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Health Insurance Claims Processor Jobs (NOW HIRING)

WPS Health Solutions

Foreign Claims Processor

Newark, NJ · On-site

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

Omaha, NE · On-site

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

Marpai Administrators LLC

Claims Processor

Atlanta, GA · Remote

$24 - $30/hr

We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members ... The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ...

Marpai Administrators LLC

Claims Processor

Columbia, SC · Remote

$24 - $30/hr

We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members ... The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ...

TalTeam

Claims Processor

Baltimore, MD · On-site

$17 - $21.25/hr

Must have 1-2 years of data entry experience Must have experience with healthcare claims processing. Must have advance level excel experience. Must know how to use Pivot tables as well as good word ...

WPS Health Solutions

Foreign Claims Processor

Detroit, MI · On-site

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

Marion, IL · On-site

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

ICONMA

Claims Processor

Baltimore, MD · On-site

$17 - $21.25/hr

Our Client, a Health Insurance company, is looking for a Claims Processor for their Baltimore, MD location. Responsibilities: * 50% Research and improve operations by examining and researching ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $21.75/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This is an in-office position, that offers the flexibility to work ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

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 ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $21.75/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This is an in-office position, that offers the flexibility to work ...

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Health Insurance Claims Processor information

See salary details

$12

$22

$34

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

As of Jul 13, 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 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.
More about Health Insurance Claims Processor jobs
What cities are hiring for Health Insurance Claims Processor jobs? Cities with the most Health Insurance Claims Processor job openings:
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
Infographic showing various Health Insurance Claims Processor job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Foreign Claims Processor

Foreign Claims Processor

WPS Health Solutions

Newark, NJ • On-site

$18.50/hr

Other

Medical, Dental, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

WPS Health Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

111th of 281 rated insurance

Job description

Description

Role Snapshot

Process all MVH overseas claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), DEERS eligibility, and claims development.

Additional Details

  • Start Date: Tuesday August 11
  • Starting Base Salary: starting at $18.50/hour (may fluctuate with experience)
  • Training Schedule: 8:00am-4:35pm CST Monday-Friday (4 weeks)
  • Scheduled Shift: Flexible schedule once metrics have been obtained, 8-hours shifts between 6am-10pm CST
    • During Probationary Period: 8:00-4:35pm CST Mon-Fri



Work Location

We are open to remote work in the following approved states (training will also be remote):
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin

How do I know this opportunity is right for me? If you enjoy the following:

  • Process all MH overseas claim types by determining corrective action to be taken on various types of errors pended by edit system and resolving interactive edits.
  • Translate, research, and verify claims information to determine if all requirements have been met.
  • Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals.
  • Obtain development information from external contacts and add successful development information to notepad via PC.
  • Access patient/sponsor files and update information accordingly.

Minimum Qualifications

  • High School Diploma or GED or equivalent experience.
  • U.S. citizenship is required for this position due to Department of Defense restrictions
  • One (1) or more years of experience in a claims processing role.
  • Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy.
  • Ability to effectively utilize available resources to further research and verify claims.
  • Strong written communication skills.
  • Demonstrates the ability to work independently and take initiative.

Preferred Qualifications

  • Ability to translate a foreign language.
  • Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred.

Remote Work Requirements

  • Wired (ethernet cable) internet connection from your router to your computer.
  • High speed cable or fiber
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
  • Please review Remote Worker FAQs for additional information.

Benefits

  • Remote work available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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TRICARE (MVH)

This position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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