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Insurance Qualifier Jobs (NOW HIRING)

Adams Insurance Advisors

Insurance Producer

Windsor, CO · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

Adams Insurance Advisors

Insurance Producer

Ogallala, NE · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

Adams Insurance Advisors

Insurance Producer

Greeley, CO · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

Adams Insurance Advisors

Insurance Producer

Ogallala, NE · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

Adams Insurance Advisors

Insurance Producer

Greeley, CO · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

Adams Insurance Advisors

Insurance Producer

Windsor, CO · On-site

$42K/yr

Identify, qualify, and develop sales opportunities with new and existing clients in person, online, by phone, and through written communication. * Foster and maintain excellent relationships with ...

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Insurance Qualifier information

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$31K

$58.2K

$86.5K

How much do insurance qualifier jobs pay per year?

As of May 30, 2026, the average yearly pay for insurance qualifier in the United States is $58,198.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $66,500.00 per year, depending on experience, location, and employer.

What is an Insurance Qualifier job?

An Insurance Qualifier is responsible for screening potential clients to determine their eligibility for insurance policies. They gather essential information, verify documentation, and assess whether applicants meet the insurer’s criteria. This role involves making outbound calls, asking pre-qualifying questions, and ensuring accurate data entry. Insurance Qualifiers work closely with agents to streamline the application process and improve customer experience. Strong communication and attention to detail are key skills for success in this position.

What are the key skills and qualifications needed to thrive in the Insurance Qualifier position, and why are they important?

To excel as an Insurance Qualifier, you need a strong understanding of insurance policies, underwriting guidelines, and risk assessment, usually supported by prior experience in insurance or a related field. Familiarity with insurance management software, CRM systems, and sometimes a state insurance license are often required. Excellent attention to detail, customer service skills, and strong verbal and written communication enable you to interact effectively with clients and team members. These competencies are crucial for accurately determining client eligibility, minimizing errors, and ensuring smooth policy onboarding.

What are the typical challenges faced by Insurance Qualifiers in their daily responsibilities?

Insurance Qualifiers often face the challenge of balancing a high volume of applications with the need for precise, detail-oriented review to ensure compliance with company and regulatory standards. They must remain up-to-date on evolving insurance products, underwriting criteria, and industry regulations to accurately assess applicant eligibility. Handling sensitive personal information and maintaining professionalism in sometimes stressful situations requires strong organizational and interpersonal skills. By developing efficient workflows and building strong relationships with both clients and internal teams, Insurance Qualifiers can successfully navigate these challenges and contribute to a smooth policy approval process.
More about Insurance Qualifier jobs
What cities are hiring for Insurance Qualifier jobs? Cities with the most Insurance Qualifier job openings:
What states have the most Insurance Qualifier jobs? States with the most job openings for Insurance Qualifier jobs include:
What job categories do people searching Insurance Qualifier jobs look for? The top searched job categories for Insurance Qualifier jobs are:
Insurance Qualifier jobs near you
Infographic showing various Insurance Qualifier job openings in the United States as of May 2026, with employment types broken down into 14% As Needed, and 86% Contract. Highlights an 96% Physical, and 4% Remote job distribution, with an average salary of $58,198 per year, or $28 per hour.
Insurance Verification Specialist

Insurance Verification Specialist

Shriners Children's

Salt Lake City, UT

$18 - $27/hr

Full-time

Posted 9 days ago

Shriners Children's rating

7.9

Company rating: 7.9 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

141st of 990 rated hospitals

Job description

Overview

The Insurance Verification Specialist coordinates acquisition of authorization approval or denials for services performed at Shriners Children's Salt Lake City, Utah.

This position is full-time and benefits eligible. Compensation is determined based on relevant experience and department equity.


Responsibilities

Authorizations
  • Maintains a thorough understanding of all major insurance plans and medical terminology and coding practices.
  • Utilizes ICD10 and CPT codes to assist in this process.
  • Responsible for obtaining and communicating pre-authorization as needed per insurance company requirements.
  • Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential insurance coverage issues.
  • Responsible for checking insurance eligibility.
  • Review information for admission including type and duration of service, authorization and treatment codes.
  • Responsible for tracking and obtaining authorizations from various carriers in a timely manner, requesting input from appropriate team members as needed. Requests for additional services (extended stays, visits, authorization extension, letter of medical necessity) and refers to additional resources when necessary.
  • Independently maintains and works from the electronic medical record and additional databases.

Communication

  • Responds promptly and accurately to telephone, written, and electronic inquiries from patients, providers and in-house departments.
  • Notifies Patient Financial Counseling of gaps in coverage and/or high co-pays or deductibles prior to services being rendered.
  • Assist with greeting incoming patients, completing/distributing paperwork, entering pertinent patient information into the electronic medical record, and verifying insurance eligibility.
  • Responsible for explaining benefits, the billing process and financial responsibility to parent/guardian.
Productivity
  • Assists in the development, organization and maintenance of role specific documents, policies, and tools.
  • Meets productivity goals as established by Revenue Cycle Manager and reports daily productivity data to manager.
  • Maintains tracking system for follow up on authorization requests.

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.


Qualifications

Required:

  • Knowledge of health care insurance systems, HMO, PPO, Medi-Cal, CCS, and other third party payer special requirements
  • Medical terminology sufficient to communicate with patients, health care providers and insurance company representatives regarding appointment, services, procedures and authorizations.
  • Microsoft Office including Word, Excel, Outlook, etc.
  • Knowledge of insurance qualifying information and requirements.
  • Knowledge of practices and protocols related to appointments scheduling procedures.

Preferred:

  • 1 year insurance of verification, authorization, medical billing and utilization experience
  • High School Diploma/GED

What Shriners Children's employees say

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Benefits

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