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Health Insurance Claims Processor Jobs (NOW HIRING)

Ourhrconnect

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 ...

Corebridgefinancial

Operations Claims Processor

Houston, TX · Hybrid

$16.25 - $20.50/hr

As a member of the Money Out/Claims team, you will be tasked with processing a variety of ... Health and Wellness: We offer a range of medical, dental and vision insurance plans, as well as ...

M&T Bank

CAM Claims Processor II

Getzville, NY · On-site

$20.55 - $34.25/hr

Process/File claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Communicate/interact with attorneys, tax collectors, homeowners ...

M&T Bank

CAM Claims Processor II

Getzville, NY

$20.55 - $34.25/hr

Process/File claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Communicate/interact with attorneys, tax collectors, homeowners ...

Moda Health

Dental Claims Processor I

Milwaukie, OR · Remote

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Make corrections as necessary and process claims according to processing policies and contract ...

APS Medical

Clerical - Claims Processor

Toledo, OH · On-site

$16/hr

Submit claims * Adjust accounts and work on balance reconciling projects * Enter patient ... Health Savings Account * Alight - Personal Health Care Advisor * Dental, Vision, Life Insurance ...

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Health Insurance Claims Processor information

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

As of Jun 1, 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 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.

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 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 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.

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 May 2026, with employment types broken down into 1% As Needed, 79% Full Time, and 20% Part Time. Highlights an 75% Physical, and 25% Hybrid job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Claims Processor I

Ourhrconnect

Columbia, SC • On-site

$15.75 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description


Summary
 Responsible for the accurate and timely processing of claims.
Description
 

Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies

Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 17 Technology Cir, Columbia, SC 29203.

  • Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.
  • SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). To comply with the McNamara-O'Hara Service Contract Act (SCA), employees must enroll in our health insurance even if they have other health insurance. Employees will receive supplemental pay for health insurance until they are enrolled in our health insurance, first of the month following 28 days after the hire date.

What You'll Do:

  • Research and processes claim according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
  • Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification, and other files, as necessary.

To Qualify for This Position, You'll Need the Following:

  • Required Education: High School Diploma or equivalent
  • Required Skills and Abilities:
  • Strong analytical, organizational and customer service skills.
  • Strong oral and written communication skills.
  • Proficient spelling, punctuation and grammar skills.
  • Good judgment skills.
  • Basic business math skills.
  • Required Software and Tools: Basic office equipment.

We Prefer That You Have the Following:

  • Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.
  • Preferred Skills and Abilities: Ability to use complex mathematical calculations.
  • Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

Sponsorship: This position is not eligible for sponsorship now or in the future.

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers, and contribute their unique abilities to the growth of our company.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

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