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Insurance Claims Processing Jobs in Pontiac, IL (NOW HIRING)

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Insurance Claims Processing information

See Pontiac, IL salary details

$11

$20

$31

How much do insurance claims processing jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for insurance claims processing in Pontiac, IL is $20.76, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $23.70 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 job categories do people searching Insurance Claims Processing jobs in Pontiac, IL look for?

The top searched job categories for Insurance Claims Processing jobs in Pontiac, IL are:

What cities near Pontiac, IL are hiring for Insurance Claims Processing jobs?

Cities near Pontiac, IL with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Pontiac, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $43,180 per year, or $20.8 per hour.

Physician Office Specialist, Campus Care, Ohio University

Ohio Health

Campus, IL • On-site

Full-time

Posted 28 days ago

Key responsibilities

  • Greet patients, complete registration, verify insurance, and collect payments at patient arrival.

  • Answer multi-line phones, screen calls, and direct them to appropriate staff members.

  • Provide clerical support such as faxing documents, processing forms, updating patient charts, and managing office supplies.

OhioHealth rating

7.0

Company rating: 7.0 out of 10

Based on 341 frontline employees who took The Breakroom Quiz

422nd of 898 rated healthcare providers

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary:

Provides receptionist/clerical support assuring patient flow, comfort and satisfaction. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good communication skills, and has strong computer knowledge and skills.

Responsibilities And Duties:

70%
RECEPTIONIST RESPONSIBILITIES 1. Greets patients at arrival for appointments, initiates appropriate paperwork. Completes patient registration, insurance verification, collection of patient insurance co-payments, collects patient outstanding balances, establishes patient payment plans, ensuring accuracy of information placed in information systems and billing systems. Works electronic medical record work queues to correct registration errors. 2. Responsible for electronic and manual insurance verification and processing of insurance paperwork. When necessary obtains pre-authorization from insurance companies. Interacts with physician offices and other third parties to obtain all necessary paperwork. 3. Updates patient chart electronic or paper r , obtaining patient signatures on necessary documents, files paperwork, notifies appropriate clinical associates of patient arrival. 4. Answers multi line phone system, screens calls for office associates, directing to appropriate office associate, ensures appropriate phone coverage using a computerized system. 5. Provides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include but not limited to: attachment of requested dictation to claims, addition of diagnosis allowances and authorization numbers 7. Assists in keeping patient charts organized and filed, including scanning and docutrack information into EMR 8. Attends staff meetings 9. Attends continuing in-house education seminars for further education as needed
30%
ORGANIZATIONAL/OFFICE RESPONSIBILITIES 1. Sorts, distributes, and mails transcription as assigned 2. Orders and stocks office supplies. 3. Ensure office equipment, are clean and well-maintained. 4. Provides support to appropriate staff members as assigned
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

1-2 years previous secretarial Experience in health care or medical office or one to two years related Experience and/or training; or equivalent combination of and Experience

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Urgent Care at Campus Care OU

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

What OhioHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

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About OhioHealth

Sourced by ZipRecruiter

OhioHealth is a not-for-profit, faith-based health system based in Columbus, Ohio, US. Operating since 1981, it is one of the largest and most comprehensive health systems in its area of operation. OhioHealth's business is grounded at the union of the healthcare and medical industry. The organization provides a full range of healthcare services from acute hospital care to rehabilitative and long-term care, including medical research and development.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

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