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Insurance Claims Processing Jobs in Springfield, PA

Corvel

Claims Assistant

Norristown, PA · Hybrid

$13.38 - $23.42/hr

Process payments, as needed * Process form letters, state forms and reports * Assist claims ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

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Insurance Claims Processing information

See Springfield, PA salary details

$11

$21

$32

How much do insurance claims processing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for insurance claims processing in Springfield, PA is $21.07, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $24.04 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 Springfield, PA?

For Insurance Claims Processing jobs in Springfield, PA, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Springfield, PA look for?

The top searched job categories for Insurance Claims Processing jobs in Springfield, PA are:

What cities near Springfield, PA are hiring for Insurance Claims Processing jobs?

Cities near Springfield, PA with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you

Sr. Complex Claims Specialist

Archgroup

Philadelphia, PA • Hybrid

$145K - $175K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Position Summary

Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators ("TPA's") and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process.

Responsibilities

  • Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage
  • Collaborate with TPA team members, Arch Claim Account Managers ("CAM's") and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies
  • Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims' Procedures, striving to achieve optimum claim outcomes
  • Effective and timely communication with insureds and brokers; making exceptional customer service a top priority
  • Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution
  • Effective claim file documentation, claim coding and diary management
  • Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines
  • Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures
  • Attend mediations, trials, other proceedings and meetings
  • Maintains all required state adjustor licenses
  • Assist CAM's and others with TPA management and oversight to include:
  • o TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise
  • o Sharing of claim handling/customer service best practices
  • o Assistance with claim file reviews and claim audits
  • o Regular meetings with TPA claims staff

Experience & Required Skills

  • Trucking,construction, emergency service/medical professional liability claim handling experience is a plus
  • TPA management/oversight experience is a plus
  • Excellent customer service skills and service minded
  • Strong analytical and problem-solving skills
  • Strong negotiation skills
  • Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch
  • Able to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing
  • Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations
  • Able to work well independently and in a highly collaborative team environment
  • Adaptable and able to succeed in a rapidly changing workplace
  • Strong Microsoft Excel, PowerPoint and Word skills
  • Willing and able to travel approximately up to 10% of time

Education

  • Juris Doctorate preferred.
  • Minimum of 10 yearscommercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims, or insurance defense/coverage practicing attorney with similar law firm experience

#LI-SW1

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For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$145,000 - $175,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.

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