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Insurance Claim Processor Jobs in Tennessee (NOW HIRING)

Covenant Health

PATIENT ACCOUNT REP I CORPORATE

Knoxville, TN · On-site

$15.50 - $20.50/hr

Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for finalize. * Review accounts ...

Covenant Health

PATIENT ACCOUNT REP I CORPORATE

Knoxville, TN · On-site

$15.50 - $20.50/hr

Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order for claim for finalize. * Review accounts ...

Freeman

Billing Specialist

Dickson, TN · On-site

$40K - $50K/yr

Strong understanding of insurance claim processes EOBs,CPT/HCPC, ICD-9/10 and reimbursement policies. * Familiarity with electronic medical records (EMR) and billing software. * Excellent analytical ...

Trexis Insurance

Casualty Claims Manager

Franklin, TN · On-site

$94K - $118K/yr

... insurance regulations within the 9 states being operated in. * This person must also have working knowledge of the Underwriting side of the business and how it affects the claim handling process.

Trexis Insurance

Casualty Claims Manager

Franklin, TN · On-site

$94K - $118K/yr

... insurance regulations within the 9 states being operated in. * This person must also have working knowledge of the Underwriting side of the business and how it affects the claim handling process.

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All JobsInsurance Claim Processor JobsInsurance Claim Processor Jobs in Tennessee

Insurance Claim Processor information

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How much do insurance claim processor jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for insurance claim processor in Tennessee is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.12 per hour, depending on experience, location, and employer.

What is the difference between Insurance Claim Processor vs Insurance Adjuster?

AspectInsurance Claim ProcessorInsurance Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; state licensing or certifications often required
Work EnvironmentOffice setting, processing claims via computer systemsField and office work, inspecting damages and assessing claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding roles related to claims processingAssessing damage and determining claim payouts

The main difference is that Insurance Claim Processors handle the administrative side of claims, verifying information and processing payments, while Insurance Adjusters evaluate damages and determine claim validity. Both roles require insurance knowledge but differ in responsibilities and work environments.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.

How to become a claim processor?

To become an insurance claim processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with postsecondary education or relevant experience. Training is often provided on the job, and familiarity with insurance policies, computer skills, and attention to detail are important for success in this role.

What are the key skills and qualifications needed to thrive as an Insurance Claim Processor, and why are they important?

To excel as an Insurance Claim Processor, you need strong attention to detail, analytical abilities, and familiarity with insurance policies, often supported by a high school diploma or associate degree. Proficiency with claims management software, databases, and sometimes certification like the Associate in Claims (AIC) is commonly required. Excellent organizational skills, clear communication, and customer service orientation are crucial soft skills for managing case loads and client interactions. These competencies ensure accurate claim handling, efficient workflow, and positive customer experiences, which are vital to maintaining trust and operational success in the insurance industry.

What does an Insurance Claim Processor do?

An Insurance Claim Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of claim information, check for policy coverage, and ensure that all required documentation is complete. Additionally, they may communicate with claimants, healthcare providers, or adjusters to resolve discrepancies and approve or deny claims based on company guidelines. Their work is essential in making sure that claims are handled efficiently and customers receive the appropriate benefits.

Is claims processing a stressful job?

Insurance claim processing can be stressful due to tight deadlines, high accuracy requirements, and dealing with sensitive customer information. The role often involves detailed review of claims, which requires attention to detail and strong organizational skills. However, workload and stress levels can vary depending on the employer and individual workload management.

What are some common challenges faced by Insurance Claim Processors, and how can they be managed?

Insurance Claim Processors often encounter challenges such as handling high volumes of claims, ensuring the accuracy of documentation, and meeting tight deadlines. To manage these challenges effectively, strong organizational skills and attention to detail are essential, as well as the ability to prioritize tasks and communicate clearly with both clients and internal teams. Many organizations provide ongoing training and supportive team structures to help processors stay updated on changing policies and procedures, making it easier to adapt and perform efficiently.

Which claim adjusters make the most money?

Senior claim adjusters, especially those with specialized expertise in complex or high-value claims, tend to earn the highest salaries in the field. Adjusters working for large insurance companies or in regions with a high cost of living often have higher compensation, and certifications like the Chartered Property Casualty Underwriter (CPCU) can also lead to increased earnings.
What are popular job titles related to Insurance Claim Processor jobs in Tennessee? For Insurance Claim Processor jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Processor jobs in Tennessee look for? The top searched job categories for Insurance Claim Processor jobs in Tennessee are:
What cities in Tennessee are hiring for Insurance Claim Processor jobs? Cities in Tennessee with the most Insurance Claim Processor job openings:
Insurance Claim Processor jobs near you
Infographic showing various Insurance Claim Processor job openings in Tennessee as of July 2026, with employment types broken down into 81% Full Time, 14% Part Time, 2% Temporary, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $42,169 per year, or $20.3 per hour.
Claims Auditor- Remote

Claims Auditor- Remote

American Health Partners

Franklin, TN • Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com. 

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! 

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleMedicine 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. 

  • Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
  • Work assigned claim projects to completion
  • Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
  • Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
  • Maintain production and quality standards as established by management
  • Participate in and support ad-hoc audits as needed
  • Other duties as assigned

JOB REQUIREMENTS:

  • Proficient in processing/auditing claims for Medicare and Medicaid plans
  • Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
  • Current experience with both Institutional and Professional claim payments
  • Knowledge of automated claims processing systems
  • Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

REQUIRED QUALIFICATIONS:

  • Experience:
    • Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
    • Two (2) years’ experience in managed healthcare environment related to claims processing/audit
    • Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
    • Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
    • Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
  • License/Certification(s):
    • Coding certification preferred

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

 This employer participates in E-Verify.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

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