ZipRecruiter

Log In

1

Insurance Claims Jobs (NOW HIRING)

Forest County Potawatomi

Insurance Claims Examiner II

WI · On-site

... claims administration and adjudication to Insurance Department staff; responsible for the timely response to formal appeals from members, employees, clients and providers 5 Reviews, resolves and/or ...

next page

Showing results 1-20

All JobsInsurance Claims Jobs

Insurance Claims information

See salary details

$12

$23

$43

How much do insurance claims jobs pay per hour?

As of Jul 17, 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.

Is a claims job a good career?

A claims job in insurance involves evaluating and processing claims to determine coverage and payouts, often requiring strong attention to detail and communication skills. It can offer stable employment, opportunities for advancement, and the potential for specialized certifications, making it a viable career choice for those interested in the insurance industry.

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.

What's the highest paying job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paying, often earning six-figure salaries plus bonuses. These positions require extensive experience, leadership skills, and advanced industry knowledge, often supported by professional certifications like CPCU or ARM.

Which claims adjusters make the most money?

Senior claims adjusters, especially those working in specialized areas like catastrophe or large-loss claims, tend to earn the highest salaries in the claims adjusting field. Adjusters with extensive experience, advanced certifications, or working for large insurance companies generally have higher earning potential.

Can I get a claims adjuster job with no experience?

Entry-level claims adjuster positions often do not require prior experience, but candidates typically need strong communication skills, attention to detail, and sometimes a relevant license or certification. Employers may provide on-the-job training to new hires, especially for those with a background in customer service or insurance-related fields.
More about Insurance Claims jobs
What cities are hiring for Insurance Claims jobs? Cities with the most Insurance Claims job openings:
What are the most commonly searched types of Insurance Claims jobs? The most popular types of Insurance Claims jobs are:
What states have the most Insurance Claims jobs? States with the most job openings for Insurance Claims jobs include:
What job categories do people searching Insurance Claims jobs look for? The top searched job categories for Insurance Claims jobs are:
Insurance Claims jobs near you
Infographic showing various Insurance Claims job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.
Health Insurance Claims Adjuster

Health Insurance Claims Adjuster

Integrity Marketing Group

Clearwater, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Integrity Marketing Group rating

7.5

Company rating: 7.5 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

17th of 48 rated marketing agency

Job description

Health Insurance Claims Adjuster
Insurance Administrative Solutions
Clearwater, FL
About Insurance Administrative Solutions
Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States.
Job Summary: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines.
Primary Responsibilities other duties may be assigned as necessary:
  • Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
  • Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions.
  • Interpret contract benefits in accordance with specific claim processing guidelines.
  • Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.
  • Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly.
  • Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.
  • Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
  • Maintain external contact with providers/agents/policyholders.

Primary Skills & Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
  • A high school diploma or GED equivalent
  • Minimum of 1 year proven health insurance claims adjudication experience.
  • Insurance background preferred; previous Medical/prescription claims preferred.
  • Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required.
  • Familiarity with medical terminology, procedures and diagnosis codes preferred.
  • Ability to read and interpret EOB's claim history, and excellent research skills.
  • Familiarity with Microsoft Office products; familiarity with Qiclink software a plus.
  • Ability to calculate deductible and co-insurance amounts.
  • Ability to adapt and respond to different types of people and tasks.
  • Excellent communication and documentation skills.
  • Ability to multi-task, prioritize, and manage time effectively and efficiently.
  • Reliable transportation and the ability to be punctual and dependable.

Benefits Available
  • Medical/Dental/Vision Insurance
  • 401(k) Retirement Plan
  • Paid Holidays
  • PTO
  • Community Service PTO
  • FSA/HSA
  • Life Insurance
  • Short-Term and Long-Term Disability

About Integrity
Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.
Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.
Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.
Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

What Integrity Marketing Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply