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Insurance Claims Processing Jobs (NOW HIRING)

Apolis

Claims Processing Executive

$17.50 - $22/hr

Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. * Work on the QNXT claims platform (Required). * Verify patient eligibility, coverage ...

Apolis

Claims Processing Executive

Iowa City, IA · On-site

$16.50 - $20.75/hr

Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. * Work on the QNXT claims platform (Required). * Verify patient eligibility, coverage ...

JNR Adjustment Company, Inc

Claims Representative

You will work closely with clients, insurance adjusters, and other stakeholders to ensure timely and accurate claims processing. Your goal will be to provide exceptional customer service and achieve ...

Express Employment

Claims Processor

Springfield, IL

$19 - $22/hr

Previous experience in insurance, medical billing, claims processing, healthcare administration ... customer service, or office administration is preferred. * Medical claims or insurance billing ...

New

Ztek Consulting INC

Claims Processing Executive

Phoenix, AZ · On-site

$17 - $21.25/hr

Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. * Core platform - QNXT claims experienced -Required * Eligibility Verification:

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

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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 Aug 19, 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 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 are the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.
More about Insurance Claims Processing jobs

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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:

What job categories do people searching Insurance Claims Processing jobs look for?

The top searched job categories for Insurance Claims Processing jobs are:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing 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 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Insurance Claims Processor

Global Channel Management

Mason, OH • On-site

Other

Re-posted 9 days ago

Job description

Insurance Claims Processor

Mason, Ohio, United States

$ 20.00 - 21.00 (US Dollar)

Insurance Claims Processor needs 1+ years experience

Insurance Claims Processor requires:

  • 2 weeks training onsite
  • Must be able to train onsite when requested
  • Proficient in Microsoft Excel applications.
  • Understand and honor high level of confidentiality. Promote integrity.
  • Working knowledge of mainframe computers and systems in general, ie: AS400
  • Strong work ethic.
  • High school degree required
  • Understands third party benefits and administration
  • 10,000 keystrokes

Insurance Claims Processor duties:

  • Research and apply insurance payments from clients to the appropriate system invoice.
  • Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.
  • Continuously improve methods for research and in order to effectively and efficiently process transactions.
  • Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.
  • Communicate with supervisor regarding transactions processed in a timely manner.
  • Identify and recommend systems and process modifications necessary to improve the efficiency
Global Channel Management logo

About Global Channel Management

Sourced by ZipRecruiter

Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Global Channel Management understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at the same time requiring the best talent for the job. GCM's Ownership and Management teams have extensive Staffing, Recruiting, HR and Executive Leadership knowledge, Experience and Expertise. Our Understanding and Commitment to our Client's Satisfaction are key reasons GCM has been successful in establishing long term relationships.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Austell, GA, US

Year founded

2009

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