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Insurance Claims Processing Jobs in Oklahoma (NOW HIRING)

Relation Insurance

Claims Specialist, COE

Tulsa, OK · On-site

WHO WE ARE Relation Insurance is a leading, innovative company with a strong commitment to ... Processes COE claims accurately and timely in accordance with established procedures and program ...

Relationinsurance

Claims Specialist, COE

Tulsa, OK

WHO WE ARE Relation Insurance is a leading, innovative company with a strong commitment to ... Processes COE claims accurately and timely in accordance with established procedures and program ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

Relation Insurance

Claims Auditor - TPA

Tulsa, OK · On-site

WHAT WE'RE LOOKING FOR The Claims Auditor ensures claims are processed in accordance with ... Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for ...

Medix

Claims Examiner

Tulsa, OK · On-site

$20 - $20.50/hr

Minimum of 2 years of direct experience in health insurance claims processing or medical billing preferred. * High School Diploma or equivalent required. * Direct experience navigating and processing ...

MedTrust LLC

Medical Claims Repricer

Oklahoma City, OK · On-site

Experience: 1 to 3 years of experience in medical billing, coding, repricing or insurance claims processing. * Skills: Strong knowledge of medical terminology, basic math, and computer programs such ...

MedTrust LLC

Medical Claims Repricer

Oklahoma City, OK · On-site

Experience: 1 to 3 years of experience in medical billing, coding, repricing or insurance claims processing. * Skills: Strong knowledge of medical terminology, basic math, and computer programs such ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

Relationinsurance

Claims Auditor - TPA

Tulsa, OK

WHAT WE'RE LOOKING FOR The Claims Auditor ensures claims are processed in accordance with ... Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

What We're Looking For * Healthcare claims processing experience preferred. * Medical insurance, healthcare operations, or related healthcare experience required. * Previous QA, system testing, or ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Oklahoma

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 Oklahoma?

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

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

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

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Oklahoma as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Specialist, COE

Tulsa, OK • On-site

Relation Insurance
Insurance Services • 501 - 1,000 employees
Learn more about Relation Insuranceexternal

Full-time

Medical, Retirement, PTO

Posted 16 days ago

Relation Insurance rating

7.1

Company rating: 7.1 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

254th of 315 rated insurance

Job description

WHO WE ARE
Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.
WHAT WE'RE LOOKING FOR
The Claims Specialist processes and manages claims activities related to the organization's Healthcare Center of Excellence (COE) programs, ensuring accuracy, timeliness, and compliance with established standards. The individual in this position serves as a key resource for claims investigations, payment discrepancies, billing resolution, and member support. The Claims Specialist collaborates closely with external Smart Care Centers, clients, clinical teams, and internal operations to support efficient claims processing, reimbursement accuracy, and overall program performance.
A GLIMPSE INTO YOUR DAY
  • Processes COE claims accurately and timely in accordance with established procedures and program requirements.
  • Reviews, researches, and resolves claims discrepancies, payment issues, and escalations with a high degree of accuracy.
  • Serves as a subject matter resource for claims investigations, billing questions, and reimbursement inquiries.
  • Coordinates with Smart Care Centers and clients to ensure timely and accurate claims adjudication and payment processing.
  • Supports members by addressing claims-related questions and concerns with a high level of professionalism service.
  • Conducts auditing, reconciliation, and quality review activities to ensure claims accuracy and reimbursement integrity.
  • Collaborates with COE Operations and Clinical teams to ensure claims workflows align with organizational standards and program requirements.
  • Maintains accurate claims documentation, payment records, and related reporting data.
  • Identifies trends, recurring issues, or system gaps and escalates appropriately to support resolution.
  • Contributes to continuous improvement initiatives to enhance claims processing efficiency, accuracy, and overall service delivery.
  • Leverages internal systems, reporting tools, and proprietary technologies, including AI-enabled solutions, to improve claims processing accuracy, streamline workflows, and enhance issue resolution.
  • Performs other projects, duties, and tasks, as assigned.

WHAT SUCCESS LOOKS LIKE IN THIS ROLE
  • High School diploma or equivalent required.
  • Minimum of 3 years of experience in healthcare claims processing, billing, reimbursement, or a related healthcare operations role.
  • Experience supporting Centers of Excellence (COE) programs, third-party administrators (TPAs), or self-funded health plans preferred.
  • Experience in member services or provider relations within a healthcare environment preferred.
  • Working knowledge of healthcare regulations, reimbursement guidelines, and industry standards preferred.
  • Experience working with claims reporting, reconciliation, or quality assurance processes preferred.
  • Strong understanding of medical claims processes, billing practices, and reimbursement methodologies.
  • Experience researching and resolving claims discrepancies, payment issues, and escalated claims concerns.
  • Strong attention to detail with the ability to manage multiple priorities in a fast-paced environment.
  • Effective problem-solving, organizational, and analytical skills.
  • Strong written and verbal communication skills with the ability to interact professionally with members, clients, and providers.
  • Proficiency in Microsoft Office Suite and claims processing systems or similar healthcare platforms, with the ability to learn new software/systems.
  • Ability to handle sensitive information in compliance with HIPAA confidentiality regulations.

WHY CHOOSE RELATION?
  • Competitive pay.
  • A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
  • Career advancement and development opportunities.

Note: The above is not all encompassing of the full position description.
Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
$21.63 - $37.98

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