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Insurance Claims Processing Jobs in Illinois (NOW HIRING)

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 ...

Spotter

Experience in claims processing, insurance, or a related field is preferred. Understanding of claims management software is a plus. * Analytical Skills: Excellent analytical and problem-solving ...

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Insurance Claims Processing information

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.

What are popular job titles related to Insurance Claims Processing jobs in Illinois?

For Insurance Claims Processing jobs in Illinois, the most frequently searched job titles are:

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

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

What cities in Illinois are hiring for Insurance Claims Processing jobs?

Cities in Illinois with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Processor

Springfield, IL

Express Employment
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Express Employmentexternal

$19 - $22/hr

Full-time

Posted 8 days ago

Job description

Located in Springfield, IL
Salary: $19.00-$22.00 per hour
Claims Processor
Location: Springfield, IL
Pay: $19.00-$22.00 per hour
Schedule: Monday-Friday, 8:00 AM-4:30 PM
Express Employment Professionals is hiring a Claims Processor for a growing organization in Springfield, IL. This full-time office position is ideal for someone with strong customer service, administrative, or insurance experience who enjoys working with details, processing information accurately, and communicating with insurance providers.
Why You'll Love This Opportunity:
  • Stable Monday-Friday schedule with no weekends.
  • Competitive pay based on experience.
  • Meaningful work supporting an Early Intervention program that helps children and families.
  • Professional office environment with opportunities to grow your skills.
  • Variety in your day through phone communication, research, and claims processing.
  • Local commute with weekly pay

Responsibilities:
  • Contact insurance companies to verify insurance benefits using a structured list of questions.
  • Process insurance claims accurately and efficiently.
  • Verify insurance information, eligibility, deductibles, copays, and timely filing requirements.
  • Review and enter procedure codes using the company's claims processing system.
  • Perform accurate data entry using 10-key and alphanumeric entry.
  • Communicate professionally with insurance representatives by phone and email.
  • Maintain detailed records while meeting productivity and accuracy goals.
  • Work independently while managing multiple priorities and deadlines.
  • Support claims processing for an Early Intervention program serving children ages 0-3.

Qualifications:
  • Previous experience in insurance, medical billing, claims processing, healthcare administration, customer service, or office administration is preferred.
  • Medical claims or insurance billing experience is a plus.
  • Knowledge of deductibles, copays, and insurance verification is helpful.
  • Strong computer skills, including Microsoft Word, Excel, Outlook, and email.
  • Excellent written and verbal communication skills.
  • Strong attention to detail and organizational skills.
  • Accurate 10-key and alphanumeric data entry skills.
  • College coursework or a degree is a plus but not required.

If you're looking for a career in insurance, medical billing, healthcare administration, or claims processing, apply today.
#1044OS
Express Office: Springfield
3000 Professional Drive
Springfield, IL 62703
Express Employment Professionals logo

About Express Employment Professionals

Sourced by ZipRecruiter

Express Employment Professionals, based in Oklahoma City, OK, USA, operates in the staffing industry and is renowned for providing robust and reliable staffing solutions. Their official website - expresspros.com - details their variety of services, which include temporary and full-time staffing, human resources services, and professional search. The company was established in 1983 with the aim of helping as many people as possible to find good jobs, and since then, it has grown exponentially, expanding its reach to various domains within the job market.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Oklahoma City, OK, US

Social media

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