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Insurance Claims Jobs (NOW HIRING)

Diedre Moire

Insurance Claims Environmental

Westland, MI · On-site +1

$100K - $160K/yr

Claims Examiner Environmental - Westland, MI Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _ . REMOTE WORK FROM HOME ...

Acrisure

Insurance Claims Specialist

Springfield, IL

$50K - $60K/yr

Job Summary Acrisure is seeking an Insurance Claims Specialist to support the handling and investigation of California workers' compensation claims. This role is responsible for investigating ...

Acrisure

Insurance Claims Specialist

Middleton, WI

$50K - $60K/yr

Job Summary Acrisure is seeking an Insurance Claims Specialist to support the handling and investigation of California workers' compensation claims. This role is responsible for investigating ...

Diedre Moire

Insurance Claims Environmental

Concord, NC · On-site +1

$110K - $160K/yr

Claims Examiner - Commercial General Liability - Concord, NC Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _ . REMOTE WORK ...

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How much do insurance claims jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for insurance claims in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Claims Specialist, and why are they important?

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 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 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 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.

Is insurance claims a hard job?

Insurance claims jobs involve reviewing and processing claims, which can require attention to detail, strong communication skills, and knowledge of policies and regulations. The job can be challenging due to the need to evaluate complex information and handle difficult customer interactions, but it also offers opportunities for training and certification to improve proficiency.
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Insurance Claims jobs near you

Insurance Claims Specialist

Cardiovascular Logistics

Houma, LA • On-site

Full-time

Posted 2 days ago

Job description

Who We Are:

Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.

What We Offer:

  • Choice of three health insurance plans
  • Dental insurance coverage
  • Vision insurance coverage401(k) with company match and profit-sharing plan
  • Company-paid short-term and long-term disability coverage
  • Company-paid life insurance for you and your family
  • Access to company-provided training and educational resources
  • Eligibility for annual merit-based performance increases
  • Accrued General Purpose Time (GPT)
  • Eight company-paid holidays
  • Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days
  • Complimentary Employee Assistance Program (EAP) for all employees and their dependents
About the Role

  • Serves as an Insurance Claims Specialist within the billing office.

  • Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.

  • Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.

How You’ll Drive Our Mission Forward

  • Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.

  • Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.

  • Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.

  • Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.

  • Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.

  • Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.

  • Support CIS’s mission by performing any additional duties needed to ensure excellent service and operational success.

What Makes You a Great Match

  • High school graduate preferred.

  • Strong organizational and time management skills to handle multiple tasks efficiently.

  • Ability to work independently and prioritize responsibilities in a fast-paced environment.

  • Competency in computer systems, particularly those used for billing and insurance claims.

  • Experience with telephone collections is preferred but not required.

  • A proactive attitude and commitment to supporting CIS’s patient-first philosophy and operational goals.

    Apply