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Insurance Benefits Claims Processor Jobs (NOW HIRING)

Ourhrconnect

Processor, Claims II (PART-TIME)

Carolina, RI · On-site

$17 - $21.50/hr

Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment ... Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits ...

New

Ourhrconnect

Processor, Claims I

Florence, SC · On-site

$16.50 - $20.75/hr

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

Mindlance

Claims Processer

Myrtle Beach, SC

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

North Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

North Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

North Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Insurance Job Location: Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty ...

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Insurance Benefits Claims Processor information

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$34

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.
More about Insurance Benefits Claims Processor jobs
What cities are hiring for Insurance Benefits Claims Processor jobs? Cities with the most Insurance Benefits Claims Processor job openings:
What states have the most Insurance Benefits Claims Processor jobs? States with the most job openings for Insurance Benefits Claims Processor jobs include:
What job categories do people searching Insurance Benefits Claims Processor jobs look for? The top searched job categories for Insurance Benefits Claims Processor jobs are:
Insurance Benefits Claims Processor jobs near you

Insurance Claims Specialist

Fittings Unlimited

Iowa City, IA • On-site

$18/hr

Full-time

PTO

Posted 8 days ago

Job description

About the Role

We are seeking an experienced, detail-oriented Insurance Claims Analyst / Specialist to join our team in Cedar Rapids. In this role, you will manage the full lifecycle of insurance claims, from initial submission and prior authorizations to resolving complex denials and appeals. If you have a sharp eye for detail, a strong understanding of payer guidelines, and a drive to resolve financial irregularities, we want you on our team!

Key Responsibilities

Claim Management: Efficiently submit and systematically follow up on all insurance claims.

Denials & Appeals: Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement.

Prior Authorizations: Prepare, submit, and track prior authorization requests.

Compliance: Stay current on and ensure strict compliance with all medical/payer guidelines and regulations.

Account Resolution: Actively monitor accounts for non-payments, delayed payments, and other irregularities; resolve unpaid claims promptly.

Qualifications & Experience

Required: Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst.

Deep understanding of insurance terminology, payer guidelines, and claim submission processes.

Strong analytical, problem-solving, and communication skills.

High attention to detail and ability to spot account irregularities.

Perks & Benefits

We value our employees' hard work and offer a supportive work environment with excellent incentives:

Sign-On Bonus: $500 bonus after successful completion of a 60-day probationary period.

Work-Life Balance: Flexible daily hours with no nights and no holidays required.

Paid Time Off: Generous paid vacation and paid sick time.

Career Growth: Enjoy peace of mind with a guaranteed pay raise.

Company Description

Our small Mastectomy & Compression boutique measures and fits customers in bra's, breast forms and a variety of compression garments. The insurance filing comes into play when a customer has a prescription from the Dr. and can be filed to their insurance.