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Insurance Claims Processing Jobs (NOW HIRING)

Claims Processor

Mason, OH · On-site

$13 - $18/hr

Experience working in a high-volume processing environment preferred. Responsibilities: * Process standard insurance claims and adjustments accurately and efficiently. * Meet or exceed production ...

Assisting a fire, water damage restoration company with project / claims, homeowners processing in regards. Part time / full time, hybrid remote. Xactimate, excel experience necessary. Will train to ...

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized, accurate, and moving quickly through the right next steps. We're looking for someone who is detail ...

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Insurance Claims Processing information

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$12

$22

$34

How much do insurance claims processing jobs pay per hour?

As of May 30, 2026, the average hourly pay for insurance claims processing in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

More about Insurance Claims Processing jobs
What cities are hiring for Insurance Claims Processing jobs? Cities with the most Insurance Claims Processing job openings:
What states have the most Insurance Claims Processing jobs? States with the most job openings for Insurance Claims Processing jobs include:
Infographic showing various Insurance Claims Processing job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.
Claims Processing Specialist

Other

Posted 21 days ago


Job description

Location: Tarentum, PA
Department: Claims

At Blackburn's Physicians Pharmacy, we help patients gain access to the medical equipment and healthcare services they depend on every day. We are currently seeking an experienced Insurance Claims Coordinator to join our Claims team and support the processing, follow-up, and resolution of medical insurance claims within a fast-paced DME/HME environment.

This position is ideal for someone who is highly organized, detail-focused, and comfortable working with insurance documentation, billing systems, and payer communications.


About the Role

The Claims Specialist is responsible for reviewing and processing healthcare claims, tracking insurance requirements, and supporting reimbursement efforts for medical equipment and related services. This role works closely with internal departments, insurance companies, and healthcare providers to ensure claims are handled accurately and efficiently.

The right candidate will be proactive, dependable, and able to manage multiple priorities while maintaining a high level of accuracy.


Responsibilities
  • Review and process medical insurance claims in accordance with payer guidelines
  • Monitor claim status and perform follow-up on outstanding or denied claims
  • Verify documentation requirements and ensure records are complete before submission
  • Assist with insurance authorizations, reauthorizations, and prescription renewals
  • Communicate with insurance representatives regarding claim status, missing information, or denials
  • Work collaboratively with billing teams, customer service staff, and clinical departments
  • Maintain accurate account notes and supporting documentation
  • Prioritize daily workloads to meet filing deadlines and departmental goals
  • Identify recurring issues and help support process improvements to reduce delays and denials
  • Ensure compliance with company procedures and insurance regulations
What We Offer
  • Stable, full-time position with a growing healthcare organization
  • Supportive team environment with hands-on training
  • Opportunities for advancement and professional development
  • Competitive pay and benefits package
  • The opportunity to make a direct impact on patient care and service

What We’re Looking For:

  • Previous experience in healthcare billing, claims processing, DME/HME, or insurance coordination preferred
  • Understanding of Medicare, Medicaid, and commercial insurance processes is a plus
  • Strong attention to detail and problem-solving skills
  • Excellent communication and organizational abilities
  • Ability to work independently and as part of a team
  • Comfortable working in a high-volume, deadline-driven environment
  • Basic proficiency with Microsoft Office and computer-based systems