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Health Insurance Claims Processor Jobs in Tennessee

American Health Partners

Claims Auditor

Franklin, TN · Hybrid

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

American Health Partners

Claims Auditor

Franklin, TN · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

American Health Partners

Claims Auditor- Remote

Franklin, TN · Hybrid

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

HomeFirst Agency

Claims Adjuster

Maryville, TN · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

... of claims, and explain the claims process and decisions. JOBFUNCTIONS ... Reviews insurance policies to determine coverageby working with Claims Trainers and ...

HomeFirst Agency

Claims Adjuster

Maryville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

... processes property damage claims submitted by policyholders. * Reviews insurance policies to ... own health, dental, and vision benefits package. HomeFirst Agency provides competitive 401(k) ...

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in Tennessee

Health Insurance Claims Processor information

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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 Tennessee is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.12 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 Tennessee?

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

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

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

Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $42,169 per year, or $20.3 per hour.

Property and Casualty Claims Processor

Lumos Insurance

Crossville, TN • On-site

Other

Posted 3 days ago

New

Job description

Property and Casualty Claims Processor

The Property and Casualty Claims Processor is responsible for managing data entry and claims handling, ensuring accuracy and maintaining organized records. This position will include supporting the Water Leak Relief Claims team.

Key Responsibilities:

  • Reviews reported claims against provisions and terms and conditions for proper adjudication
  • Respond to inquiries from claimants or agents regarding procedures and payments in an effective and timely manner

Qualifications:

  • Strong organizational abilities with keen attention to detail
  • Excellent communication and interpersonal skills
  • Strong math skills for handling numerical data
  • Typing speed of 50 words per minute with accuracy
  • Capacity for high call volume
  • High school diploma or equivalent

Position Details:

Position Type: Full-Time/Permanent

Location: In-Office, Crossville, TN

Hours: Monday Friday 8a 5p CST, Friday 8a 4p CST

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