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Insurance Claims Processing Jobs in Minnesota (NOW HIRING)

Eclaro

Critical Illness Claims Rep

Minneapolis, MN · On-site

$22.85 - $28.57/hr

... insurance services. If you're up to the challenge, then take a chance at this rewarding opportunity Responsibilities: * Responsible for interpreting contract language and processing claims with high ...

DCM Services

Estate Claims Specialist

Bloomington, MN · On-site

$18 - $20/hr

Description Estate Claims Specialist Company: DCM Services & Forte, LLC Location: Bloomington, MN ... Our organizations combine advanced technology with compassionate, compliant processes to help ...

TEKsystems

Claims Specialist

Minneapolis, MN · Hybrid

$18 - $20/hr

... variable claims processing teams for more complex cases and resolutions, and go to legal and ... Operations, Insurance or Financial Industry, in various operations focused areas Experience Level ...

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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.
Critical Illness Claims Rep

Critical Illness Claims Rep

Eclaro

Minneapolis, MN • On-site

$22.85 - $28.57/hr

Other

Medical, Dental, Vision, Retirement

Posted 26 days ago

Job description

Critical Illness Claims Rep
Job Number: 26-01067
Find your next opportunity in the Financial Services Industry. ECLARO is looking for a Critical Illness Claims Rep for our client in Minneapolis, MN.
ECLARO's client's provides retirement savings, health & investment management and insurance services. If you're up to the challenge, then take a chance at this rewarding opportunity
Responsibilities:
  • Responsible for interpreting contract language and processing claims with high complexity.
  • Provide a high quality of service with minimal direction, that is consistent with regulatory and compliance requirements.
  • Analyze and determine Critical Illness claim processing in an accurate and timely manner, to include payment, denial, and requests for additional information.
  • Create and maintain excellent working relationships and communication with internal and external customers
  • Actively participates in root cause problem solving activities in a team environment
  • Manage work queue assignments within agreed SLAs, and support others in the same
  • Ability to handle complex claims including communicating with customers by phone and providing empathy and de-escalating measures for sensitive issues.
  • Other duties and projects as assigned

Required Qualifications:
  • Experience with Voluntary Critical Illness Insurance benefits preferred with complex medical review experience
  • Strong ability to decipher medical terminology and documentation to connect with Policy definitions to determine if all conditions of the benefit are met
  • Interpret diagnoses and clinical evidence within medical records to determine when an individual was diagnosed with their condition(s)
  • Reduce risk through attention to detail to maintain compliance guidelines and ensure decisions are fully supported by documentation and policy language
  • Strong written and oral communication capabilities to provide clear, policy-based denial letters to our customers
  • Understand Standards of Work and job aids
  • Advanced technical proficiency with claims processing systems and the ability to navigate multiple systems concurrently to research, validate, and adjudicate claims efficiently
  • Strong working knowledge of Microsoft Office applications (Excel, Word, Outlook)
  • Proven critical thinking and problem solving
  • Capacity to prioritize and balance workloads in a workflow environment
  • Ability to collaborate with others, to include across departments, to solution for shared customers

Pay Rate: $22.85-$28.57/Hour.
If hired, you will enjoy the following ECLARO Benefits:
  • 401k Retirement Savings Plan administered by Merrill Lynch
  • Commuter Check Pretax Commuter Benefits
  • Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO

If interested, you may contact:
Melissa Francisco
Melissa.Francisco@eclaro.com
6468495125
Melissa Francisco | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.

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