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Insurance Claim Review Jobs (NOW HIRING)

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

Eberl

Desk Adjuster

Lakewood, CO · On-site

$50K/yr

The Desk Adjuster manages the full lifecycle of assigned claims, serving as both the subject matter expert and primary point of contact for the insured. This includes claim review and prior history ...

Eberl

Desk Adjuster

Lakewood, CO

$50K/yr

The Desk Adjuster manages the full lifecycle of assigned claims, serving as both the subject matter expert and primary point of contact for the insured. This includes claim review and prior history ...

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

APR

Commercial Lines Insurance Account Manager

Dallas, TX · Hybrid

$70K - $80K/yr

Coordinating and conducting claim review meetings for selected accounts; Visiting client sites to ... insurance and renewal data for marketing. S/he secures the renewal of existing business with ...

NorthShore

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

The Gowan Co.

Insurance Specialist

Yuma, AZ · On-site

Oversee claims management, including coordination with third-party administrators, communication with insurers and operational groups, facilitation of claim review meetings, and analysis of claim ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Insurance Follow Up Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-22/hr Work ... Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Insurance Follow Up Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-22/hr Work ... Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Insurance Follow Up Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-22/hr Work ... Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Insurance Follow Up Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-22/hr Work ... Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ...

System One

Insurance Follow Up Rep

Tulsa, OK · On-site

$17 - $22/hr

Insurance Follow Up Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-22/hr Work ... Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ...

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All JobsInsurance Claim Review Jobs

Insurance Claim Review information

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$43

How much do insurance claim review jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for insurance claim review in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

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

AspectInsurance Claim ReviewInsurance Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing claims remotely or on-siteFieldwork, inspecting damages, meeting clients
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding claim review roles, job dutiesAssessing damage, settling claims

Insurance Claim Review professionals focus on evaluating and verifying insurance claims, often working in an office setting. Insurance Adjusters, on the other hand, inspect damages firsthand and negotiate settlements. Both roles require insurance-related certifications but differ in work environment and responsibilities.

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

To thrive as an Insurance Claim Review Specialist, you typically need a strong understanding of insurance policies, claims processes, and relevant regulations, often backed by a degree in business, finance, or a related field. Familiarity with claims management software, document management systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are critical soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate, timely, and fair claim resolutions that uphold company standards and customer satisfaction.

What is insurance claim review?

Insurance claim review is the process by which insurance companies evaluate claims submitted by policyholders to determine their validity and the extent of coverage. Claims reviewers carefully examine documentation, such as medical records, police reports, or repair estimates, to ensure all policy requirements are met. This process helps prevent fraud, ensures claims are paid accurately, and maintains the integrity of the insurance system. Claim reviewers may also communicate with claimants, request additional information, or work with other professionals to make informed decisions.

What are some common challenges faced in an Insurance Claim Review role, and how can they be managed effectively?

One of the most common challenges in Insurance Claim Review is managing a high volume of claims while maintaining accuracy and compliance with regulatory standards. Claims can often be complex, requiring careful analysis of policy terms, medical or incident documentation, and communications with policyholders or third parties. Effective time management, attention to detail, and strong communication skills are essential. Collaborating closely with other departments, such as underwriting and legal, can also help resolve ambiguous cases more efficiently. Ongoing training and keeping up with changes in industry regulations further support success in this role.
More about Insurance Claim Review jobs
What cities are hiring for Insurance Claim Review jobs? Cities with the most Insurance Claim Review job openings:
What states have the most Insurance Claim Review jobs? States with the most job openings for Insurance Claim Review jobs include:
What job categories do people searching Insurance Claim Review jobs look for? The top searched job categories for Insurance Claim Review jobs are:
Insurance Claim Review jobs near you
Infographic showing various Insurance Claim Review 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 $48,885 per year, or $23.5 per hour.
Insurance Representative II

Insurance Representative II

NorthShore

Warrenville, IL • On-site

$20.69 - $30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Endeavor Health rating

7.1

Company rating: 7.1 out of 10

Based on 392 frontline employees who took The Breakroom Quiz

377th of 881 rated healthcare providers

Job description

Hourly Pay Range:
$20.69 - $30.00 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
  • Position: Insurance Rep II
  • Location: Warrenville, IL
  • Full Time
  • Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview:
The Insurance Representative II is a key member of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position plays a critical role in ensuring the hospital's financial success by optimizing the insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers.
What you will do:
  • Review and process insurance claims for accuracy, completeness, and compliance with relevant insurance policies and healthcare regulations.
  • Monitor and follow up on pending insurance claims, including appeals and resubmissions, to expedite reimbursement and minimize claim denials.
  • Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions.
  • Investigate and resolve claim denials and disputes, providing necessary documentation and communication with insurance companies for claim approval.
  • Assist patients in understanding their insurance claims, explaining coverage and reimbursement processes, and addressing any questions or concerns.
  • Provide support to patients in understanding and managing their healthcare expenses, including explaining payment options, financial assistance programs, and payment plans.
  • Maintain accurate and detailed records of all interactions, claim processing, and patient communications, ensuring compliance with hospital standards and regulatory requirements.
  • Stay updated on changes in insurance regulations, ensuring that claim processes align with legal and compliance standards, including HIPAA.
  • Generate reports and maintain metrics related to insurance claim status, reimbursement rates, and resolution times.
  • Gather and document patient feedback and suggestions, reporting relevant trends or issues to the appropriate department for process improvement.

What you will need:
  • Education: Associates Degree Health Administration Required Or Associates Degree Finance Required
  • Experience: 2 Years of experience in insurance claims management and billing, preferably in a healthcare or hospital setting.

Benefits:
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking at designated locations
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off
  • Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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