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Insurance Benefits Claims Processor Jobs in Chicago, IL

City of Chicago

BENEFITS CLAIMS SUPVSR

Chicago, IL · On-site

$78K/yr

Processes applications for continuation of coverage for disabled and military dependents ... insurers * Prepares status reports of pending claims cases * Testifies in court on findings of ...

Amplify HR

Benefits Specialist

Northbrook, IL · Hybrid

$65K - $80K/yr

Coordinate with insurance carriers to resolve eligibility, enrollment and claims issues.Support ... Process benefit enrollments, qualifying life events, terminations and benefit changes as needed.

DuPage County ROE

Benefits Specialist

Wheaton, IL · On-site

$61K/yr

Benefits Specialist POSITION SUMMARY: To expedite the processing of current and retired employee ... Process and maintain records for all Life Insurance Claims. * Process and Maintain records for all ...

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All JobsInsurance Benefits Claims Processor JobsInsurance Benefits Claims Processor Jobs in Chicago, IL

Insurance Benefits Claims Processor information

See Chicago, IL salary details

$12

$23

$35

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

As of Aug 20, 2026, the average hourly pay for insurance benefits claims processor in Chicago, IL is $23.01, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $26.25 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.

What are popular job titles related to Insurance Benefits Claims Processor jobs in Chicago, IL?

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

What job categories do people searching Insurance Benefits Claims Processor jobs in Chicago, IL look for?

The top searched job categories for Insurance Benefits Claims Processor jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Insurance Benefits Claims Processor jobs?

Cities near Chicago, IL with the most Insurance Benefits Claims Processor job openings:

Insurance Benefits Claims Processor jobs near you

BENEFITS CLAIMS SUPVSR

City of Chicago

Chicago, IL • On-site

$78K/yr

Full-time

Medical

Posted 8 days ago

Job description

Benefits Claims Supervisor
Department of Finance
(Benefits)
Number of Positions: 1
(Additional vacancies possible pending budget approval)
Starting Salary: $78,768
Applications for this position will be accepted until 11:59 pm CDT on 8/26/202 6
Under direction, oversees and manages the resolution of claims deemed ineligible by insurance carriers, and performs related duties as required
Essential Duties
  • Assigns benefits claims to staff and monitors their resolution
  • Reviews claims reports completed by staff for completeness and appropriateness of recommendations
  • Trains staff on new and revised claims-related policies and procedures
  • Interprets benefits claims policies to staff, claimants, and service providers
  • Researches complex benefits claims by reviewing claims and compiling medical histories, researching medical information, and analyzing the current and future cost implications
  • Acts as liaison to various parties involved in the claims resolution process, including contracted service providers, Medical Advisors, and the Benefits Committee, providing recommendations for the resolution of claims
  • Oversees the City's Health plan enrollment and eligibility appeals process and claims disputes
  • Draft correspondence in response to inquiries regarding eligibility of benefits
  • Reviews requests for alternative coverage for individuals who missed enrollment deadlines
  • Processes applications for continuation of coverage for disabled and military dependents
  • Coordinates work efforts with attorneys on subrogation cases involving the recovery of benefits costs from third parties
  • Interprets the City's benefits policies to staff, contracted agencies, and labor unions
  • Participates in establishing and revising benefits policies and negotiating prices with contracted service providers and insurers
  • Prepares status reports of pending claims cases
  • Testifies in court on findings of complex claims cases, as required
  • Attends vendor meetings and reviews reports.

• Manages the HIPSS HCSC ASO Disclosure Notification process and the Telligen Qualitrac Portal Form.
• Serves as the City's lead in coordinating all open enrollment annual activities, including but not limited to: OE and New Hire Guide, Postcard Announcements, Legal Notices, Updates to Employee Benefits Portal, Posters, Bulletins, and annual Benefits Fairs.
Additional duties may be required for this position
Location: 2 N LaSalle,
Days: Monday - Friday
Hours: 8:30 - 4:30
THIS POSITION IS NOT IN CAREER SERVICE
Qualifications
Minimum Qualifications
Education, Training, and Experience
  • Nine (9) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position OR
  • Graduation from an accredited college with an Associate's degree in Business Administration or a directly related field, PLUS seven (7) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position, OR
  • Graduation from an accredited college or university with a Bachelor's degree in Business Administration or a directly related field, PLUS five (5) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position, OR
  • Graduation from an accredited college or university with a Master's degree or higher in Business Administration or a directly related field, PLUS four (4) years of work experience in

Licensure, Certification, or Other Qualifications
• none
Educational & Employment Verification:
Please be advised that if you are selected to be hired, you must provide, upon request, adequate information regarding your education and employment history as it relates to the qualifications of the position for which you are applying. If you received your degree internationally, all international transcripts/diplomas must be accompanied by a Foreign Credential Evaluation. If the City of Chicago cannot verify this information, any offer extended to you will be withdrawn and you will not be hired.
SELECTION REQUIREMENTS
This position requires applicants to successfully complete an interview which will include an assessment.
The interviewed candidate(s) who possess the qualifications best suited to fulfill the responsibilities of the position will be selected.
For Information on our employees' benefits, please visit our benefits website at:
https://www.chicago.gov/city/en/depts/fin/benefits-office.html
For Information on our salary and title structure, visit our classifications website at:
https://www.chicago.gov/content/dam/city/depts/dhr/supp_info/JobClassification/2025_Classification_and_Pay_Plan.pdf
APPLICATION EVALUATION: Initial evaluation will be based on information provided on the application and the documents submitted. Department of Human Resources staff will review applications after the final posting date. Staff will follow any and all required Employment/Hiring Plan provisions, federal, state, and local laws, and Collective Bargaining Agreements when applicable. Staff will apply hiring preferences as required by the municipal code. Placement on an eligibility list is not an offer or guarantee of an interview or employment with the City of Chicago.
COMMITMENT TO DIVERSITY: To further our commitment to hiring applicants with diverse experience, the City of Chicago has adopted the following ordinances 2-74-020 and 2-74-075. The ordinances provide a preference to applicants who meet minimum qualifications and who are veterans of the Armed Forces, and/or residents of Socio-Economically Disadvantaged Areas (SEDA), and/or Chicago Public School (CPS) high school graduates, to be referred to departments for consideration. These hiring preferences do not apply to bidders, as Collective Bargaining Agreements define the hiring process for bidders. For positions covered by a collective bargaining agreement, bidders will be considered before external candidates. To learn more about our hiring practices, click here.
ALL REFERENCES TO POLITICAL SPONSORSHIP OR RECOMMENDATION MUST BE OMITTED FROM ALL APPLICATION MATERIALS SUBMITTED FOR CITY EMPLOYMENT.
The City of Chicago is an Equal Employment Opportunity, Military Friendly, and Fair Chance Employer.
City of Chicago
Brandon Johnson, Mayor

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