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Insurance Claims Processing Jobs in Montana (NOW HIRING)

Farmers Insurance

Claims Sr Fld Rep Prop

Great Falls, MT · Remote

$26.01/hr

... investigation and processing of claims. *Employees assigned to the Catastrophe team will be ... Outside insurance education (CPCU, GCA) preferred. Experience Requirements Successful demonstration ...

HUB International Limited

Claims Coordinator

Bozeman, MT · On-site

$24 - $28/hr

About Proper Insurance ® Located in Bozeman, MT, Proper Insurance ® is a Coverholder at Lloyd ... Process Support Execute department projects assigned by management (e.g., A/P support, data ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Montana

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 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 does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage eligibility and the amount payable. They verify information, process documentation, and communicate decisions to policyholders, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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 in insurance or related fields. Relevant skills include attention to detail, communication, and familiarity with claims processing software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require certification such as the Certified Claims Professional (CCP).

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 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?

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 popular job titles related to Insurance Claims Processing jobs in Montana? For Insurance Claims Processing jobs in Montana, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Montana look for? The top searched job categories for Insurance Claims Processing jobs in Montana are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Montana as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, 1% Temporary, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Insurance Coordinator

Oral Surgery Partners

Kalispell, MT • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

Title: Insurance Coordinator - PRN
Practice: Greater Montana Oral & Dental Implant Surgery
Location: 60 Village Loop, Kalispell, MT 59901

Hours: Monday-Thursday: 9:00 a.m. - 5:00 p.m.; Friday: 9:00 a.m. - 3:00 p.m.
This is an as-needed position and not a guaranteed full-time role. The individual in this role will assist with day-to-day scheduling support and provide coverage during PTO and other staffing needs. Weekly hours will vary based on operational needs, and some weeks may offer up to 40 hours.

Position Purpose:

An insurance coordinator plays a critical role within our oral surgery practices. The Insurance Coordinator is responsible for overseeing and managing all insurance-related activities within the organization. This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers.

Essential Functions

Insurance Verification and Authorization:

  • Verify patient insurance coverage and benefits.
  • Obtain pre-authorizations and referrals for services as required by insurance providers.
  • Ensure that all necessary documentation is completed accurately and submitted in a timely manner.

Claims Processing:

  • Prepare and submit insurance claims for reimbursement.
  • Monitor and follow up on the status of submitted claims.
  • Resolve any issues or discrepancies related to insurance claims and payments.
  • Process patient refunds, as applicable.

Patient Communication:

  • Answer patient calls and inquiries related to their insurance benefits and billing needs.
  • Communicate with patients regarding their insurance coverage and financial responsibilities.
  • Address and resolve patient inquiries and concerns related to insurance matters.

Billing and Reconciliation:

  • Assist in billing processes and ensure accurate coding and billing for services rendered.
  • Reconcile insurance payments and patient accounts.
  • Identify and rectify billing errors or discrepancies.

Compliance and Record Keeping:

  • Maintain up-to-date knowledge of insurance regulations and compliance requirements.
  • Ensure that all activities comply with relevant laws, regulations, and organizational policies.
  • Maintain accurate and organized records of insurance transactions and communications.

Collaboration and Coordination:

  • Work closely with healthcare providers, billing departments, and insurance companies.
  • Coordinate with other departments to streamline insurance processes and improve efficiency.
  • Participate in team meetings and contribute to process improvement initiatives.

Qualifications

Education:

  • High school diploma or equivalency, required.
  • Certification in medical billing and coding or a related area is a plus.

Experience:

  • Previous experience in insurance coordination, medical billing, or a related field is highly desirable.
  • Familiarity with healthcare insurance policies, procedures, and regulations.
  • Knowledge of relevant regulations and compliance requirements in healthcare.

Performance Requirements:

  • Approachable, professional demeanor
  • Strong communication and interpersonal skills.
  • Detail-oriented and thorough in task execution.
  • Excellent organizational and multitasking abilities.
  • Proficiency in using relevant software and systems for claims processing and record keeping.
  • Knowledge of medical terminology and healthcare practices.
  • Ability to work in a fast-paced environment and handle stressful situations with professionalism.
  • Empathetic and patient-focused approach to care coordination.
  • Independent decision-making skills and utilization of sound judgement.
What we do for you:
  • We offer Medical, Dental, and Vision Insurance plans to our full-time employees.
  • Two out of the three medical plans offered include Health Savings Account (HSA) eligibility.
  • Company-paid Life, AD&D and Long-Term Disability coverage.
  • Additional Voluntary Life and AD&D Insurance for you and your family!
  • Voluntary Short-Term Disability Insurance available to you as well
  • Dependent Care Flexible Spending Account (FSA) offered.
  • Immediately begin saving for retirement through our 401(k) starting with very first paycheck!
  • Employer 401(k) contribution and Profit Sharing after six months of employment
  • PTO and 8 Paid holidays for fulltime employees!

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work.  This is not an exhaustive list of all duties and responsibilities.  OPS's management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

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