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Insurance Claims Processing Jobs in Detroit, MI (NOW HIRING)

The EMAC Group

Mortgage Claims Specialist

Detroit, MI · On-site

POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout ...

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply ...

Hylant

Claims Advocate

Ann Arbor, MI

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

Hylant

Claims Advocate

Ann Arbor, MI · On-site

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

Hylant

Claims Advocate

Detroit, MI

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Detroit, MI

Insurance Claims Processing information

See Detroit, MI salary details

$11

$22

$33

How much do insurance claims processing jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for insurance claims processing in Detroit, MI is $22.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $25.24 per hour, depending on experience, location, and employer.

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 Detroit, MI?

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

What job categories do people searching Insurance Claims Processing jobs in Detroit, MI look for?

The top searched job categories for Insurance Claims Processing jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Insurance Claims Processing jobs?

Cities near Detroit, MI with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $45,995 per year, or $22.1 per hour.

Claims Processing Representative

Southfield, MI

Great Expressions Dental Centers
Outpatient Health Care • 1 - 5K employees

6.0

Company rating: 6.0 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

751st of 893 rated healthcare providers

People enjoy working here

Respectful managers

Uninterrupted breaks

Learn more about Great Expressions Dental Centersexternal

Full-time

Posted 7 days ago

Job description

What you'll do... This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies

The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy. This position is located at our corporate office in Southfield, MI and requires an onsite presence on Mondays with remote days Tuesday-Friday. Additional onsite presence may be required based on business needs.

What you'll bring to the team... Post fundamental payer payments as assigned Follow denial protocols and procedures to correct or adjust claims Communicate clearly and concisely via telephone or email Assist with departmental admin duties Post patient payments to accounts Other tasks as requested by direct Manager What we require you have... High school diploma or GED Experience in medical billing systems a plus Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus Must possess high degree of professionalism and adaptability 10-Key & Alpha Numeric Data Entry with speed and accuracy Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems Team Player High level of detail orientation and organizational skills Basic math and analytical abilities Ability to work independently and professionally in a high volume environment Ability to maintain confidentiality Must have predictable and consistent attendance About GEDC..

Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes.

We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.

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Great Expressions Dental Centers logo

About Great Expressions Dental Centers

Sourced by ZipRecruiter

Founded in 1982, Great Expressions Dental Centers has consistently ranked among the nation's leading healthcare groups, providing oral health care services, dental education, and setting new standards for clinical excellence and patient satisfaction. And we do all of this while keeping a healthy smile affordable and convenient in a world of tight budgets and busy schedules. Join our team and help us continue to provide high quality, patient-focused dental care to our communities.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Bloomfield Hills, MI, US

Year founded

1982

Social media

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Benefits

Hours and flexibility

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