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Insurance Claims Processing Jobs in Portland, TN

AP Health

Revenue Cycle Specialist II

Nashville, TN · On-site

$60 - $80/hr

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 ...

Sentry Insurance

Claims Technician

Nashville, TN · Hybrid

Your responsibilities will include maintaining accurate records, processing claim payments ... insurance department complaints. * Prepare a variety of state forms/filings according to claims and ...

Sentry Insurance

Claims Technician

Nashville, TN · On-site

Your responsibilities will include maintaining accurate records, processing claim payments ... We support your whole self with group medical, dental, and vision insurance along with parental ...

Sentryinsurance

Claims Technician

Nashville, TN · Hybrid

Your responsibilities will include maintaining accurate records, processing claim payments ... We support your whole self with group medical, dental, and vision insurance along with parental ...

Ceritypartners

Insurance Coordinator

Nashville, TN · On-site

$60K - $70K/yr

The Insurance Coordinator serves as the primary point of contact for clients' personal insurance ... Guide clients through the claims process by connecting them promptly with their agent, monitoring ...

Cerity-Partners

Insurance Coordinator

Nashville, TN · On-site

$60 - $80/hr

... through the claims process when needed. The Insurance Coordinator also supports life insurance trust administration and a variety of general client service needs. This is a detail-oriented ...

State Farm

Claim Specialist - WCCS Deployed

Nashville, TN · On-site

$63K - $82K/yr

You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable ® service. Where you'll work:

Allsup, LLC

VA Claims Specialist II

Nashville, TN · On-site

$35K - $45K/yr

Understand and support sales process. * Accesses claimant's record on the system (past notes ... Life Insurance * Paid Time Off * Paid Holidays * Flexible Spending and Health Savings Account

The MJ Companies

Claims Consultant

Nashville, TN

Support and guide clients through the carrier claim process. Act as an advocate for the best and ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

The MJ Companies

Claims Consultant

Nashville, TN · On-site

Support and guide clients through the carrier claim process. Act as an advocate for the best and ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Portland, TN

Insurance Claims Processing information

See Portland, TN salary details

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How much do insurance claims processing jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for insurance claims processing in Portland, TN is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.12 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 Portland, TN?

For Insurance Claims Processing jobs in Portland, TN, the most frequently searched job titles are:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Portland, TN as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $42,169 per year, or $20.3 per hour.

Senior Customer Success Manager (Payer)

Nashville, TN • On-site

Office Ally
Software Development • 51 - 200 employees
Learn more about Office Allyexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

Job description

About Us 

At Office Ally, we've been revolutionizing healthcare administration since our inception. What started as a clearinghouse focused on simplifying insurance claims processing for healthcare providers has grown into a full-suite healthcare technology company. We offer a range of affordable, cloud-based revenue cycle management solutions –from eligibility verification and claims management to revenue recovery and payment processing –that help healthcare organizations of all sizes streamline operations and reduce administrative burdens so they can focus on what matters most: patient care.

In April 2026, Office Ally acquired Jopari Solutions, Inc, a leader in straight-through electronic claims processing for Property & Casualty (P&C), Commercial, and Government healthcare. Jopari brings deep industry expertise and innovative enterprise payment solutions that are transforming how disbursements are handled across the insurance ecosystem. Together, we are expanding our capabilities across the full healthcare transaction lifecycle, connecting claims, payments, and data exchange to deliver a more seamless and efficient experience for providers, payers, and partners.

At the core of our company are four key values that guide our mission and work: 

  • Ownership: We take pride in our responsibilities, driving results and taking accountability for the success of our projects. 
  • Empowerment: We believe in giving our team the autonomy and support to make decisions that lead to innovative solutions. 
  • Innovation: We continuously seek new and better ways to improve healthcare administration, embracing creativity and forward-thinking technology. 
  • Transparent Communication: Open, honest communication is at the heart of our collaborations, internally and with our clients, ensuring alignment and trust. 

About the Role 

The Senior Customer Success Manager, Payer Solutions is a senior, client-facing role responsible for the retention, expansion, and long-term success of Jopari's payer customers, including insurance carriers, TPAs, risk pools, and self-insured entities.  

This role owns the post-sale payer relationship, serving as the primary point of contact for day-to-day engagement, strategic account planning, renewals, and growth opportunities across Jopari's payer-facing solutions. The CSM partners closely with Sales, Product, Implementation, Support, and Operations to ensure successful onboarding, sustained adoption, measurable outcomes, and continuous optimization aligned with each client's business objectives.  

Success in this role requires strong payer-domain knowledge, executive-level communication skills, and the ability to translate data, performance metrics, and client feedback into actionable insights that drive value, satisfaction, and revenue growth. 

What You'll Do 

Account Ownership & Client Engagement  

  • Own and manage a portfolio of payer accounts, serving as the primary point of contact for day-to-day engagement and ongoing relationship management re 
  • Build trusted relationships with operational, technical, financial, and executive stakeholders across Claims, Finance, IT, and Provider Relations teams  
  • Ensure high levels of client satisfaction, adoption, and retention across assigned accounts  

Stewardship, Performance & Optimization  

  • Lead regular stewardship meetings and business reviews to:  
  • Share metrics, performance benchmarks, SLAs, and operational outcomes  
  • Review electronic adoption, exception trends, payment mix, and workflow efficiency  
  • Identify risks, improvement areas, and optimization opportunities  
  • Use client feedback and data insights to continuously refine workflows, routing logic, and training recommendations  
  • Partner cross-functionally to drive issue resolution, operational improvements, and continuous value delivery  

Renewals, Expansion & Growth  

  • Drive renewals and contract expansions in partnership with Sales and leadership  
  • Identify and introduce cross-sell and upsell opportunities across payer solutions based on client needs, roadmap alignment, and performance data  
  • Explore integration opportunities aligned to payer initiatives such as:  
  • New claim system implementations or migrations  
  • Treasury, payment, and reconciliation initiatives  
  • Provider network strategies and electronic adoption programs  

Cross-Functional Collaboration  

  • Partner with Sales to support expansion opportunities within existing payer accounts and ensure seamless handoff post-sale  
  • Collaborate with Implementation and Product teams to support onboarding, configuration, and roadmap alignment  
  • Work closely with Support and Operations to proactively manage escalations and service-level commitments  
  • Act as the internal voice of the customer, providing feedback to inform product, process, and go-to-market improvements  

Reporting & CRM Discipline  

  • Maintain accurate and timely account, activity, and opportunity data in Salesforce  
  • Track renewal timelines, expansion pipeline, risks, and account health indicators  
  • Provide regular updates and forecasts related to retention and growth performance 

What You'll Need 

  • 5+ years of customer success, account management, or client-facing experience in healthcare, health IT, claims technology, or payment solutions  
  • Bachelor's degree in business, healthcare administration, or related field, or equivalent experience 
  • Demonstrated success managing payer relationships and driving retention, satisfaction, and expansion 
  • Understanding of payer-side workflows, including claims intake, bill review, remittance, payments, and provider support operations  
  • Executive-level communication skills, with experience leading executive-level conversations and presenting performance data and outcomes to senior stakeholders  
  • Ability to analyze data and metrics to identify trends, risks, and optimization opportunities  
  • Proven ability to work cross-functionally with Sales, Product, Implementation, Operations, and Support teams  
  • Experience using Salesforce or a similar CRM for account management and forecasting 
  • Customer-centric, consultative mindset 
  • Data-driven and analytical with a focus on outcomes 
  • Organized and disciplined in account and pipeline management 
  • Proactive, accountable, and results-oriented 
  • Comfortable operating in a matrixed, fast-paced environment 

Travel Requirements 

  • This role requires up to 25% travel, which may include client meetings, team gatherings, or company events. 
  • Travel will typically be scheduled in advance and supported by the company. 

Pay Transparency

Office Ally is committed to fair and equitable compensation practices in alignment with pay transparency laws. Compensation for this position may vary based on individual skills, experience, and location. In addition to base pay, employees may be eligible for performance-based bonuses and a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) with company match, paid time off, and other benefits. Actual compensation will be determined considering the candidate's qualifications, relevant experience, and internal equity.

Office Ally Pay Transparency
$100,000—$120,000 USD

Why You'll Love Working at Office Ally 

At Office Ally, your work has a direct impact on healthcare providers and their ability to deliver exceptional care. We're driven by a mission to simplify healthcare administration, making it easier for providers to focus on what they do best—helping patients. As an Office Ally employee, you'll be at the heart of our efforts to deliver exceptional service and software solutions to our clients in the healthcare space.     

EEO Note 

Office Ally is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.