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Insurance Claim Verification Jobs (NOW HIRING)

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 ...

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 ...

Rajal J Patel DDS PA

DENTAL INSURANCE CORDINATOR

Orange, NJ · On-site

$19 - $24/hr

... to claim resolution. If you thrive in a fast-paced clinical environment and love helping people navigate their benefits, we want to hear from you! Responsibilities: Verify dental insurance ...

USPI, INC.

Insurance Verification Specialist

Moline, IL · On-site

$20/hr

Utilize the current system to conduct insurance verification and validate authorizations for scheduled patients, ensuring eligibility and benefits are in order for accurate claim submission and ...

CCS

Insurance Verification Representative

Houston, TX · On-site +1

$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 ...

Dental Care Alliance

Insurance Coordinator

Grand Blanc, 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 ...

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 ...

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 ...

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 ...

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Insurance Claim Verification information

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$43

How much do insurance claim verification jobs pay per hour?

As of Sep 8, 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 are popular job titles related to Insurance Claim Verification jobs?

For Insurance Claim Verification jobs, the most frequently searched job titles are:

Insurance Claim Verification jobs near you
Infographic showing various Insurance Claim Verification job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Insurance Representative II

Warrenville, IL • On-site

NorthShore
Health Care and Social Assistance • 10K+ employees
Learn more about NorthShoreexternal

$20.69 - $30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Endeavor Health rating

7.0

Company rating: 7.0 out of 10

Based on 403 frontline employees who took The Breakroom Quiz

421st of 898 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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