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Insurance Claims Processing Jobs in Tennessee (NOW HIRING)

Wellpath

Claims Specialist

Franklin, TN · On-site

Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... This position involves processing new, pended, edited, and returned claims to ensure resolution and ...

Zenova

Claims Specialist

Franklin, TN

Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... This position involves processing new, pended, edited, and returned claims to ensure resolution and ...

Zenova

Claims Specialist (Hourly)

Franklin, TN · On-site

Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... This position involves processing new, pended, edited, and returned claims to ensure resolution and ...

JOHNSTONE PARTNERS

Adjusting Associate

Brentwood, TN · On-site

To be discussed during the preliminary interview process About Johnstone Partners Johnstone Partners is a boutique insurance claims and risk consulting firm, specializing in complex insurance claims ...

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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.

Bodily Injury Claims Specialist

Auto Owners Insurance Company

Knoxville, TN • Hybrid

Full-time

Retirement, PTO

Re-posted 6 days ago

Auto-Owners Insurance rating

9.2

Company rating: 9.2 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

23rd of 315 rated insurance

Job description

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Job Description

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:

  • Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.

  • Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage.

  • Follow claims handling procedures and participate in claim negotiations and settlements.

  • Deliver a high level of customer service to our agents, insureds, and others.

  • Devise alternative approaches to provide appropriate service, dependent upon the circumstances.

  • Meet with people involved with claims, sometimes outside of our office environment.

  • Handle investigations by telephone, email, mail, and on-site investigations.

  • Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute.

  • Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials.

  • Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule.

  • Assist in the evaluation and selection of outside counsel.

  • Maintain punctual attendance according to an assigned work schedule at a Company approved work location.

Desired Skills & Experience

  • A minimum of three years of insurance claims related experience.

  • The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision.

  • The ability to effectively understand, interpret and communicate policy language.

  • The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues.

Benefits

Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!

Equal Employment Opportunity

Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.

*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

#LI-DNP #LI-Hybrid #IN-DNI

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