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Insurance Claims Associate Jobs in Kentucky (NOW HIRING)

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Associate's or Bachelor's Degree Work Experience: * Required: Customer Service * Desired: Up to one ...

Liability Specialist

Lexington, KY · Remote

$63K - $100K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Associates or bachelor's degree preferred. Additional Experience * Five years casualty claims ...

Our Company PharMerica Overview The 3rd Party Claims Specialist Team Lead is a subject matter ... Associates degree, 4 year college or technical degree. • 3+ years insurance billing experience ...

Posted today

Our Company PharMerica Overview The 3rd Party Claims Specialist Team Lead is a subject matter ... Associates degree, 4 year college or technical degree. • 3+ years insurance billing experience ...

Posted today

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Insurance Claims Associate information

See Kentucky salary details

$11

$18

$26

How much do insurance claims associate jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for insurance claims associate in Kentucky is $18.23, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $20.05 per hour, depending on experience, location, and employer.

What are the main challenges Insurance Claims Associates face when managing multiple claims simultaneously?

Insurance Claims Associates often handle numerous claims at once, which can be challenging due to varying complexities, tight deadlines, and the need to maintain accuracy. Balancing thorough investigations with efficient processing is crucial, as is clear communication with clients, adjusters, and other stakeholders. Strong organizational skills and the ability to prioritize urgent tasks help Associates manage their workload effectively while ensuring customer satisfaction and compliance with company policies.

What are the key skills and qualifications needed to thrive as an Insurance Claims Associate, and why are they important?

To thrive as an Insurance Claims Associate, you need strong analytical skills, attention to detail, and a foundational knowledge of insurance policies, typically supported by a relevant degree or prior experience in insurance or customer service. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC (Associate in Claims) are often required. Excellent communication, negotiation, and problem-solving skills help in managing client interactions and resolving disputes efficiently. These abilities ensure accurate claims processing, customer satisfaction, and compliance with regulatory standards.

What does an Insurance Claims Associate do?

An Insurance Claims Associate is responsible for processing and evaluating insurance claims submitted by clients. Their main duties include reviewing claim forms, gathering necessary documentation, assessing the validity of claims, and communicating with policyholders, adjusters, and other parties involved. They ensure that claims are handled efficiently and accurately, following company policies and regulatory guidelines. Claims Associates play a key role in providing customer service and resolving issues related to claims. Their work helps determine the amount of compensation or coverage due to clients.
What are the most commonly searched types of Insurance Claims jobs in Kentucky? The most popular types of Insurance Claims jobs in Kentucky are:
What are popular job titles related to Insurance Claims Associate jobs in Kentucky? For Insurance Claims Associate jobs in Kentucky, the most frequently searched job titles are:
Infographic showing various Insurance Claims Associate job openings in Kentucky as of July 2026, with employment types broken down into 1% As Needed, 67% Full Time, 29% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $37,914 per year, or $18.2 per hour.
Claims Specialist / Remote

Claims Specialist / Remote

PharMerica

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

56th of 104 rated pharmacies


Job description

Our Company
PharMerica
Overview
Step Into a Rewarding Role as a Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.
Why Join PharMerica?
  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:
  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.

Shift: Varying shifts available from 4:30am-12:00am
What We Offer:
  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities
The Claims Specialist - 3rd Party:
  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications
Education/Learning Experience:
  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree

Work Experience:
  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:
  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:
  • Desired: Pharmacy technician, but not required

About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

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