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Insurance Claims Associate Jobs in Springfield, MA

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Insurance Claims Associate information

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How much do insurance claims associate jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for insurance claims associate in Springfield, MA is $20.91, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $22.98 per hour, depending on experience, location, and employer.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Risk Officer tend to be the highest paid positions, often earning six-figure salaries plus bonuses. These roles require extensive experience, leadership skills, and industry knowledge, and they oversee company strategy, underwriting, and risk management functions.

What does a claim associate do?

An Insurance Claims Associate reviews and processes insurance claims to determine coverage and settlement amounts. They evaluate claim details, communicate with clients and adjusters, and use claims management software to ensure accurate and timely resolution of claims.

What is the role of a claims associate?

A claims associate in insurance is responsible for reviewing and processing insurance claims, verifying coverage, and determining claim validity. They communicate with policyholders, gather necessary documentation, and ensure claims are handled efficiently, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What jobs pay 2000 a day?

Insurance Claims Associates typically do not earn $2,000 a day; such high daily earnings are usually associated with specialized roles like high-level consultants, investment bankers, or certain sales positions. These roles often require extensive experience, advanced skills, or certifications, and may involve commission or performance-based pay structures.

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 Springfield, MA? The most popular types of Insurance Claims jobs in Springfield, MA are:
What are popular job titles related to Insurance Claims Associate jobs in Springfield, MA? For Insurance Claims Associate jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Associate jobs in Springfield, MA look for? The top searched job categories for Insurance Claims Associate jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Insurance Claims Associate jobs? Cities near Springfield, MA with the most Insurance Claims Associate job openings:
Insurance Claims Associate jobs near you
Infographic showing various Insurance Claims Associate job openings in Springfield, MA as of June 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 74% Full Time, 6% Part Time, and 17% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,501 per year, or $20.9 per hour.
Sr Insurance Specialist - Commercial/Blue Cross

Sr Insurance Specialist - Commercial/Blue Cross

Valley Health Systems

Holyoke, MA • On-site

Full-time

Posted 29 days ago

Job description

Disclaimer for Job Postings
Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.
Holyoke Medical Center is looking for a Sr Insurance Specialist. This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.
DUTIES AND RESPONSIBILITIES:
• Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
• Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
• Handles escalated inquires, build relationships with providers/payers and communicate claims status.
• Assist in training, coaching and provide senior support to less experienced team members.
• Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
• Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.
Required Skills
• Must show honesty, integrity, strong ethics, data entry skills and time management skills
• Insurance follow up experience especially Blue Cross and all Commercial Lines
• Strong understanding of Medetech and finThrive billing programs
• Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
• Proactive approach to resolving discrepancies between insurance policy terms and provider charges
• Ability to analyze complex data, identify issues and solve problems
• Proven background in handling complex institutional or healthcare related claims
• Proficiency with claims software and MS Office (especially Excel).
• Strong time management, organization skills and ability to work independently or in a team
• Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
• Knowledge of commercial, state and federal healthcare regulations
• Excellent Math Skills and knowledge of general accounting principals
• Ability to logically and accurately organize data
• Excellent problem solving skills
• Strong attention to detail
QUALIFICATIONS/JOB REQUISITES:
Education: High School Diploma or GED is required, an Associate or Bachelor's degree in Health Administration or related Study preferred
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.

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