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Insurance Claims Jobs in Vermont (NOW HIRING)

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Insurance Claims information

See Vermont salary details

$13

$24

$45

How much do insurance claims jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for insurance claims in Vermont is $24.99, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $27.36 per hour, depending on experience, location, and employer.

What are insurance claims?

Insurance claims are formal requests made by policyholders to their insurance company for coverage or compensation for a covered loss or policy event. After an incident like an accident, damage, or theft, the policyholder submits a claim, and the insurer reviews it to determine whether the event is covered under the policy. If approved, the insurance company will pay out the agreed-upon amount to the policyholder or a third party. The process may involve submitting documentation, working with adjusters, and sometimes negotiating settlements. Timely and accurate filing is important to ensure claims are processed efficiently.

What are the key skills and qualifications needed to thrive as an insurance claims specialist?

To thrive as an Insurance Claims Specialist, you need a strong understanding of insurance policies, claims processing, and investigative techniques, typically supported by a relevant degree or industry certification such as AIC. Familiarity with claims management software, document management systems, and regulatory compliance tools is essential. Exceptional attention to detail, strong communication skills, and empathy help you effectively assess claims and interact with policyholders. These skills ensure accurate claim evaluation, efficient processing, and high customer satisfaction in a regulated industry.

What are some common challenges encountered in an insurance claims role, and how can they be managed effectively?

Professionals in insurance claims often face challenges such as managing high caseloads, handling complex or disputed claims, and meeting strict regulatory requirements. Effective time management and strong organizational skills can help balance multiple cases, while clear communication and empathy are essential when working with clients during stressful situations. Staying up to date with industry regulations and seeking support from more experienced team members can also help address difficult cases and ensure compliant, fair outcomes.

What is the difference between Insurance Claims vs Insurance Adjuster?

AspectInsurance ClaimsInsurance Adjuster
Primary RoleSubmitting and managing insurance claimsInvestigating and evaluating insurance claims
Required CredentialsBasic knowledge of insurance policies, often no formal certification neededAdjuster license, certifications like AIC or CPCU often required
Work EnvironmentOffice, remote, or on-site at claim locationsFieldwork, on-site inspections, office work
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

While both roles are integral to the insurance industry, Insurance Claims professionals focus on submitting and managing claims, whereas Insurance Adjusters investigate and evaluate claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the most commonly searched types of Insurance Claims jobs in Vermont?

The most popular types of Insurance Claims jobs in Vermont are:

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

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

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

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

Insurance Claims jobs near you
Infographic showing various Insurance Claims job openings in Vermont as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $51,977 per year, or $25 per hour.

Pharmacy Prior Authorization Specialist

Onco360

Burlington, VT • On-site

$23/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 hours ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up
Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST
Full-Time position working out of the State of Vermont. This position may work remotely
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third-party authorization requests.
How You'll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

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