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Health Insurance Claims Processor Jobs (NOW HIRING)

Ascendo Resources

GAP Claims Processor

Tampa, FL · Remote

$25 - $27/hr

Claims Processor - GAP Claims Location: Remote (Florida, Iowa, Indiana, and North Carolina ... Communicate with lenders, dealerships, insurance carriers, customers, and other stakeholders to ...

1001

Inforce, Claims Processor

Zionsville, IN

The In-Force, Claims Processor position is responsible for the reviewing and processing of death ... health, dental, and vision insurance plan options. Employees are also eligible for Basic and ...

Elevance Health

Claims Processor (Dearborn, MI)

Dearborn, MI · On-site

$15.50 - $19.75/hr

The Claims Processor is responsible for reviewing, verifying, and processing insurance or healthcare claims to ensure they are accurate and meet company or policy guidelines. How you will make an ...

Elevance Health

Claims Processor (Dearborn, MI)

Dearborn, MI · On-site

$15.75 - $19.75/hr

The Claims Processor is responsible for reviewing, verifying, and processing insurance or healthcare claims to ensure they are accurate and meet company or policy guidelines. How you will make an ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Health Care Plan (Medical, Dental & Vision) * Retirement Plan (401k, IRA) * Life Insurance (Basic ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... health insurance or benefits environment required * Basic keyboarding skills required * Strong ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

InvigorateHR

Pension Claims Processor

Indianapolis, IN · On-site

$19 - $21/hr

Pension Claims Processor Indianapolis, Indiana Full-Time * Are you a detail-oriented benefits ... Competitive Salary: $19-$21/hrcommensurate with experience * 100% Employer-Paid Health Insurance ...

Mindlance

Claims - Processor, Claims I

Owings Mills, MD

$16.25 - $20.50/hr

Claims Processor Under direct supervision, reviews and adjudicates paper/electronic claims ... Federal health care programs. Must be able to effectively work in a fast-paced environment with ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

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 ...

Sanford Health

No Department Details Summary Responsible for processing health insurance claims submitted via paper or electronically by providers and members. Ability to release health insurance claims for payment ...

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Health Insurance Claims Processor information

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$12

$22

$34

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

As of Jun 22, 2026, the average hourly pay for health insurance claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 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 and payout amounts. They verify policy details, process claim documentation, and ensure compliance with company policies, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

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.

How much do claims processors make in the US?

Health insurance claims processors in the US typically earn a median annual salary of around $40,000 to $45,000. Salaries can vary based on experience, location, and certifications, with some earning over $50,000 annually with advanced skills or in high-demand areas.

Is a claims processor job in demand?

Health insurance claims processor jobs are in steady demand due to the ongoing need for claims management in healthcare and insurance industries. Employment opportunities are expected to grow as healthcare services expand and insurance companies seek skilled workers familiar with claims processing software and regulations.

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.
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What states have the most Health Insurance Claims Processor jobs? States with the most job openings for Health Insurance Claims Processor jobs include:
What job categories do people searching Health Insurance Claims Processor jobs look for? The top searched job categories for Health Insurance Claims Processor jobs are:
Health Insurance Claims Processor jobs near you
GAP Claims Processor

GAP Claims Processor

Ascendo Resources

Tampa, FL • Remote

$25 - $27/hr

Other

Posted 13 days ago

Job description

Claims Processor – GAP Claims

Location: Remote (Florida, Iowa, Indiana, and North Carolina Residents Only)

Pay Range:

  • $25.00 - $27.00 per hour (Direct GAP Claims Experience Required)
  • $20.00 - $22.00 per hour (Local Candidates Without GAP Experience; Onsite Training Required)

Position Summary

We are seeking an experienced Claims Processor to join our client's growing team. This role is responsible for reviewing, investigating, processing, and adjudicating Guaranteed Asset Protection (GAP) claims while ensuring accuracy, compliance, and excellent customer service.

The ideal candidate will have direct experience handling GAP claims through a third-party administrator (TPA), warranty provider, vehicle service contract administrator, or insurance carrier. Candidates must possess strong analytical skills, attention to detail, and the ability to manage claims efficiently in a fast-paced environment.

Essential Responsibilities

  • Review and process GAP claims from initial receipt through final resolution.
  • Analyze claim documentation to determine eligibility and coverage.
  • Calculate claim benefits and settlement amounts in accordance with policy guidelines.
  • Communicate with lenders, dealerships, insurance carriers, customers, and other stakeholders to obtain required documentation.
  • Maintain accurate claim records and documentation within company systems.
  • Ensure compliance with all company policies, procedures, and regulatory requirements.
  • Research and resolve claim discrepancies and coverage questions.
  • Meet productivity, quality, and service-level expectations.
  • Provide professional customer service while handling sensitive claim matters.
  • Collaborate with internal departments to ensure timely claim resolution.

Qualifications

Required

  • Minimum 2+ years of direct GAP Claims processing experience.
  • Experience working for a GAP administrator, warranty company, third-party administrator, or auto insurance carrier handling GAP claims.
  • Thorough understanding of GAP products, claim calculations, and claims adjudication processes.
  • Strong written and verbal communication skills.
  • Excellent organizational and time-management abilities.
  • Proficiency with Microsoft Office and claims management systems.
  • Stable employment history with demonstrated tenure at recent employers.

Preferred

  • Experience with vehicle protection products, finance and insurance (F&I) products, or automotive warranty programs.
  • Prior experience with high-volume claims processing environments.
  • Associate's degree or equivalent work experience.

Work Environment

  • Fully remote for candidates with direct GAP Claims experience residing in Florida, Iowa, Indiana, or North Carolina.
  • Candidates without GAP Claims experience may be considered for onsite opportunities if local to the office location and willing to complete extensive training.
  • Standard business hours, Monday through Friday.

What We're Looking For

The successful candidate will be able to clearly explain GAP coverage, understand the lifecycle of a GAP claim, and demonstrate hands-on experience calculating and processing claims. Individuals with general auto insurance experience but no direct GAP claims handling background may not meet the requirements for the remote opportunity.

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About Ascendo Resources

Sourced by ZipRecruiter

Ascendo Resources is a highly recognized and specialized staffing and consulting firm based in Fort Lauderdale, FL, US. Operating within the industry of professional services, the firm specializes in placing accounting, finance, compliance, HR, banking, IT & administrative professionals in the best workplaces. Ascendo Resources was established in the year 2006 and has since expanded its reach across multiple states, showcasing its exceptional commitment to connecting job seekers with job opportunities.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Coral Gables, FL, US

Year founded

2008

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