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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.

New

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

$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 ...

twoharbors

Insurance Specialist

Fort Mill, SC

... or claim details * Research and respond to internal and external audit inquiries; resolve homeowner complaints * Remit insurance premiums for escrowed accounts and verify coverage * Monitor a ...

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How much do insurance claim verification jobs pay per hour?

As of Jun 11, 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
Infographic showing various Insurance Claim Verification job openings in the United States as of June 2026, with employment types broken down into 73% Full Time, and 27% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.
Insurance Verification Specialist

Insurance Verification Specialist

Surgery Partners

Midland, TX • On-site

$16.50 - $20.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Surgery Partners rating

7.6

Company rating: 7.6 out of 10

Based on 79 frontline employees who took The Breakroom Quiz

187th of 870 rated healthcare providers

Job description

JOB TITLE: Insurance Verification Specialist
GENERAL SUMMARY OF DUTIES:
Ensures all records are maintained in absolute integrity and in compliance with applicable regulations and requirements. Responsible for obtaining required referrals and authorizations and verifying patient insurance benefits.
REQUIREMENTS:
  • 1-2 years experience in healthcare insurance billing, verification, collections and/or authorizations.
  • Knowledge of computer systems, programs and spreadsheet applications.
  • Knowledge of medical terminology.

ABILITIES/SKILLS:
  • Ability to work effectively with customers, medical staff and external agencies.
  • Ability to identify, analyze and solve claim problems.
  • Skilled in gathering and reporting claim information.
  • Skilled in solving utilization problems.
  • Skilled in written and verbal communication and customer relations.

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
#200
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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