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Insurance Benefits Claims Processor Jobs (NOW HIRING)

Datamark, Inc.

Medical Claims Processor

El Paso, TX

$16.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Ourhrconnect

Claims Processor II

Columbia, SC · On-site

$15.75 - $20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

TailorMed

Copay Claims Processor

New York, NY · On-site +1

$18.50 - $23.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of ... vision insurance plans, a wide range of voluntary and supplemental benefits, and 24/7 benefits ...

NTT DATA Americas, Inc.

Medical Claims Processor

$17 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... Company benefits may include medical, dental, and vision insurance, flexible spending or health ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

  • Medical

Process and evaluate hospital claims manually or through claims work flow * Validate information ... health insurance or benefits environment required * Basic keyboarding skills required * Strong ...

Swbc

Claims Processor LPO

San Antonio, TX · On-site

$15.25 - $19.50/hr

  • Medical

  • Retirement

SWBC is seeking a talented individual to perform functions associated with processing claim documents and inquiries related to insurance claims for multiple lines of business and more complex ...

PGBA

Claims Processor II

Columbia, SC · On-site

$14 - $17.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Comprehensive Benefits Package Includes the Following: * Subsidized health plans, dental and ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

Ourhrconnect

Claims Processor I

Myrtle Beach, SC

$15.25 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Citizen. * SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary ... Employees will receive supplemental pay for health insurance until they are enrolled in our health ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

  • Medical

Process and evaluate hospital claims manually or through claims work flow * Validate information ... health insurance or benefits environment required * Basic keyboarding skills required * Strong ...

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All JobsFinance and Insurance JobsInsurance JobsClaim Processing Specialist JobsInsurance Benefits Claims Processor Jobs

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 Aug 19, 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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Insurance Benefits Claims Processor jobs near you
Infographic showing various Insurance Benefits Claims Processor job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, 3% Hybrid, and 11% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Claims Processor (52219)

GLOBALHEALTH HOLDINGS LLC

Oklahoma City, OK • On-site, Remote

$15.75 - $20/hr

Full-time

Medical

Posted 22 days ago

Job description

WHO WE ARE:
GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.
WHO YOU ARE:
The Claims Processor is primarily responsible for processing all types of contracted and non-contracted claims accurately and timely for Medicare, Medicaid and Commercial Insurance products. The Claims Processor works directly with the Team Leader and/or Claims Supervisor on the day-to-day operations of the Claims for the purpose of meeting the company, department and regulatory standards for quantity, quality, and timeliness. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills.
ESSENTIAL JOB FUNCTIONS:
  • Processes claims based on the productivity and quality standard set (HCFA1500 and UB92) per day in accordance with contractual and non-contractual agreements and processing guidelines.
  • Works with Claims Supervisor or Manager in review of processed and pended claims to ensure appropriate, timely and accurate claims processing.
  • Coordinates with Claims Manager on resolution of customer service inquiries within 24 hours of receipt.
  • Assist with Claims adjustment projects as requested.
  • May help with Claims entry when requested.
  • Completes various work assignments as requested by supervisor in a timely manner.
  • Maintains current desk procedures and reference materials.
  • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
  • Performs other duties as assigned.

EDUCATION AND EXPERIENCE:
  • High school diploma or equivalent required.
  • Two year of medical claims processing experience strongly preferred.

KNOWLEDGE, SKILLS AND ABILITIES:
  • Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and Commercial practices).
  • Working knowledge of medical claims processing guidelines and practices.
  • Knowledge of Medicare and Health Care Finance Administration regulations.
  • Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals.
  • Ability to read and interpret provider contracts.
  • Strong verbal, written and organizational skills, must be self-directed/self-motivated and must have analytical, problem-solving, and decision-making abilities.
  • Accurate keyboard skills.
  • Ability to function in a fast-paced, detail-oriented environment.
  • Basic math skills.
  • High degree of accuracy.
  • Team player.

WORK ENVIRONMENT:
  • Current work environment is remote, however, some state exclusions apply.
    Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

TRAVEL:
No travel is required
SUPERVISORY RESPONSIBILITY:
This position has no supervisory responsibility
OTHER DUTIES:
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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