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Insurance Claims Processing Jobs in Tennessee (NOW HIRING)

... new processes that support the meaningful work of independent physicians and the patients they ... Interpret Insurance payments, denials, and reprocesses from explanation of benefits. * Submit ...

Working knowledge of computers for word processing, insurance claims processing and records management * Knowledge or experience in staff management Interpersonal * Excellent communications skills

Insurance Advisor

Covington, TN ยท On-site

$35K - $50K/yr (+ commission)

Manage client inquiries, policy changes, and claims processing with professionalism and efficiency. * Communicate effectively with team members, clients, and insurance carriers to ensure seamless ...

Insurance Advisor

Covington, TN ยท On-site

$35K - $50K/yr (+ commission)

Manage client inquiries, policy changes, and claims processing with professionalism and efficiency. * Communicate effectively with team members, clients, and insurance carriers to ensure seamless ...

Medical Biller

Jackson, TN ยท On-site

$15.25 - $19.75/hr

Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Supervision Received: Reports to Billing Manager. Essential Functions: * Researches all ...

Stay current on federal and state regulations, CMS guidelines, and individual insurance company policies to ensure compliance and support accurate claims processing. * Maintain detailed documentation ...

Showing results 41-60

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:

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.

Life Insurance Sales Agent

Sherrill Insurance Agency

Knoxville, TN โ€ข On-site

$113K/yr

Full-time

Medical, Life

Posted 6 days ago


Job description

Looking for a chance to achieve new career heights on a dedicated, compassionate team of successful insurance agents? Our insurance agency is expanding and needs the help of a life insurance agent to grow our list of prospective clients and onboard new clients. Our ideal candidate is great with people, a naturally talented salesperson, and harbors incredible customer service skills and a passion for helping those in need. You’ll have an opportunity to help a thriving insurance team succeed and make a tangible difference in our clients’ lives every day. If this sounds like a job you’d love, apply now!Compensation:

89,000 - 113,000 yearly


Responsibilities:
  • Develop a prospective customer base and advertise our insurance products through referrals, cold calling, networking, and other marketing strategies to secure new business
  • Provide warm and professional customer service while onboarding new clients and maintain existing clients, including booking appointments, inquiry response, insurance eligibility, claim submissions questions concerning billing and insurance policies
  • Ensure all contracting paperwork is up to date while maintaining databases, records, and bookkeeping
  • Determine new customers’ insurance needs, desires, insurance risk, prior coverage, and financial standing via booked consultations to ensure the best client experience possible
  • Process current policyholders’ insurance claims while monitoring the status of existing insurance claims

Qualifications:
  • Prior health insurance or life insurance experience a bonus
  • Familiarity with the Microsoft Office suite
  • High school diploma or equivalent required; Bachelor’s degree preferred
  • Previous customer service or experience as a sales representative preferred
  • Current Life & Health insurance license is greatly valued

About Company

Sherrill Insurance Agency partners with Fortune 500 and Fortune 100 companies to market and sell their products.

  • No cold calling
  • No Prospecting
  • All Lead-based Sales
  • Six-figure Mentorship
  • Training