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Insurance Benefits Claims Processor Jobs (NOW HIRING)

Premera Blue Cross

Claims Processor II

Spokane, WA · On-site

$17.25 - $21.75/hr

The Claims Processor II role is an exciting internal opportunity to build on your knowledge of our ... Voluntary benefit offerings, including pet insurance for paw parents. * Life and disability ...

CTC

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

The Claims Coordinator accurately and efficiently processes all types of claims from source ... benefits and/or insurance industry • Proficient in Microsoft Word, Excel and Access

New

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Responsible for processing claims in a timely manner, verifying insurance coverage for date of ... Company Description Northwood plays an integral role in health plan benefit administration for ...

CYNET SYSTEMS

Claims Processor

Mason, OH · On-site

$17 - $22/hr

Knowledge of vision benefits and/or insurance industry. * Proficient in Microsoft Word, Excel and Access. Skills: * Data Entry. * Claims Processing. * HIPAA Compliance. * Microsoft Word. * Microsoft ...

Real Soft

Claims Processor

Mason, OH · On-site

$25/hr

CLAIMS PROCESSOR Budgeted Bill rate: $25.00 MARKUP 33.05% / Tenure discount 13 months 22.50 ... Understands and quickly operationalizes processing changes resulting from new plans, benefit ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Responsible for completing and filing investor/insurer claims within required guidelines in order ... Our Total Rewards include comprehensive benefits and differentiated compensation offerings to give ...

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 ... Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Understands and quickly operationalizes processing changes resulting from new plans, benefit ... Data entry and claims processing knowledge * Has a working knowledge of interface systems that ...

Amwins

Claims Processor

Mesa, AZ

$16.75 - $21.25/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self ... Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid ...

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

The Claims Processor II will accurately interpret benefit and policy provisions applicable to fully-insured plan members and review claims to determine coverage based on contract, provider status ...

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

The Claims Processor II will accurately interpret benefit and policy provisions applicable to fully-insured plan members and review claims to determine coverage based on contract, provider status ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $22/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self ... Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid ...

TEKsystems

Claims Processor

Oak Brook, IL

$21/hr

We are seeking a detail-oriented Claims Processor to join a growing healthcare benefits ... Exposure to healthcare benefits administration and insurance operations * Monday-Friday schedule ...

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Insurance Benefits Claims Processor information

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$12

$22

$34

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

As of Sep 9, 2026, the average hourly pay for insurance benefits 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 an insurance benefits claims processor do?

An Insurance Benefits Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify information, determine coverage eligibility, and ensure that all documentation meets company and regulatory standards. Their work helps ensure that valid claims are paid promptly and accurately, while also identifying any errors or fraudulent activity. Claims processors often communicate with policyholders, healthcare providers, and other parties to gather necessary information or clarify details related to a claim.

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

To thrive as an Insurance Benefits Claims Processor, you need strong attention to detail, analytical abilities, and a solid understanding of insurance policies, often supported by a high school diploma or relevant certification. Familiarity with claims management software, data entry systems, and standard office applications is typically required. Excellent communication, organizational skills, and problem-solving abilities help professionals excel when interacting with clients and resolving complex claims. These skills ensure accurate and timely claims processing, customer satisfaction, and compliance with industry regulations.

What are some common challenges faced by insurance benefits claims processors and how can they be addressed?

Insurance Benefits Claims Processors often encounter challenges such as managing high volumes of claims, interpreting complex policy details, and ensuring compliance with regulatory requirements. Staying organized, using workflow management tools, and maintaining strong attention to detail can help address these issues. Regular communication with team members and ongoing training on policy updates also play a key role in overcoming these challenges. Collaboration with other departments, such as underwriting and customer service, is essential for resolving discrepancies and providing accurate claim resolutions.

What is the difference between Insurance Benefits Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Benefits Claims ProcessorInsurance Claims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice setting, processing claims dataField and office, investigating claims
Industry UsageUsed across insurance companies for processing claimsUsed for evaluating and settling claims
Primary FocusProcessing and verifying insurance benefits claimsAssessing damages and determining claim validity

Insurance Benefits Claims Processors primarily handle the administrative side of claims, focusing on data entry and verification. Insurance Claims Adjusters evaluate claims on-site or remotely, investigating damages and making settlement decisions. Both roles are essential in the insurance industry but differ in responsibilities and work environment.

Is an insurance benefits claims processor job in demand?

The demand for insurance benefits claims processors remains steady due to ongoing growth in the insurance industry and the need for claims management. Employment in this role is expected to grow as companies seek skilled workers to handle claims efficiently, often requiring familiarity with claims processing software and attention to detail.

Is claims processing a stressful job?

Claims processing for insurance benefits can be stressful due to tight deadlines, high volume of claims, and the need for accuracy. It requires attention to detail, strong organizational skills, and sometimes dealing with upset claimants, which can contribute to job stress.
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What states have the most Insurance Benefits Claims Processor jobs?

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

Insurance Benefits Claims Processor jobs near you
Infographic showing various Insurance Benefits Claims Processor job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Claims Processor

Tualatin, OR • On-site

Zenith American Solutions, Inc.
Insurance and Employee Benefit Funds • 5 - 10K employees
Learn more about Zenith American Solutions, Inc.external

$17.75 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Zenith American Solutions rating

8.6

Company rating: 8.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

61st of 501 rated business services

Job description

Title: Claims Processor Department: Claims

Bargaining Unit: UFCW 555 Grade: 3

Position Type: Non-exempt Hours per Week: 40


Position Summary

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

  • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.

  • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.

  • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.

  • Performs other duties as assigned.


Minimum Qualifications

  • High school diploma or GED.

  • Six months of experience processing health and welfare claims.

  • Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.

  • Possesses a strong work ethic and team player mentality.

  • Highly developed sense of integrity and commitment to customer satisfaction.

  • Ability to communicate clearly and professionally, both verbally and in writing.

  • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.

  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.

  • Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion

  • Computer proficiency including Microsoft Office tools and applications.

Preferred Qualifications

  • Experience working in a third-party administrator.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.

Zenith American Solutions


Real People. Real Solutions. National Reach. Local Expertise.


We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

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