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Insurance Benefits Claims Processor Jobs (NOW HIRING)

Zenith American Solutions, Inc.

Claims Processor

$17.50 - $22/hr

Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental ... process. If reasonable accommodation is needed, please contact the Recruiting Department at ...

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 ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

... benefit designs. • Drive client satisfaction - Works with supervisor and co-workers to provide ... claims processing knowledge • Has a working knowledge of interface systems that include the ...

Kelly Services

Claims Processor

Mason, OH

$18.79/hr

Kelly offers eligible employees voluntary benefit plans including medical, dental, vision ... term life, whole life, accident insurance, critical illness, a legal plan, and short-term ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

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 ...

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 ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Previous experience in insurance verification, benefits investigation, pharmacy operations, or ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Previous experience in insurance verification, benefits investigation, pharmacy operations, or ...

Sidecar Health

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare ... Medical, Dental, and Vision benefits with no waiting period * Paid vacation and company holidays

ProCare Rx

Claims Processor l

Southfield, MI

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and ... Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance ...

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Insurance Benefits Claims Processor information

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

As of Jun 10, 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 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.

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 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 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.
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Insurance Benefits Claims Processor jobs near you

Claims Processor

Zenith American Solutions, Inc.

Remote

$17.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Zenith American Solutions rating

8.2

Company rating: 8.2 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

72nd of 426 rated business services

Job description

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.
Working Conditions/Physical Effort
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.

Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you.
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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