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Insurance Claim Verification Jobs (NOW HIRING)

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 ...

Wisdom

Insurance Verification Specialist

$17.50 - $21.50/hr

Insurance Verification Specialist Wisdom blends industry expertise with advanced technology to make ... clean claim submissions and proper treatment planning of procedures and over-the-counter ...

Novir

Insurance Verification Representative

Milwaukee, WI · On-site

$16.75 - $21.50/hr

The Insurance Verification Representative (Registration Representative) supports the patient intake ... claim follow-ups. This is a seasonal role from August through January. This is an onsite role with ...

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Insurance Claim Verification information

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$12

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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 Coordinator

Insurance Coordinator

Dental Care Alliance

Dalton, GA

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 20 days ago

Job description

Overview

Drs. Grant & Conger is seeking an experienced Dental Insurance Coordinator to join our team in Dalton, GA. This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting practice operations.

The Insurance Coordinator will be responsible for verifying insurance benefits, submitting and tracking claims, following up on outstanding insurance balances, resolving claim issues, and assisting patients with understanding their insurance coverage and financial responsibilities. The ideal candidate is detail-oriented, organized, and able to communicate effectively with patients, insurance carriers, and team members.

Join our team and play a vital role in helping patients maximize their insurance benefits while ensuring a seamless financial experience and contributing to the overall success of the practice.

What we offer:

  • Full-time Schedule: Monday - Thursday 8am - 5pm, Friday 8am - 2pm
  • Health, dental, and vision insurance (individual and family coverage)
  • Life insurance and disability benefits
  • 401(k) plan
  • Team-oriented work environment with access to modern dental technology

How to Apply:If you are a dedicated Patient Service Representatives looking to advance your career in a modern, patient-centered practice, we invite you to apply by submitting your CV.

Be part of our journey to shape the future of dentistry. Apply today to join our mission-driven team!

Responsibilities
  • 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 and manage insurance aging reports and accounts receivable
  • Communicate with insurance carriers regarding claim status and benefit questions
  • Accurately document insurance information and updates in patient records
  • Explain insurance benefits, estimates, and financial responsibilities to patients
  • Coordinate with clinical and administrative teams to ensure accurate claim submission
  • Post insurance payments and adjustments to patient accounts
  • Provide exceptional customer service while assisting patients with insurance-related inquiries
Qualifications

Qualifications:

  • Previous experience working in dental insurance coordination, billing, claims processing, or accounts receivable required
  • Strong knowledge of dental procedures, CDT coding, and insurance claims processing
  • Experience working with PPO and HMO dental insurance plans preferred
  • Ability to research and resolve insurance claim issues efficiently
  • Strong attention to detail and organizational skills
  • Excellent verbal and written communication skills
  • Proficiency with dental practice management software preferred
  • Must have exceptional customer service skills and the ability to work effectively with patients, insurance companies, and team member

 

Legal Disclaimer:We comply with all minimum wage laws as applicable. All benefits are subject to potential vesting and eligibility requirements. The company is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, ancestry, color, age, national origin, ethnicity, religious creed or belief, physical or mental disability, marital or familial status, legally protected medical condition, genetic information, military or veteran status, sex, gender, sexual orientation, citizenship status, or any other characteristic protected by applicable law. 

Employment Type: FULL_TIME

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