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Insurance Claims Processing Jobs in Oregon (NOW HIRING)

Relationinsurance

OR · On-site

... insurance claims. The individual in this role serves clients and providers by ensuring claims are processed accurately, efficiently, and in compliance with company policies and regulatory ...

Acrisure

Insurance Claims Advocate

Ontario, OR · Hybrid

$23 - $28/hr

Claim Advocates need to handle the claim process from beginning to end, working closely with the ... Serves as contact for Adjuster and Insured for claims related issues. * Refers complex coverage ...

Na Ali'i Consulting & Sales, LLC.

$65K - $85K/yr

Experience in insurance, claims processing, legal support, or quality assurance environments is highly desirable. Responsibilities The following reflects management's definition of essential ...

Na Ali'i Consulting & Sales, LLC.

$80K - $95K/yr

Experience in insurance, claims processing, legal support, or quality assurance environments is highly desirable. Responsibilities The following reflects management's definition of essential ...

Curana Health, Inc.

SummaryThe Claim Analyst is responsible for processing insurance claims accurately and efficiently while monitoring pending and reprocessed claims to ensure compliance with established policies and ...

Pan-American Life Insurance Group, Inc.

OR · Hybrid

Claims Manager Pan-American Life Insurance Group (PALIG) Location: US Remote | Hybrid Work ... Plan, schedule, and direct the activities of claims processors to achieve service performance and ...

Allstate

Telephone Claims Adjuster

OR · On-site +1

$68K - $104K/yr

By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply. Skills Analytical Thinking, Auto Insurance, Auto Insurance Claims ...

Tivity Health

$74K - $102K/yr

Oversee end-to-end claims processing operations, ensuring accuracy, efficiency, and adherence to ... insurance. * Proven track record of building and executing compliance programs aligned with CMS ...

First American

Title Insurance Claims Counsel (Remote)

OR · On-site +1

$97K - $130K/yr

Attend mediations and other required court appearances / processes * Review and approve invoices ... insurance claims and resolution This role is open to remote candidates across the U.S. However ...

Allstate

OR · On-site

$53K - $77K/yr

... process. Key Responsibilities Applies basic understanding of insurance policies written by the ... claims (coverage, liability and damages) with the exercise of limited discretion (limited ...

Corrohealth

Insurance Specialist

OR · Remote

Insurance Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. This is a remote position. ESSENTIAL DUTIES AND ...

Laurel Hill Center

Billing Coordinator

Eugene, OR · On-site

$51K - $62K/yr

Implement and maintain billing-related standard operating procedures (SOPs) Claims Processing (60%) * Verify and update insurance eligibility * Communicate changes in eligibility to appropriate staff

Laurel Hill Center

Billing Coordinator

Eugene, OR · On-site

$51K - $62K/yr

Implement and maintain billing-related standard operating procedures (SOPs) Claims Processing (60%) * Verify and update insurance eligibility * Communicate changes in eligibility to appropriate staff

Laurel Hill Center

Billing Coordinator

Eugene, OR

$51K - $62K/yr

Implement and maintain billing-related standard operating procedures (SOPs) Claims Processing (60%) * Verify and update insurance eligibility * Communicate changes in eligibility to appropriate staff

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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 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 are popular job titles related to Insurance Claims Processing jobs in Oregon? For Insurance Claims Processing jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Oregon look for? The top searched job categories for Insurance Claims Processing jobs in Oregon are:
What cities in Oregon are hiring for Insurance Claims Processing jobs? Cities in Oregon with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Oregon as of June 2026, with employment types broken down into 100% Full Time. Highlights an 81% In-person, 7% Hybrid, and 12% Remote job distribution.

Claims Examiner

Relationinsurance

OR • On-site

Full-time

Medical, Retirement, PTO

Posted 5 days ago

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 Examiner is responsible for verifying, adjusting, and resolving insurance claims. The individual in this role serves clients and providers by ensuring claims are processed accurately, efficiently, and in compliance with company policies and regulatory requirements. The Claims Examiner must demonstrate strong interpersonal, analytical, and organizational skills, and be able to communicate effectively with a variety of stakeholders.

A GLIMPSE INTO YOUR DAY

  • Reviews and validates claims for accuracy, completeness, and eligibility based on policy terms and guidelines.

  • Analyzes, adjudicates, and resolves claims by approving or denying documentation, calculating benefit amounts, and initiating payments or composing denial letters.

  • Ensures legal compliance with company policies, procedures, and applicable state and federal regulations throughout the claims process.

  • Maintains accurate records of claims, settlements, denials, and related documentation.

  • Addresses questions and concerns from providers, clients, and internal personnel regarding the adjudication process.

  • Reports overpayments, underpayments, and irregularities to supervisors.

  • Communicates with reinsurance brokers and other stakeholders to obtain necessary information for claim processing.

  • Verifies member eligibility, benefit coverage, and authorizations as needed.

  • Protects confidential information and ensure HIPAA compliance.

  • Identifies documentation gaps or discrepancies and coordinates resolution as needed.

  • Supports quality, accuracy, and consistency in claims processing through adherence to policies and procedures.

  • Effectively utilizes available technology and tools, including emerging and AIenabled solutions, to support efficient workflows, accuracy, and a positive client service experience.

  • Special projects and other duties as assigned.

WHAT SUCCESS LOOKS LIKE IN THIS ROLE

  • High school diploma or equivalent required.

  • Minimum 1 year of healthcare reimbursement or claims processing experience.

  • Ability to read, analyze, and interpret company guidelines, benefit documentation, and government regulations.

  • Intermediate computer skills, including email, database activity, word processing, and spreadsheets.

  • Ability to handle multiple tasks simultaneously and adapt to changing priorities.

  • Strong analytical, problem-solving, and communication skills.

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.

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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.

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$15.38 - $32.21

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