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Insurance Claims Administrator Jobs (NOW HIRING)

CBCS

Claims Administrator - Med Only Claims

Dubuque, IA · On-site

... Claims Administrators. In this role, you'll be trained to investigate, evaluate, and resolve ... No insurance experience? No problem. We will teach you the technical side - what matters most is ...

CBCS

Claims Administrator - Med Only Claims

Dubuque, IA · On-site

... Claims Administrators. In this role, you'll be trained to investigate, evaluate, and resolve ... No insurance experience? No problem. We will teach you the technical side - what matters most is ...

CBCS

Claims Administrator - Med Only Claims

Dubuque, IA · On-site

... Claims Administrators. In this role, you'll be trained to investigate, evaluate, and resolve ... No insurance experience? No problem. We will teach you the technical side -- what matters most is ...

Vega

Claims Manager

Atlanta, GA · On-site

$120 - $180/hr

Who we are The $250B insurance claims industry runs on fax machines, phone tag, and adjusters ... administrator. You will partner closely with Underwriting, Product, Compliance, and Claims teams to ...

GBU Life

Claims Administrator I

Pittsburgh, PA · On-site

$21 - $23/hr

Reviewing and verifying insurance claims to ensure that they are complete and accurate. * Investigating and analyzing claims to determine their validity and eligibility for payment. * Communicating ...

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Insurance Claims Administrator information

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$14

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$49

How much do insurance claims administrator jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for insurance claims administrator in the United States is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $29.81 per hour, depending on experience, location, and employer.

What is the difference between Insurance Claims Administrator vs Insurance Claims Processor?

AspectInsurance Claims AdministratorInsurance Claims Processor
CredentialsHigh school diploma; some roles may require insurance or claims processing certificationsHigh school diploma; often requires claims processing training or certification
Work EnvironmentOffice setting, handling claims documentation and customer communicationOffice or remote, reviewing and inputting claim data
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, claims processing centers
Common Search/ComparisonInsurance Claims Administrator vs Insurance Claims Processor

The main difference between an Insurance Claims Administrator and an Insurance Claims Processor lies in their responsibilities. Administrators oversee the claims process, coordinate with clients, and ensure compliance, while processors focus on reviewing claim details and inputting data. Both roles require similar credentials and work in insurance offices, but administrators typically have broader duties involving management and customer interaction.

What are the key skills and qualifications needed to thrive as an insurance claims administrator, and why are they important?

To thrive as an Insurance Claims Administrator, you need a solid understanding of insurance policies, claims processing, and regulatory compliance, often backed by a degree in business or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and relevant certifications like AIC (Associate in Claims) are typically required. Attention to detail, strong organizational skills, and effective communication help professionals excel in resolving claims efficiently and empathetically. These competencies ensure accurate claims handling, customer satisfaction, and adherence to industry standards and legal requirements.

Is claims processing a stressful job?

Claims processing is a core responsibility of an Insurance Claims Administrator and can be stressful due to tight deadlines, high workload, and the need for accuracy. The role requires strong organizational skills and attention to detail to manage complex cases efficiently. Stress levels can vary based on workload, company environment, and individual coping strategies.

What are some common challenges faced by insurance claims administrators and how can they be addressed?

Insurance Claims Administrators often encounter challenges such as managing a high volume of claims, staying updated with regulatory requirements, and effectively communicating with policyholders and service providers. Time management and organizational skills are essential to keep up with multiple cases simultaneously. Building strong communication and negotiation skills can help resolve disputes and ensure all parties are satisfied with claim outcomes. Additionally, keeping abreast of changes in insurance policies and technology can streamline the process and reduce errors.

What does an insurance claims administrator do?

