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Insurance Claim Processor Jobs (NOW HIRING)

Allied Solutions

Claims Investigator

Plano, TX · On-site

Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2 years of internal experience * A HS degree with a minimum of 1-3 years of ...

Allied Solutions

Claims Investigator

Plano, TX

Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2 years of internal experience * A HS degree with a minimum of 1-3 years of ...

Cox Roofing

Inspection Specialist

Denver, CO · On-site

As the Inspector/Insurance Specialist , you will be responsible for ensuring thorough inspections and assisting homeowners in navigating the insurance claim process. Your key responsibilities include:

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One Holdings, LLC

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Knowledge of insurance claim processing, denial management, and appeals procedures. * Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans. * Strong attention to detail ...

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All JobsInsurance Claim Processor Jobs

Insurance Claim Processor information

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$12

$22

$34

How much do insurance claim processor jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for insurance claim 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 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.
More about Insurance Claim Processor jobs
What cities are hiring for Insurance Claim Processor jobs? Cities with the most Insurance Claim Processor job openings:
What states have the most Insurance Claim Processor jobs? States with the most job openings for Insurance Claim Processor jobs include:
What job categories do people searching Insurance Claim Processor jobs look for? The top searched job categories for Insurance Claim Processor jobs are:
Insurance Claim Processor jobs near you
Infographic showing various Insurance Claim Processor job openings in the United States as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Claims Compliance Analyst

Claims Compliance Analyst

The MH Group

East Longmeadow, MA • On-site

$60K - $70K/yr

Full-time

Re-posted 27 days ago

Job description

Description:

We are seeking a Claims Compliance Analyst to join our client’s team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ideal candidate is responsible for the entire claims process from beginning to end and the implementation, auditing, and execution of compliance activities regarding claims. The Claims Compliance Analyst will work collaboratively with different departments to assess compliance risks, controls, and implement new regulations that affect the claims team. In this role, you will…

  • Navigate different claims systems.
  • Work within systems like RegEd to review assigned tasks and implement new laws, rules, and regulations.
  • Work cross-departmentally to understand and implement new and/or existing regulations utilizing systems such as RegEd.
  • Maintain an in-depth understanding of the claim adjudication process.
  • Process claims by all regulations in a timely and accurate manner, including analyzing the submitted medical treatment and investigating the coverage terms.
  • Maintain a strong understanding of state and federal health insurance regulations and mandates.
  • Strong knowledge of products/systems, and a subject matter expert (SME).
  • Create, carry out, and audit compliance items linked to claims, including risk assessment, testing, and monitoring of important laws & regulations, rules & processes, help with exam preparation, issue reporting & escalation, training materials, and remedial measures.
  • Assist in market conduct exams by reviewing claim-related tasks.
  • Create and implement procedures for regulatory items impacting claims that require special handling.
  • Regularly partake in compliance-related meetings.
  • Review all claim-related compliance reports to ensure accuracy.
  • Scrub pay-related reports to accurately determine the clean claim date and proper penalties/interest.
  • Handle claim adjustments related to regulatory requirements.
  • Perform other duties as assigned.


Requirements:

Our ideal candidate will have…

  • A minimum of 5 years of experience in health insurance claim processing is required.
  • Capacity to plan, carry out, and document compliance self-monitoring initiatives.
  • Ability to comprehend complex laws/regulations.
  • Ability to assess, prioritize, and communicate claims risk.
  • Ability to understand complex problems, identify root causes, and remain goal-oriented.
  • Strong analytical skills, with the ability to effectively identify, communicate, and address potential issues.
  • Strong written/verbal communication, interpersonal, and presentation skills.
  • Ability to work in a fast-paced environment, prioritize multiple assignments simultaneously, think quickly, meet deadlines, and adapt to various situations.
  • Ability to work independently, with peers, and with departments in business areas at all levels of the organization.
MH Group logo

About MH Group

Sourced by ZipRecruiter

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

East Longmeadow, MA, US

Year founded

2013

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