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Insurance Claims Processor Jobs in Pennsylvania (NOW HIRING)

Sovereign Insurance Group

Claims Specialist

Berwyn, PA · On-site

$80K - $100K/yr

This person in this position works closely with customers and insurance carriers, providing support and guidance to ensure a seamless experience throughout the claims process. Responsibilities

Sovereign Insurance Group

Claims Specialist

Berwyn, PA · On-site

$80K - $100K/yr

This person in this position works closely with customers and insurance carriers, providing support and guidance to ensure a seamless experience throughout the claims process. Responsibilities

Talently

Claims Manager

York, PA · On-site

$60K - $80K/yr

Proactively manage and assist clients with open claims, providing ongoing guidance and support throughout the claims process. * Advise clients on insurance coverage and assist with reporting and ...

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All JobsInsurance Claims Processor JobsInsurance Claims Processor Jobs in Pennsylvania

Insurance Claims Processor information

See Pennsylvania salary details

$12

$22

$34

How much do insurance claims processor jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for insurance claims processor in Pennsylvania is $22.39, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $25.53 per hour, depending on experience, location, and employer.

What does an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

What are the key skills and qualifications needed to thrive as an insurance claims processor, and why are they important?

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

What is the difference between Insurance Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

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 education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What are popular job titles related to Insurance Claims Processor jobs in Pennsylvania?

For Insurance Claims Processor jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processor jobs in Pennsylvania look for?

The top searched job categories for Insurance Claims Processor jobs in Pennsylvania are:

What are popular job titles related to Insurance Claims Processor jobs in PA?

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

Insurance Claims Processor jobs near you
Infographic showing various Insurance Claims Processor job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,573 per year, or $22.4 per hour.

Claims & Denials Analyst

Lawall Prosthetic and Orthotic Services

Langhorne, PA

Full-time

Re-posted 9 days ago

Job description

Claims amp; Denials Analyst - full-time - in-office - Langhorne, PA - M-F, 8am to 4:30pm
We’re a fast-growing, employee-friendly prosthetics and orthotics company seeking a Claims amp; Denials Analyst to join our dedicated team in Langhorne.
This is a great opportunity for someone with a positive attitude, strong attention to detail, and some experience with health insurance claims—especially if you’re eager to learn and grow in a meaningful healthcare environment.
*This is not a remote opportunity.
Why You’ll Love Working With Us:
  • Supportive, team-oriented culture
  • Safe, clean, and friendly office environment
  • Opportunities for growth and on-the-job training
  • A chance to help patients receive life-changing care
What You’ll Do:
You’ll play a key role in making sure our patients' health insurance claims are submitted, processed, and resolved smoothly. Responsibilities include:
  • Preparing and reviewing patient documentation and claims
  • Verifying insurance eligibility and benefit coverage
  • Ensuring accurate coding and billing data
  • Submitting claims to private insurers and following up regularly
  • Investigating denials and working error/reject reports
  • Updating patient and insurance information in our systems
  • Collaborating with teammates to resolve billing issues quickly and correctly
What We’re Looking For:
We’re looking for someone who is:
  • Friendly, dependable, and eager to learn
  • A clear communicator with strong phone and computer skills
  • Computer-savvy, with experience using EMR or patient billing systems
  • Detail-oriented and organized
  • Able to work independently and manage priorities effectively
  • Comfortable handling sensitive information with professionalism
Qualifications:
  • High school diploma or GED required
  • 2 years of college or equivalent work experience preferred
  • 2 years of recent experience in healthcare accounts receivable
  • Thorough knowledge of private insurance claims processes
  • Proficient in Microsoft Outlook, Word, and Excel
  • Experience with EMR and patient billing software strongly preferred
Bonus Points If You:
  • Have some experience processing claims for respiratory DME
  • Have experience processing claims for orthotics and prosthetics
  • Enjoy solving puzzles and getting things “done right”
  • Bring a positive, team-first attitude every day
We offer competitive pay, benefits, and a great place to grow your career.

If you’re someone who takes pride in doing meaningful work and helping people access the care they need, we want to hear from you.
This is a drug-free workplace. Employment is contingent upon a background check and drug screening.

Apply