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Insurance Claims Processing Jobs in Tennessee (NOW HIRING)

USAA

Property Adjuster Specialist - Field Claims

Knoxville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... process. * Advance knowledge of estimating technology platforms and virtual inspection tools. * Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

USAA

Property Adjuster Specialist - Field Claims

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... process. * Advance knowledge of estimating technology platforms and virtual inspection tools. * Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

Moore Dental Office

Patient Account Coordinator

Martin, TN · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Summary The Patient Account Coordinator is responsible for managing all aspects of dental insurance billing, claims processing, payment posting, and accounts receivable follow-up. The ideal ...

CKE Restaurants

Claims Specialist

Franklin, TN

Process incoming invoices, check requests, and deposits, as needed. * Contribute to the Company ... insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities.

CKE

Claims Specialist

Franklin, TN · On-site

Process incoming invoices, check requests, and deposits, as needed. * Contribute to the Company ... insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities.

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Tennessee

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 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, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution.

Workers' Compensation Claims Coordinator

INVO CLAIMS ADMINISTRATORS

Oak Ridge, TN • On-site

Full-time

Re-posted 10 days ago

Job description

Manage and coordinate workers' compensation claims from initial injury reporting through resolution. You'll be the liaison between employees, supervisors, insurance carriers, healthcare providers, and legal representatives - ensuring timely processing, regulatory compliance, and effective return-to-work programs.

This is a full time, in-office role based in Oak Ridge, TN.


What You'll Do:

-Receive, review, and process workers' compensation injury reports.

-Coordinate documentation and submit required forms to carriers and regulatory agencies.

-Monitor claim status and maintain accurate records in claims management systems.

-Communicate with parties on claim progress, medical treatment, and return-to-work options.

-Investigate workplace injuries with the claims team and gather supporting documentation.

-Coordinate with healthcare providers for medical reports and treatment updates.

-Support compliance with federal, state, and company WC regulations and policies.

-Help develop and administer return-to-work and modified-duty programs.

-Identify injury trends, recommend preventative measures, and prepare management reports.

-Support audits, legal proceedings, and insurance carrier inquiries as needed.


Education:

Associate's or Bachelor's in HR, Business Administration, Risk Management, or related field preferred.


Experience:

-2-5 years in worker's compensation, claims administration, risk management, HR, or related field.

-Experience with insurance carriers, TPAs, or claims management systems preferred.


Skills that Set You Apart:

-Knowledge of WC laws, regulations, and claims processes.

-Strong organizational and recordkeeping skills.

-Excellent verbal and written communication.

-Manages multiple claims and deadlines at once.

-Proficient in MS office and claims software.

-Strong analytical and problem-solving skills

-Discreet with sensitive, confidential information.

-Customer-service-oriented with strong people skills.