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Insurance Claims Processing Jobs in Tennessee (NOW HIRING)

Lyft

Senior Claims Operations Specialist

Nashville, TN · On-site

The Operations Specialist position is an integral role assisting with the processing of claims and ... Seeks out opportunities to gain broader insurance knowledge and cross-training Experience: * 2+ ...

Lyft

Senior Claims Operations Specialist

Nashville, TN · Remote

The Operations Specialist position is an integral role assisting with the processing of claims and ... Seeks out opportunities to gain broader insurance knowledge and cross-training Experience: * 2+ ...

American Health Partners

Claims Auditor

Franklin, TN · Hybrid

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

American Health Partners

Claims Auditor

Franklin, TN · On-site

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

HomeFirst Agency

Claims Adjuster

Maryville, TN · On-site +1

... of claims, and explain the claims process and decisions. JOBFUNCTIONS ... Reviews insurance policies to determine coverageby working with Claims Trainers and ...

HomeFirst Agency

Claims Adjuster

Maryville, TN · On-site

Reviews, partners, and processes property damage claims submitted by policyholders. * Reviews insurance policies to determine coverage by working with Claims Trainers and leadership to interpret and ...

Wellpath

Claims Specialist (Hourly)

Franklin, TN

This position involves processing new, pended, edited, and returned claims to ensure resolution and completion. The Claims Specialist analyzes and resolves denials, rejections, and payment ...

Wellpath

Claims Specialist (Hourly)

Franklin, TN · On-site

This position involves processing new, pended, edited, and returned claims to ensure resolution and completion. The Claims Specialist analyzes and resolves denials, rejections, and payment ...

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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 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 Tennessee?

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

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

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

What cities in Tennessee are hiring for Insurance Claims Processing jobs?

Cities in Tennessee with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Senior Claims Operations Specialist

Lyft

Nashville, TN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Key responsibilities

  • Assist with processing claims and creating initial loss reports for Lyft Healthcare, Lyft Bikes, and Scooters.

  • Respond to customer inquiries related to claims and request additional information as needed to complete claim processing.

  • Coordinate with cross-functional teams regarding claims processes, system updates, and customer experience.

Lyft rating

7.6

Company rating: 7.6 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

2nd of 9 rated taxi private hire

Job description

At Lyft, our purpose is to serve and connect. We aim to achieve this by cultivating a work environment where all team members belong and have the opportunity to thrive.
Lyft is looking to add a Claims Operations Specialists to its growing Risk Team. The Operations Specialist position is an integral role assisting with the processing of claims and responding to inquiries to expedite the handling of claims. The focus of these roles will be cross-functional collaboration and enhanced customer communication focused on the best claims experience for our users. You'll balance day-to-day responsibilities between independent claims processing and working with our cross-functional teams with a focus on customer obsession and operational excellence.
Responsibilities:
  • Create initial loss reports and assist with overall processes for Lyft Healthcare, as well as Lyft Bikes and Scooters
  • Respond and assist with customer inquiries relating to claims
  • Requests additional information, where necessary, for completion of claim processing
  • Manages and coordinates next steps for Accidents; including missing claim searches, adjuster contacts, and enhanced customer experience
  • Coordinate with cross functional teams regarding claims processes, system updates, and customer experience
  • Gathers investigative material and general support to assist adjusters and internal claims teams
  • Develops and delivers effective written and oral communications/reports to management
  • Supports various Risk, Safety, Bikes & Scooters, Express Drive, Legal, Lyft Rentals, and Finance Teams regarding all aspects of insurance claims
  • Supports and facilitates a team environment of continuous feedback and idea sharing with all team members and stakeholders
  • Assist with special projects, including and not limited to auditing and data reconciliation
  • Seeks out opportunities to gain broader insurance knowledge and cross-training
Experience:
  • 2+ years experience handling and solving customer support issues - ideally in a safety or claims environment
  • Empathetic and sensitive to our community while executing on assigned tasks
  • Operates with high standards, integrity and impeccable judgment
  • Excellent listening, communication, verbal, and writing (documentation) skills
  • Comfortable in a fast-paced environment, subject to rapid change and uncertainty
  • Ability to prioritize multiple assignments.
  • Strong collaboration skills with peers and also cross-functionally.
Benefits:
  • Great medical, dental, and vision insurance options with additional programs available when enrolled
  • Mental health benefits
  • Family building benefits
  • Child care and pet benefits
  • 401(k) plan with company match to help save for your future
  • In addition to 12 observed holidays, salaried team members have discretionary paid time off, hourly team members have 15 days paid time off
  • 18 weeks of paid parental leave. Biological, adoptive, and foster parents are all eligible
  • Subsidized commuter benefits
  • Monthly Lyft credits and complimentary Lyft Pink membership

Lyft is an equal opportunity employer committed to an inclusive workplace that fosters belonging. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, age, genetic information, or any other basis prohibited by law. We also consider qualified applicants with criminal histories consistent with applicable federal, state and local law.
This role is fully remote in Nashville, candidates for this role must be based in the Nashville metro area. #Remote
The expected base pay range for this position in the Nashville area is $50,180 - $62,730, not inclusive of potential equity offering, bonus or benefits. Salary ranges are dependent on a variety of factors, including qualifications, experience and geographic location. Your recruiter can share more information about the salary range specific to your working location and other factors during the hiring process.

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About Lyft

Sourced by ZipRecruiter

At Lyft, our mission is to improve people's lives with the world's best transportation. To do this, we start with our own community by creating an open, inclusive, and diverse organization.

Industry

Ground public transportation

Company size

5,001 - 10,000 Employees

Headquarters location

San Francisco, CA, US

Year founded

2012

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