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Healthcare Insurance Claims Processor Jobs (NOW HIRING)

Diedre Moire Corp.

Insurance Claims Manager

Romulus, MI · On-site

$120K - $160K/yr

BENEFITS include competitive base compensation and incentive compensation, health savings account ... care insurance, time off programs, tuition reimbursement, and professional development programs.

Personify Health

Senior Claims Specialist

Tempe, AZ · On-site

$22 - $25/hr

... healthcare/insurance operations * 4+ years of experience working across multiple claims processing systems * Healthcare industry background strongly preferred, including experience in health ...

CFC

Claims Specialist, Healthcare

Manhattan, NY · On-site

$120K - $160K/yr

Support claims process improvements, management information, administration and issue escalation ... Insurance is a serious business, but we don't take ourselves too seriously. We make it fun to work ...

Ourhrconnect

Processor, Claims I

Florence, SC · On-site

$16.50 - $20.75/hr

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

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

Today, like then, we're focused on building a better future for healthcare. That starts by offering ... Communicates via telephone with claimants, policyholders, providers, and other insurance carriers.

SA Technologies Inc.

Claims & Referral Processor

Aurora, CO · On-site

$17.25 - $21.75/hr

Claims & Referral Processor II Location: Aurora, Colorado Duration: 6 Months c2h Adjudicates ... of other insurance benefit plans including coordination of benefits, no-fault and workers ...

MetroPlusHealth

Claims Examiner I

Manhattan, NY · Hybrid

$50K - $54K/yr

Minimum 2 years' experience in the healthcare insurance industry with knowledge of integrated claims processing; or * A satisfactory equivalent combination of education, training, and experience

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

Church Mutual Insurance

Claim Processor

Merrill, WI · On-site

$18.50 - $23.25/hr

Claims Processor In accordance with application of state and federal laws and company best ... Verify coverage and determine our obligation(s) to the insured and/or claimant. * Review claims to ...

Diedre Moire Corp.

Insurance Claims Manager

Marietta, GA · On-site

$120K - $160K/yr

Benefits package includes Continuing Education Assistance, Health, Rx, Dental, Paid Holidays, PTO ... Insurance Claims Manager Excess And Surplus Commercial Lines Supervisor Team Leader Leadership ...

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Healthcare Insurance Claims Processor information

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

As of Sep 14, 2026, the average hourly pay for healthcare 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 does a healthcare insurance claims processor do?

A Healthcare Insurance Claims Processor reviews and processes medical claims submitted by healthcare providers and patients to insurance companies. They ensure that the information is accurate, complete, and in compliance with insurance policies and regulations. Their role involves verifying patient details, coding procedures, determining coverage, and approving or denying claims for payment. Claims processors also communicate with providers and policyholders to resolve discrepancies and may assist with appeals or adjustments. Their work helps ensure timely and accurate reimbursement for healthcare services.

What are some common challenges faced by a healthcare insurance claims processor, and how can they be managed?

Healthcare Insurance Claims Processors often deal with complex medical terminology, varying insurance policies, and strict deadlines. A common challenge is ensuring accuracy when reviewing and entering claims to prevent denials or delays in payment. Staying organized, maintaining attention to detail, and regularly updating knowledge on policy changes can help manage these challenges. Additionally, effective communication with healthcare providers and insurance companies is essential for resolving discrepancies efficiently.

What are the key skills and qualifications needed to thrive as a healthcare insurance claims processor, and why are they important?

To thrive as a Healthcare Insurance Claims Processor, you need strong attention to detail, knowledge of medical terminology and coding, and a high school diploma or equivalent; some employers may prefer additional certification. Familiarity with claims management software, electronic health records (EHR) systems, and ICD/CPT coding tools is common in this role. Excellent organization, problem-solving abilities, and clear communication skills help you efficiently resolve claim discrepancies and interact with providers or policyholders. These skills ensure accurate, timely processing of claims, minimize errors, and maintain compliance with regulations, all of which are critical for smooth healthcare operations.

What is the difference between Healthcare Insurance Claims Processor vs Medical Billing Specialist?

