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Insurance Claims Processing Jobs in Montana (NOW HIRING)

Chubb

ESIS Senior Claims Representative, WC

Floweree, MT · On-site

$71K - $104K/yr

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... Strong technical knowledge of claims handling processes and terminology. * Excellent communication ...

Montana State University

Pharmacy Technician

Bozeman, MT · On-site

$23/hr

Process insurance claims and billing * Over-the-counter and retail sale management * Maintain required records and support pharmacy administrative functions Required Qualifications - Experience ...

Montana State University

Pharmacy Technician

Bozeman, MT · On-site

$23/hr

Process insurance claims and billing * Over-the-counter and retail sale management * Maintain required records and support pharmacy administrative functions Required Qualifications - Experience ...

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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.

Inpatient Pharmacy Technician 1.0 FTE (Certified or Non-certified) - On the job training available

Billings Clinic

Billings, MT

$17.75 - $21.75/hr

Other

Re-posted 29 days ago

Job description

*May be eligible for 2,500 sign on bonus*

Theincumbent in this position is responsible for assisting the pharmacist in thedelivery of quality pharmaceutical care and medication distribution aspermitted by law.

Essential Job Functions
Supports and models behaviors consistent with Billings Clinic's mission,vision, values, code of business conduct and service expectations. Meets allmandatory organizational and departmental requirements. Maintains competency inall organizational, departmental and outside agency standards as it relates tothe environment, employee, patient safety or job performance.
Answers the telephone and assists customers seeking pharmaceutical care.Performs a variety of data entry and report generating tasks.
Assists the pharmacist with all aspects of the Billings Clinic medicationdistribution system including compounding/admixing pharmaceutical preparations,filling bottles/bingo cards with prescribed tablets/capsules, processingprescriptions and emergent prescriptions, adjudicating claims, performing pointof sale functions, proper utilization of outpatient pharmacy technology etc.
Maintains adequate medication inventories and supplies to meet dispensingneeds.
Maintains an accurate controlled substance perpetual inventory viaappropriate use of controlled substance vault or controlled substance records.
Facilitates the delivery of all pharmaceuticals to meet the needs of thecustomer/patient and ensures proper point-of-sale (POS ) processes andbalancing of POS funds and registers.
Maintains the pharmacy in a neat and organized condition.
Processes complete prescription claims including properadjudication/reconciliation, insurance verification, prior authorization, andcompassionate care/medication assistance programs associated with patientaccounts and insurance claims billing.
Enters medication charges and credits for the adjudication/reconciliation ofpatient accounts and insurance claims billing.
Participates in quality improvement activities utilizing performanceimprovement principles to assess and improve quality.
Educates and trains new pharmacy staff, students, and residents, asappropriate.
Identifies needs and sets goals for own growth and development; meets allmandatory organizational and departmental requirements.
Maintains competency in all organizational, departmental and outside agencyenvironmental, employee or patient safety standards relevant to jobperformance.
Performs other duties as assigned or needed to meet the needs of thedepartment/organization.


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