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Healthcare Insurance Claims Processor Jobs (NOW HIRING)

ServiceMaster

Insurance Claims Coordinator

Irvine, CA · On-site

$60K - $75K/yr

Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other ... phase Client Care Calls - ensure constant, often daily, communication with the customer, may ...

Relationinsurance

Claims Specialist, COE

Minimumof 3 years of experience in healthcare claims processing, billing, reimbursement, or a ... Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for ...

RemX

Be Seen First

$19/hr. REMOTE Medical Claims & Billing Specialist

Irving, TX · Remote

$19/hr

Qualifications: 1+ year of verifiable RECENT experience in Medical claims or healthcare insurance (NO EXCEPTIONS) Must be able to go through the hiring process quickly. ***MUST BE ABLE TO PICK UP ...

Diedre Moire Corp.

Insurance Claims Manager

Charlotte, NC · On-site

$175K - $225K/yr

... paid health and wellness benefits, company matched 401(k), profit sharing, stock options, and ... Insurance Claims Manager VP Vice President AVP Director Property & Casualty Commercial Lines ...

Lyft

Senior Claims Operations Specialist

Nashville, TN · On-site

Create initial loss reports and assist with overall processes for Lyft Healthcare, as well as Lyft ... Seeks out opportunities to gain broader insurance knowledge and cross-training Experience: * 2+ ...

Tmhcc

Lead Healthcare Claims Assistant

New York, NY · Hybrid

$29.90 - $51.35/hr

More than an insurance company, we are an organization built on innovation, unity, and trust. At ... Draft, prepare, and process various types of correspondence including acknowledgment of new claims.

APS Medical

Claims Processor - Billing Specialist

$17 - $25/hr

Investigate, identify, research, and appeal denied claims * Ensure accuracy and quality work on a ... Alight Personal Health Care Advisor * Dental, Vision, Life Insurance, 401K * Paid holidays * EAP ...

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Healthcare Insurance Claims Processor information

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$34

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 Coordinator

Irvine, CA • On-site

ServiceMaster
Personal Services • 51 - 200 employees
Learn more about ServiceMasterexternal

$60K - $75K/yr

Other

Re-posted 10 days ago

Job description

Claims Coordinator

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines. A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position.

Understanding of the claims flow process – Water Mitigation, Reconstruction, Contents, and other Environmental work

Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system

Daily review of compliance tasks and all job tasks are completed on time

Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times

Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call

Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards

Manages Customer Service issues and complaints, documenting actions and resolution

Understanding of all company cycle times and SLAs required for each job and phase

Client Care Calls – ensure constant, often daily, communication with the customer, may communicate with adjuster

Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required

May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate

High school diploma/GED required

Bachelor's Degree or applicable experience preferred, work experience will be considered

IICRC Certifications preferred but not required: WTR, ASD, OCT, STC

Exceptional Customer Service skills

1-3 years of Xactimate experience required- proficient use Xactimate 28

Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required

Personal time management and organizational skills

Strong verbal and written communication skills

Dependable and adaptable to operate within a fast-paced work environment

Ability to manage highly confidential information

Strong problem-solving skills

Proficient at using Microsoft Office, Outlook, CRM software

Experience do you have with customer interaction and conflict resolution

Compensation: $60,000.00 - $75,000.00 per year

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