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Insurance Claims Processing Jobs in Minnesota (NOW HIRING)

Real Soft Inc

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Medical Claims Specialist

Minneapolis, MN · On-site

$28.16/hr

Experience processing insurance claims, preferably Critical Illness or Voluntary Benefits claims. * Strong medical terminology and medical record review skills. * Ability to interpret diagnoses ...

Dexian DISYS

Claims Processor

Saint Paul, MN · On-site

$17.25 - $21.75/hr

Familiarity with processing claims or transactions in the financial, insurance, or related industries is a plus. Nice to Have Skills: * Experience with annuity, life insurance, or financial ...

Career Site

Claims Specialist

Bloomington, MN · On-site

The Claims Specialist position will manage the intake, review, processing, and oversight of multi-line insurance claims. This position provides consulting and advocacy on behalf of our clients ...

Park Dental

Claims Specialist

Saint Paul, MN · On-site

$22 - $25/hr

Proactively work open insurance claims to ensure prompt processing Work aging report to ensure unpaid claims have been received and are in process with payers Improve claim flow by working with ...

Park Dental

Claims Specialist

Saint Paul, MN · On-site +1

$22 - $25/hr

Starting Wage: $22-25 per hour Responsibilities Essential Job Duties: • Proactively work open insurance claims to ensure prompt processing • Work aging report to ensure unpaid claims have been ...

Park Dental

Claims Specialist

Saint Paul, MN · On-site

$22 - $25/hr

Starting Wage: $22-25 per hour Essential Job Duties: · Proactively work open insurance claims to ensure prompt processing · Work aging report to ensure unpaid claims have been received and are in ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

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 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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

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.

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 does an insurance claims processor 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 specialized software. Strong 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 Minnesota? For Insurance Claims Processing jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Minnesota look for? The top searched job categories for Insurance Claims Processing jobs in Minnesota are:
What cities in Minnesota are hiring for Insurance Claims Processing jobs? Cities in Minnesota with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Minnesota as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution.
Medical Claims Specialist

Medical Claims Specialist

Real Soft Inc

Minneapolis, MN • On-site

$28.16/hr

Contractor

This job post has expired today. Applications are no longer accepted.

Job description

Job description:

Job Title: Medical Claims Specialist

Location: Minneapolis, MN (Hybrid – 2 Days/Week Onsite)

Employment Type:Contract-to-Hire

Job Summary

Seeking an experienced Critical Illness Claims Analyst to interpret policy language, review complex medical documentation, and adjudicate critical illness insurance claims accurately and efficiently. The ideal candidate will provide exceptional customer service while ensuring compliance with regulatory requirements and internal standards.

Key Responsibilities

  • Analyze, investigate, and process complex Critical Illness claims accurately and timely.
  • Determine claim approvals, denials, or requests for additional information based on policy provisions.
  • Review medical records and clinical documentation to validate eligibility and benefit conditions.
  • Communicate claim decisions clearly to customers through written correspondence and phone interactions.
  • Handle sensitive customer situations with empathy and effective de-escalation techniques.
  • Manage assigned work queues and meet established service level agreements (SLAs).
  • Participate in root cause analysis and continuous process improvement initiatives.
  • Collaborate with internal teams and cross-functional departments to resolve customer issues.
  • Maintain compliance with company policies, regulatory requirements, and documentation standards.
  • Support additional projects and duties as assigned.

Required Qualifications

  • Experience processing insurance claims, preferably Critical Illness or Voluntary Benefits claims.
  • Strong medical terminology and medical record review skills.
  • Ability to interpret diagnoses, clinical evidence, and policy language to determine benefit eligibility.
  • Experience handling complex claims and customer communications.
  • Excellent analytical, critical thinking, and problem-solving abilities.
  • Strong written and verbal communication skills.
  • Ability to prioritize workloads and manage multiple tasks effectively.
  • Advanced proficiency in claims processing systems and navigating multiple applications simultaneously.
  • Strong knowledge of Microsoft Excel, Word, and Outlook.
  • Ability to work independently with minimal supervision while maintaining high-quality standards.

Preferred Qualifications

  • Voluntary Critical Illness Insurance claims experience.
  • Complex medical review and adjudication experience.
  • Background in insurance, healthcare, disability, or benefits administration.

Experience:

  • Medical coding: 1 year (Required)
  • Medical Claims: 4 years (Required)
  • Medical Insurance: 2 years (Required)

Work Location: Hybrid remote in Minneapolis, MN 55401

Company Description

Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.
Address:
125 Village Blvd
Forrestal Village, Suite 200
Princeton, NJ 08540