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Insurance Claims Processing Jobs (NOW HIRING)

BLACKBURN'S

Claims Specialist

Tarentum, PA

We are seeking a detail-oriented and motivated Claims Processing Specialist to join our growing Claims Department and help ensure timely, accurate, and compliant insurance claim processing for the ...

Emergent Holdings

Claims Processing Associate

Lansing, MI

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Insurance Institute of America (IIA) or other insurance related coursework. Knowledge of Workers ...

ProAg

National Claims Processing Manager

Lenexa, KS · On-site +1

National Claims Processing Manager Location: Lenexa, KS / Remote Reports to ... Director of Insurance Operations Employment Type: Full-Time Job Requisition ID: 2026-? Requisition ...

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How much do insurance claims processing jobs pay per hour?

As of May 30, 2026, the average hourly pay for insurance claims processing in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

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 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 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.

More about Insurance Claims Processing jobs
What cities are hiring for Insurance Claims Processing jobs? Cities with the most Insurance Claims Processing job openings:
What states have the most Insurance Claims Processing jobs? States with the most job openings for Insurance Claims Processing jobs include:
What job categories do people searching Insurance Claims Processing jobs look for? The top searched job categories for Insurance Claims Processing jobs are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Property & Casualty Claims Executive

Higginbotham Insurance Agency

Atlanta, GA • On-site

Full-time

Posted 11 days ago

Job description

Position Summary: The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis.
Essential Tasks:
  • Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory
  • Service and be the point of contact for assigned threshold accounts.
  • Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc.
  • Handle and work with carrier and client on professional coverages, including D&O and EPL.
  • Ability to troubleshoot and consult clients on all P&C lines, including disputes or denials by the carrier.
  • Review, document and acknowledge Pre- Litigation request or demands.
  • Must be able to understand report, monitor and be able to consult clients on any Litigation Claims brought to Suit.
  • Proficient in excel with the capability to produce charts and presentations.
  • Perform claims reviews and loss analysis for assigned threshold accounts.
  • Must be comfortable in presentations to prospects and existing clients.
  • Travel as needed to support existing clients as well as company growth goals.
  • Ability to work both in a team environment and independently with minimal supervision
  • Must have excellent time management skills with the ability to multi task and calendar client service plans
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
  • Performs all other related duties as assigned

Core Competencies:
  • Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
  • Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
  • Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
  • Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
  • Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
  • Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
  • Dependability: Acknowledgment of the importance of being present and punctual.
  • Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
  • Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
  • Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment

Experience and Education:
  • Bachelor's Degree and at least 5 years of experience in the related field
  • 3+ years of claims processing experience
  • Insurance Claims terminology
  • Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices
  • Ability to organize, prioritize and communicate effectively while meeting deadlines and production goals
  • Must have commonly-used knowledge of claims examination concepts, practices and rules and claims workflows. This position utilizes experience and judgment to plan, accomplish goals and effectively solve problems with a variety of scenarios
  • Advanced training in claims processes preferred

Licensing and Credentials:
  • Adjusters License
  • Previous litigation and insurance claims experience preferred

Systems:
  • Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
  • Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Physical Requirements:
  • Ability to lift 25 pounds
  • Repeated use of sight to read documents and computer screens
  • Repeated use of hearing and speech to communicate on telephone and in person
  • Repetitive hand movements, such as keyboarding, writing, 10-key
  • Walking, bending, sitting, reaching and stretching in all directions

Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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