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Insurance Claim Verification Jobs (NOW HIRING)

Surgery Partners

Insurance Verification Specialist

Midland, TX · On-site

$16.50 - $20.50/hr

Insurance Verification Specialist GENERAL SUMMARY OF DUTIES : Ensures all records are maintained in ... Skilled in gathering and reporting claim information. * Skilled in solving utilization problems.

Surgery Partners

Insurance Verification Specialist

Midland, TX · On-site

$16.75 - $20.50/hr

Insurance Verification Specialist GENERAL SUMMARY OF DUTIES : Ensures all records are maintained in ... Skilled in gathering and reporting claim information. * Skilled in solving utilization problems.

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions. * Investigate and resolve claim denials and disputes ...

Dental Care Alliance

Insurance Coordinator

Flint, MI · On-site

$18 - $24/hr

Verify patient dental insurance eligibility and benefits * Submit, track, and follow up on dental insurance claims * Review and resolve claim denials, rejections, and outstanding balances * Maintain ...

New

CCS Medical

Insurance Verification Representative

Houston, TX · On-site

$16.25 - $20.75/hr

Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification * Has a strong working knowledge of billing procedures, insurance reimbursement procedures ...

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions. * Investigate and resolve claim denials and disputes ...

NorthShore

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions. * Investigate and resolve claim denials and disputes ...

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Insurance Claim Verification information

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How much do insurance claim verification jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for insurance claim verification 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 does an Insurance Claim Verification specialist do?

An Insurance Claim Verification specialist is responsible for reviewing and validating insurance claims to ensure they are accurate, complete, and adhere to policy guidelines. They investigate submitted claims, verify the authenticity of supporting documentation, and may contact policyholders, claimants, or third parties for additional information. Their work helps prevent fraudulent claims and ensures that legitimate claims are processed and paid promptly. This role is critical in maintaining the integrity of the insurance process and protecting the financial interests of both the insurer and the insured.

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

To thrive as an Insurance Claim Verification Specialist, you need a solid understanding of insurance policies, claims procedures, and attention to detail, often supported by a background in finance, business, or insurance. Familiarity with claims management software, databases, and sometimes certifications like AIC (Associate in Claims) are typically required. Strong analytical thinking, effective communication, and time management are important soft skills for reviewing documentation and interacting with clients or adjusters. These skills ensure accurate claim assessments, reduce errors or fraud, and support efficient processing to maintain trust and compliance within the insurance industry.

What are some common challenges faced in an insurance claim verification role, and how can they be managed?

Insurance claim verification professionals often encounter challenges such as incomplete or ambiguous documentation, tight deadlines, and the need to detect potential fraud. Managing these challenges requires strong attention to detail, effective communication with clients and colleagues to clarify missing information, and proficiency in using verification tools and databases. Continuous training on fraud detection techniques and regulatory updates also helps professionals stay effective and ensure claims are processed accurately and efficiently.

What is the difference between Insurance Claim Verification vs Insurance Claims Adjuster?

AspectInsurance Claim VerificationInsurance Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing documents and claimsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Primary FocusVerifying the accuracy and completeness of claimsAssessing damages and determining claim payouts

Insurance Claim Verification specialists focus on reviewing and validating claims for accuracy, while Insurance Claims Adjusters evaluate damages and determine appropriate compensation. Both roles are essential in the claims process but differ in responsibilities and work scope.

More about Insurance Claim Verification jobs
What are the most commonly searched types of Insurance Claim Verification jobs? The most popular types of Insurance Claim Verification jobs are:
What job categories do people searching Insurance Claim Verification jobs look for? The top searched job categories for Insurance Claim Verification jobs are:
Insurance Claim Verification jobs near you
Insurance Verification Representative

Insurance Verification Representative

Signature Healthcare

West Bridgewater, MA • On-site

$17.50 - $22.50/hr

Full-time

Posted 14 days ago

Signature Healthcare rating

5.2

Company rating: 5.2 out of 10

Based on 167 frontline employees who took The Breakroom Quiz

189th of 232 rated social care providers

Job description

POSITION SUMMARY:

Under the general direction of the Insurance Verification Manager, ensures that patient’s insurance information is accurate before the scheduled visit for billing and quality purposes. To ensure insurance claim reimbursement is verified for timely filing.

  • Checks eligibility of patients’ insurance thru the batch system using the Clearance Change application 

  • Corresponds with all SMG offices with any insurance related issues 

  • Calls patients to obtain any new or existing insurance information that could result in claim denial. 

  • Contacts self-pay patients if no insurance is captured thru other insurance modules and resources. If determined the patient is self-pay- refer patient to Financial Counselor, and notify office of deposit due at time of service. 

  • Communicates with the patient’s Primary Care Physician or Referral Department if a referral is required and not obtained. 

  • Corresponds with the Referral department on any insurance changes or issues that may require a new referral or authorization that may cause a delay or denial of payment. 

  • Communicates with 3rd party insurance carriers that are not automated thru Clearance Change, regarding eligibility and patient benefits; notifies office of all insurance limitation that will affect the billing process. 

  • Provides insurance knowledge and direction to Patients, Call Center, SMG Practice sites, Patient Services and all modalities in ambulatory care regarding Insurance Eligibility and Meditech related issues. 

  • Supports Patients and SMG Primary Care offices in Mass Health/ACO products and works with Mass Health Gateway to ensure PCP changes are correct in our ACO. 

  • Informs billing department of incorrect insurance information for past billing deficiencies that may result in claim denial. 

  • Notifies Customer Service on high balance accounts and accounts with minimal coverage to establish a payment plan. 

  • Completes any special projects assigned by management. 

  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.  

Education & Experience:

  1. Education: High School Diploma or Equivalent. 

  1. Experience: Previous experience in a healthcare setting preferred. Strong communication skills that ensure the ability to deal effectively and tactfully with patients, insurance carriers, and other employees. 

  2. Software/Hardware: Microsoft Office and ability to navigate multiple internet-based applications. 

This position is located onsite in West Bridgewater, MA

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