Health Insurance Claims Processor information

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$10

$19

$29

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

As of Aug 15, 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.

Is a health insurance claims processor job in demand?

Health insurance claims processor jobs are in steady demand due to the ongoing need for healthcare administration and insurance processing. Employment in this field is expected to grow as healthcare coverage expands and companies seek skilled workers familiar with claims software and regulations.

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.

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.

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 1% As Needed, 73% Full Time, 20% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,495 per year, or $19.5 per hour.

Bodily Injury Claims Specialist

Auto-Owners Insurance

Clarkston, MI • On-site

Full-time

Retirement, PTO

Re-posted 21 days ago

Auto-Owners Insurance rating

9.2

Company rating: 9.2 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

21st of 308 rated insurance

Job description

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Job Description
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:
  • Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
  • Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage.
  • Follow claims handling procedures and participate in claim negotiations and settlements.
  • Deliver a high level of customer service to our agents, insureds, and others.
  • Devise alternative approaches to provide appropriate service, dependent upon the circumstances.
  • Meet with people involved with claims, sometimes outside of our office environment.
  • Handle investigations by telephone, email, mail, and on-site investigations.
  • Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute.
  • Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials.
  • Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule.
  • Assist in the evaluation and selection of outside counsel.
  • Maintain punctual attendance according to an assigned work schedule at a Company approved work location.

Desired Skills & Experience
  • A minimum of three years of insurance claims related experience.
  • The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision.
  • The ability to effectively understand, interpret and communicate policy language.
  • The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues.

Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
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