AspectHealthcare Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentInsurance companies, healthcare providers, billing officesHospitals, clinics, medical offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify patient info, follow up on payments

Both roles require similar certifications and often work in healthcare or insurance settings. The main difference is that Healthcare Insurance Claims Processors focus on reviewing and processing insurance claims, while Medical Billing Specialists handle the billing process directly with patients and providers.

What are popular job titles related to Healthcare Insurance Claims Processor jobs?

For Healthcare Insurance Claims Processor jobs, the most frequently searched job titles are:

Healthcare Insurance Claims Processor jobs near you
Infographic showing various Healthcare Insurance Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Insurance Claims and Risk Manager

Alpharetta, GA • On-site

Flatiron Construction Corp
Construction • 1 - 5K employees
Learn more about Flatiron Construction Corpexternal

$135K - $155K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Job description

Overview
Are you a detail-oriented leader with a knack for problem-solving? As an Insurance Claims and Risk Manager, you will be at the forefront of safeguarding our organization against potential losses while ensuring compliance and efficiency in our claims process. Your strategic oversight will not only help in managing and coordinating risk and insurance programs but also in mitigating risks that could lead to injury, property loss or legal liabilities. Collaborate with industry experts and committed teams to navigate complex insurance claims .
Join the $4.6B SR 400 Express Lanes project in Atlanta-one of the largest roadway projects in the United States-delivered through a public-private partnership led by FlatironDragados and ACCIONA. This landmark infrastructure program includes the design, construction, and long-term operation and maintenance of the corridor over 50 years, transforming a critical transportation route and supporting mobility in one of the nation's fastest-growing regions.
What you will be doing
  • Manages claims procedures by collaborating with internal and external stakeholders, including insurance carriers, brokers, attorneys, corporate Safety, and the business operations team to ensure timely and accurate resolution.
  • Selects and works with external legal counsel on litigated insured claims to ensure accurate and timely responses to requests. Reviews company data and documents to ensure compliance with agency requests.
  • Reviews insurance billing and invoice documents to ensure correct company coding for accurate and timely payment. Tracks billing and payable accounts to identify and report erosion of insurance deductibles.
  • Supports the project bid review team by providing expert guidance on insurance coverage needs and potential risk factors. Works closely with insurance brokers and the project bid review committee to understand the full scope of construction projects and identify possible risk factors for review.
  • Develops, maintains, and distributes reports on loss runs, loss rates, litigation status, and resolutions to Safety and Operations leadership, as needed. Reports all insurance claims to carriers daily.
  • Identifies cost control measures and savings opportunities, and tracks trend analysis to support companywide insurance claims.

What we are looking for
  • Bachelor's Degree, required.
  • Minimum 7+ years experience with construction insurance, claims management or related experience.
  • Demonstrated experience handling general liability, builder's risk, and other construction-related insurance claims.
  • Strong knowledge of risk management principles and claims administration.
  • Construction project experience is strongly preferred, or claims experience specific to heavy civil/construction projects.
  • Construction Risk & Insurance Specialist (CRIS) highly regarded.
  • Clear verbal, written and presentation skills needed.
  • Strong negotiator and comfortable with conflict. Able to mediate discussions between the business field and claim stakeholders.
  • Takes personal ownership over tasks, within authority as outlined by manager.
  • Developed knowledge of corporate insurance coverage options and contract policy language.
  • Sharp analytical skills to identify trends in data and recommend mitigation solutions to achieve Company and program objectives.
  • Multi-tasks and communicates effectively in a fast-paced environment with strong organizational and process-oriented skill and ability.
  • Growing delegation skills ability to identify strengths and growth opportunities for direct reports to encourage and grow skills of team.

Why work for us
Some of the benefits you may be eligible for as an employee are:
  • Comprehensive compensation package and paid time off program
  • Industry leading 401(k)/RRSP
  • Medical/Extended Health Care, Dental, Vision and/or Provincial Medical
  • Wellness benefits & Employee Assistance Program
  • Tuition Reimbursement Program

We are an EEO/ADA/Veterans employer.
Salary Min
USD $135,000.00/Yr.
Salary Max
USD $155,000.00/Yr.

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