An Insurance Claims Administrator is responsible for processing and managing insurance claims. Their duties include reviewing claim forms, verifying policyholder information, investigating claims, and ensuring that payouts are accurate and comply with policy terms. They also communicate with clients, adjusters, and other professionals to resolve claims efficiently. The role requires attention to detail, knowledge of insurance policies, and strong organizational skills.
More about Insurance Claims Administrator jobs
What cities are hiring for Insurance Claims Administrator jobs? Cities with the most Insurance Claims Administrator job openings:
What states have the most Insurance Claims Administrator jobs? States with the most job openings for Insurance Claims Administrator jobs include:
What job categories do people searching Insurance Claims Administrator jobs look for? The top searched job categories for Insurance Claims Administrator jobs are:
Insurance Claims Administrator jobs near you
Infographic showing various Insurance Claims Administrator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Administrator

Community Health Alliance-Ohio

Fairfield, OH • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Are you looking for a career where you can make a difference in the lives of individuals in recovery for mental health and substance use disorders? Do you thrive in a healthy and collaborative work environment where you can grow personally and professionally?

JOIN OUR TEAM of dedicated professionals in fostering hope and transforming lives. We are seeking an experienced Claims Administrator to join our team. In this role, you will be responsible for configuring and maintaining billing functionalities within the EHR system. You will collaborate with healthcare providers, billing staff and CareLogic Administrators to ensure accurate billing processes, compliance with regulations and seamless integration with financial systems.

Develop a career dedicated to connection, compassion, and community. Community Health Alliance is an employer that offers career opportunities with purpose.

At Community Health Alliance our employees are our greatest asset. We offer a comprehensive benefit program designed to support you and your family.

We are proud to offer a comprehensive benefits package:

  • Affordable medical, dental and vision insurance
  • Company paid Health Reimbursement Arrangement (HRA)
  • Generous paid time off (PTO) & paid holidays
  • Retirement plan with company match – up to 6%
  • Career ladder – Start here and build a lifelong career
  • Company paid life insurance

This is a hybrid position that requires 90 days of in-office training. After successful completion of training, eligibility to work a hybrid remote/in-office schedule.

Job Duties and Responsibilities

  • Maintain and configure all CareLogic billing administration (funders, EDI, modifiers, procedure codes, rate tables).
  • Test and validate billing functionality (cert environment) to support funder changes and new services.
  • Ensure billing setup accuracy, compliance, and data integrity through ongoing testing and QA.
  • Monitor, submit, correct, and resubmit claims (EDI and manual), including clearinghouse rejections.
  • Review failed/denied claims and assign follow-up to billing specialists as needed.
  • Coordinate with Finance to ensure accurate revenue reporting and error-free GL cost center reporting.
  • Audit claim activity and ensure timely invoicing, including self-pay.
  • Design, test, and maintain billing reports and metrics (CareLogic BI and interim solutions).
  • Run monthly patient statements, manage write-offs, and distribute client balance reports.
  • Maintain SharePoint and billing documentation; stay current on billing regulations and funder requirements.
  • High school diploma or GED required.
  • Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Billing and Coding Specitalist 9CBCS) preferred.
  • Minimum of 3 years of healthcare billing experience using EHR systems.
  • Proven experience as a Billing Specialist in a healthcare setting.
  • Solid understanding of CPT, ICD, and HCPCS coding and medical terminology.
  • Experience with Medicare and Medicaid billing regulations.
  • Familiarity with contractual adjustments, sequestration, and payment posting/balancing.
  • Strong knowledge of healthcare and behavioral health billing workflows and regulations.
  • Proficiency with EHR systems, billing software, and Microsoft Office (especially Excel).
  • Demonstrated ability to manage relationships with multiple insurance payers.
  • Strong working knowledge of billing compliance and reimbursement methodologies.

Community Health Alliance is a leader providing the highest industry standards for health and human services. Our agencies of Sojourner Recovery Services and TLC offer a complete continuum of mental health and substance use treatment services. We equip our patients with the resources, services, and tools they need to achieve their goals and reach their highest personal potential. Community Health Alliance is proud to play a key role in helping individuals achieve a brighter and healthier future. Through innovation, integration, and collaboration of our agencies, the Community Health Alliance strengthens and empowers the individuals, families, and communities we serve.

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