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Insurance Claims Processor Jobs in Naperville, IL

MBOS

Zero Balance Claims Specialist

Hillside, IL · On-site

The Zero Balance Claims Specialist is responsible for ensuring that all patient accounts and insurance claims are accurately processed and resolved to a zero balance. This role focuses on claim ...

Chubb

Claims Appeals Specialist

Chicago, IL · On-site

JOB SUMMARY The Claims Appeals Specialist is responsible for managing and processing appeals related to insurance claims. This role involves reviewing denied claims, analyzing documentation, and ...

Gallagher

Claims Advocate

Rolling Meadows, IL

Manage communications between clients, insurers and brokers to move the claims process forward * Advocate for clients to maximize results * Negotiate with insurers to ensure proper defense counsel ...

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All JobsInsurance Claims Processor JobsInsurance Claims Processor Jobs in Naperville, IL

Insurance Claims Processor information

See Naperville, IL salary details

$12

$22

$34

How much do insurance claims processor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for insurance claims processor in Naperville, IL is $22.30, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $25.43 per hour, depending on experience, location, and employer.

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role requires attention to detail, communication skills, and sometimes working under pressure, especially during busy periods or complex cases.

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.

How to become an insurance processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, along with strong organizational and communication skills. Some employers prefer candidates with experience in insurance or claims processing, and familiarity with claims management software can be beneficial. Certification is not always required but can improve job prospects and advancement opportunities.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Risk Officer tend to be the highest paid. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy and risk management at the highest level.

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.

What job categories do people searching Insurance Claims Processor jobs in Naperville, IL look for? The top searched job categories for Insurance Claims Processor jobs in Naperville, IL are:
Insurance Claims Processor jobs near you
Infographic showing various Insurance Claims Processor job openings in Naperville, IL as of July 2026, with employment types broken down into 86% Full Time, 10% Part Time, 2% Contract, and 2% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,392 per year, or $22.3 per hour.
Licensed Independent Claims Adjuster - Pet Insurance - Remote Position

Licensed Independent Claims Adjuster - Pet Insurance - Remote Position

Prudent Pet Insurance

Downers Grove, IL • On-site, Remote

$73K - $91K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 10 days ago

Job description

About Our Company and Team

At Prudent Pet Insurance Agency, we want our pets to enjoy great health and receive the best medical care possible throughout their lives. Like so many people today, we consider our pets to be members of the family and want to do whatever it takes to keep them safe.

Knowing your options when it comes to pet insurance policies means you can protect your pet, your finances, and your overall pet care experience. That's why we offer policies that are easy to understand, easy to buy and easy to use. And what makes us truly unique is an outstanding, caring, and diverse team that allows us to provide the best of everything to our policy holders.

We provide nationwide, customer centric service and are constantly looking to grow our team with those that are as passionate about pets as we are. We are searching for those with stellar personalities, unique perspectives, and those who understand the value of teamwork - all with the focus of pet health at top of mind.

We do what we love, and we love what we do! Join the #PrudentPetFam and help our policy holders keep their promise to their pets.

Why Prudent Pet?

If you are looking for a fast, fun, dynamic company that thrives on team involvement, pet passion, and fostering creativity, you have found your dream job. What do we offer in return? Plenty, but check out some highlights below:

  • Base Salary
  • Generous benefits package including medical, dental and vision
  • An immediate PTO bank to use as well as flexible schedules
  • Employee discount on your pet insurance
  • Opportunities for sharing your knowledge and experience across the entire organization
  • A seat in a small, fast-growing company with opportunities for growth, leveraging your creativity, and promotions from within.
  • Being a part of an inspiring, brilliant, entertaining, highly efficient and productive culture that you can find nowhere else

This is a career to get excited about!

About The Role – Licensed Independent Claims Adjuster – Remote Position

We are looking for an experienced Pet Insurance Claims Adjuster who also has a strong background in pet health, certified vet tech experience preferred, to join our claims processing team. The right candidate has extensive knowledge of the insurance claims process, is an expert at communicating with both policy holders and veterinary staff, is extremely organized, and has strong analytical and problem-solving skills. This is a great opportunity for one who is naturally curious and has a knack for figuring out the best processes and procedures for accurately reviewing medical records and invoices.

