ZipRecruiter

Log In

1

Health Insurance Claims Processor Jobs (NOW HIRING)

APS Medical

Clerical - Claims Processor

Maumee, OH

$16/hr

Clerical - Claims Processor Job Category: Insurance Requisition Number: CLAIM001023 Posted ... Health Savings Account * Alight - Personal Health Care Advisor * Dental, Vision, Life Insurance ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$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 ...

HealthEdge

Temporary Claims Processor

$25/hr

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health ... Be responsible for processing assigned claims based on client-specified guidelines or as directed ...

Ourhrconnect

Claims Processor I

Myrtle Beach, SC · On-site

$15.25 - $19.25/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Preferred Work Experience: * 1 year-of experience in a healthcare or insurance environment.

Sagility

Claims Processor - Work from Home

$17/hr

Minimum of one year of recent experience processing medical claims for a health insurance company or payer * Familiarity with medical claim forms (CMS-1500 and UB-04) * Working knowledge of coding ...

M&T Bank

CAM Claims Processor II

Getzville, NY · On-site

$22.61 - $37.67/hr

Process/file claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Review and ensure all invoices are included with the claim. * Research ...

PGBA, LLC

Claims Processor I

Columbia, SC · On-site

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Employees will receive supplemental pay for health insurance until they are enrolled in our health ...

M&T Bank

CAM Claims Processor III

Getzville, NY · On-site

$22.61 - $37.67/hr

Process/file claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Review and ensure all invoices are included with the claim. * Research ...

next page

Showing results 1-20

All JobsHealth Insurance Claims Processor Jobs

Health Insurance Claims Processor information

See salary details

$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.
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
Medical Claims Processor

Medical Claims Processor

Northwest Administrators, Inc.

Mountlake Terrace, WA • On-site

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!

What you'll be doing...

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned

Located in Mountlake Terrace, WA, Federal Way, WA or Seattle, WA. 

Who you are...

  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance 

Apply