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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 ...

New

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 ...

New

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 ...

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

  • 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) ...

Axle Logistics

Logistics Claims Specialist

Knoxville, TN · On-site

Processing claim payments. * Complying with federal, state, and company regulations and policies ... Working knowledge of the insurance industry and relevant federal and state regulations (familiarity ...

New

RemX

Be Seen First

Medical Billing Insurance Follow Up Specialist

Knoxville, TN · On-site

$16 - $18/hr

  • Medical

  • Dental

  • Vision

Experience working with insurance carriers and claims processing * Strong analytical and problem ... healthcare support services.

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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 12, 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.

Life And Health Insurance Agent

Sherrill Insurance Agency

Knoxville, TN

$113K/yr

Full-time

Posted 14 days ago

Job description

We are looking for a life insurance agent with amazing customer service skills to join our fast-growing insurance agency and help our clients achieve their financial goals. You’ll serve on the front lines of insurance sales, helping new customers navigate our products, processing claims and inquiries, and developing an ever-growing lead list to secure new business. If the thought of coming to work every day and making a positive impact on our client’s lives excites you, start your application today.Compensation:

89,000 - 113,000 yearly


Responsibilities:
  • Evaluate new customers’ insurance needs, insurance risk, existing coverage, long-term goals, and financial status through consultations to create a tailored experience that exceeds expectations
  • Address existing and prospective customer requests in a prompt and friendly matter, including booking new meetings and responding to inquiries regarding billing, eligibility, coverage, claims, and insurance policies
  • Maintain databases, records, and bookkeeping, ensuring all paperwork is up to date
  • Grow new business by generating a prospective customer base and advertise our insurance products via networking, asking for referrals, cold calling, and other marketing strategies
  • Aid policyholders with the insurance claims process while supervising the progress of current insurance claims

Qualifications:
  • Active Life & Health insurance license is a strong bonus
  • Background in the health insurance or life insurance industries preferred
  • Client service experience as a sales representative a plus
  • Proficiency with Microsoft Office products
  • Excellent verbal and written communication skills required

About Company

Sherrill Insurance Agency partners with Fortune 500 and Fortune 100 companies to market and sell their products.

  • No cold calling
  • No Prospecting
  • All Lead-based Sales
  • Six-figure Mentorship
  • Training