Core Responsibilities

  • Adjudicates pet insurance claims with respect to policy limits and terms in a timely manner
  • Evaluates and resolves claim issues accurately and efficiently
  • Is present in our overflow Customer Service phone queue and provides exceptional customer centric service to both the insured and other external parties to ensure a positive experience is the final result.
  • Communicates using the highest level of professionalism with external parties such as the insured, veterinarian offices, breeders, or adoption agencies to request, notify or verify information
  • Manages all aspects of the claims process in the policy administration platform
  • Prepares and provides reports to management as requested
  • Establishes a strong working relationship with the insurance carrier paying claims
  • Bring up ways to manage claims better and improve processes
  • Ask customers for reviews and referrals
  • Performs all other duties as assigned

Principal Working Relationships

  • Reports directly to the Claims Manager
  • Strong working relationship with Claims and Service Teams
  • Frequent communication with senior leadership
  • Other key home office employees

Qualifications

Licensure

  • Adjuster License required

Experience

  • At least three years of claims experience required
  • At least three years of customer service experience
  • At least five years of Vet Tech experience required
  • It is critical that this person be flexible and can mold and adapt their processes as we continue to determine efficiencies
  • Must possess a can-do attitude, one who is willing and able to go above and beyond, a true team player
  • Must be an expert communicator with the ability to build relationships, both over the phone and over messaging platforms like email, text, MS Teams messages.
  • Positive, patient person, with exceptional reading comprehension skills who can work both independently and toward team goals

Core Competencies

Based upon the responsibilities outlined, candidates should possess the following core competencies:

  • Achievement Orientation-the capacity to be energized and excited by challenging goals and a concern for surpassing a standard of excellence. It is reflected in a true sense of competitiveness and drive for results. At its highest level, it is reflected in a strong desire to win in the most challenging of circumstances.
  • Disciplined Action-acting proactively, which includes going beyond what is required for the job. It includes a willingness to act decisively and boldly to drive the business forward and attain exemplary levels of production.
  • Relationship Development-demonstrate an ability to develop and maintain a large volume of divergent business relationships over the course of time. These relationships should result in multiple sales of Prudent Pet products identified in the business plan
  • Team Alignment-the ability to provide a sense of cohesiveness, identity and purpose to a work group, which helps to inspire motivation among its members toward a common goal. At its highest level, it means demonstrating an understanding of group process and fostering a working climate of inclusion while leveraging individuals unique capabilities to enhance overall group effectiveness.
  • Organizational Influence-the ability to define and execute a plan in a compelling manner in order to foster consistent understanding across a wide group of individuals. It includes harnessing an understanding of one's audience to win support for a proposed initiative, building broader acceptance and generating enthusiasm for and ownership of challenging objectives.
  • Balancing Interests-the ability to recognize, manage and resolve the issues which emerge between groups with competing interests and needs. At its highest level, it is reflected in an understanding of the root causes of conflict between various constituencies within a situation and the ability to find ways to seek compromise and develop solutions that will ensure sales success.
  • Collaborating With Others-the ability to create and sustain positive working relationships with others. It includes taking the initiative to establish relationships and strengthen them through repeated contact and generating trust and respect though the exchange of ideas and sharing of information. In addition, it suggests a personal commitment to establishing an optimal working environment.
  • Professionalism- the ability to conduct business in a consistently professional manner. Being able to demonstrate integrity, honesty and enthusiasm at all times
  • Time Management- the ability to carry out multiple products selling strategies simultaneously and achieve or exceed sales goals in each product category. Demonstrate a willingness to put in the hours necessary to succeed at a high level.
  • Respect for Diversity- Supports a culture of diversity by fully utilizing the potential of all employees regardless of background or ethnicity. Will treat all employees, customers, and vendors with dignity and respect.

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