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Insurance Claims Processing Jobs in Philomath, OR

SAIF

Senior Claims Data Analyst

Salem, OR · On-site +1

$86K - $109K/yr

... insurance company. So, naturally, this is not your typical analyst position. As our new senior ... You'll also need demonstrated knowledge of statistical processes and techniques. Strong skills with ...

SAIF

Senior Claims Data Analyst

Salem, OR · On-site

$86K - $109K/yr

... insurance company. So, naturally, this is not your typical analyst position. As our new senior ... You'll also need demonstrated knowledge of statistical processes and techniques. Strong skills with ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Philomath, OR

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How much do insurance claims processing jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for insurance claims processing in Philomath, OR is $21.63, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $24.66 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 cities near Philomath, OR are hiring for Insurance Claims Processing jobs?

Cities near Philomath, OR with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Philomath, OR as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 24% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $44,981 per year, or $21.6 per hour.

Revenue Cycle AR Claims Specialist

Corvallis Clinic Business Office

Corvallis, OR

$17.65 - $22.05/hr

Full-time

Re-posted 7 days ago

Job description


Compensation: $17.65 - $22.05 per hour (based on yearsof experience)Summary:  

The responsibility of the RevenueCycle Claims Specialist is to maintains current knowledge of insurancecarriers' rules, regulations, and contracts; acts as a liaison for patientswith the insurance carrier for internal/external customers; and is responsible forposting payments, adjustments, status, and reason codes. Contracts are reviewedfor accuracy of payment with direct communication with payer provider reps. Analyzeand test new system modules and upgrades. Confirmed and maintains mandatedrequirements for provider rosters.

Responsibilities: 

1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards document. To this end, employees will beexpected to read, have familiarity with, and embrace the principles containedwithin.

2. Researches and resolves claims based onassignment, which could include contacting payers via phone or website,contacting practices, working across departments, writing appeals, andfacilitating their submission, and all other activities that lead to thesuccessful adjudication of eligible claims including but not limited to:

  • Providesmedical record documentation to insurance companies as requested.
  • Filesclaims using all appropriate forms and attachments.
  • Communicateswith insurances companies about insurance claims, denials, appeals andpayments.
  • Researchdenied and improperly processed claims by contacting insurance companies orutilizing online payor portals to ensure proper processing and/or reprocessingof claims. Works directly with provider reps to escalate claims issues.
  • Resubmitsdenied and improperly processed claims to insurance payers in a timely manner.
  • Creates,reviews, and works insurance aging reports to identify unpaid insurance claims,corrects any errors, and resubmits claims as needed to ensure timely andaccurate payments are received.
  • Tasks appropriatestaff while working vouchers for denials, $0 pay, and refunds.
  • Communicateswith practices and payers regarding claim denials and payer trends.

3. Collaborates with PracticeManagement and the co-source model within the Electronic Health Record toensure files are kept up to date; identifies and requests support where needed:

  • Analyzesand tests new system modules and upgrades, providing recommendations tomanagement staff regarding necessary modifications, education, and training.
  • Worksclosely with physician credentialing to meet insurance and governmentalmandates for updating insurance rosters quarterly.
  • Responsiblefor maintaining and updating provider credentials, as well as updatinginsurance category classifications.

4. Identifiesroot-causes of claim issues and proposes resolutions to ensure timely andappropriate payment.

5. Educatesand communicates revenue cycle/financial information to patients, payers,co-workers, managers, and others as necessary to ensure accurate processes.

6. Identifiesissues and or trends with payers, systems, or escalated account issues and providessuggestions for resolution to management.

7. Evaluatescarrier and departmental information to determine data needed to be included insystem tables.

8. Completes tasks assigned throughworklists, reports, projects, team goals and objectives. Meetsproductivity standards as set by management.


Education/Licensure/Experience:

1. HighSchool diploma or equivalent required.

2. Two (2) ormore years of successful experience within medical billing office, required.

3. One (1) ormore years of customer service experience, required.

4. Proficiency in Microsoft OfficeSuite; mainly Word and Excel, required.

Knowledge and Skills: 

1. Intermediate computer skills, including MSWord and Excel

2. Knowledge of medical terminology, CPT, ICD-9and ICD-10 coding

3. Knowledge of finance/accounting, includinginsurance carrier billing

4. Excellent oral and written communication skills

5. Ability to work with difficult/upset people.

6. Ability to collaborate well with providers andother staff.

7. Ability to work on multiple taskssimultaneously in a busy, demanding environment while maintaining quality of work.



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