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Lead Claims Processor Jobs (NOW HIRING)

Amwins

Claims Processor

Scottsdale, AZ

$17.25 - $21.75/hr

Join Our Team as a Claims Processor at Amwins Self-Funded, LLC! Are you ready to make a meaningful ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $22/hr

Join Our Team as a Claims Processor at Amwins Self-Funded, LLC! Are you ready to make a meaningful ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

... Processor II is responsible for ensuring the accurate and timely processing of all UB, HCFA and ... Under the supervision of the team lead load new providers to InnovAge's PCM Network to allow claims ...

Regal Medical Group, Inc.

$28 - $30/hr

Recommend process improvements based on appeal tracking and trending reports. * Support Claims management in other company functions such as Medical Review management. * Handle and document ...

Amwins

Claims Processing Associate

Bluffton, IN

$16.25 - $21.75/hr

... Processor . This is an in-office position in Bluffton, IN that offers the flexibility to work from ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Processing Associate

Bluffton, IN · On-site

$16.25 - $21.75/hr

... Processor . This is an in-office position in Bluffton, IN that offers the flexibility to work from ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Process Coordinator

Scottsdale, AZ · On-site

Join Our Team as a Claims Process Coordinator at Amwins Self-Funded, LLC! Are you ready to make a ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Processing Coordinator

Scottsdale, AZ

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Processing Coordinator

Scottsdale, AZ · On-site

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

Amwins

Claims Process Coordinator

Scottsdale, AZ

Join Our Team as a Claims Process Coordinator at Amwins Self-Funded, LLC! Are you ready to make a ... Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve ...

QBE

Lead Claims Relationship Management

Los Angeles, CA · On-site +1

Employee Lead Claims Relationship Management * Location: USA -Boston, MA, Plano, TX, Los Angeles ... Working knowledge of the insurance process from application to claims resolution. * Experience with ...

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How much do lead claims processor jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for lead claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is a Lead Claims Processor?

A Lead Claims Processor is a senior professional responsible for overseeing the processing of insurance claims within an organization. They review, evaluate, and authorize claims, ensuring accuracy and compliance with company policies and regulations. In addition to handling complex or escalated claims, they often provide guidance and support to a team of claims processors, helping to train new staff and improve workflow efficiency. Lead Claims Processors play a key role in maintaining customer satisfaction and minimizing errors in the claims process.

What are the key skills and qualifications needed to thrive as a Lead Claims Processor, and why are they important?

To excel as a Lead Claims Processor, you need in-depth knowledge of insurance policies, claims adjudication processes, and a strong attention to detail, often supported by prior experience in claims handling. Familiarity with claims management software, electronic document management systems, and possibly certifications such as AIC (Associate in Claims) are typically required. Exceptional organizational, leadership, and communication skills set top performers apart, enabling them to manage teams and resolve complex cases efficiently. These competencies ensure accurate, timely processing of claims, minimize errors, and foster a productive team environment.

How does a Lead Claims Processor typically collaborate with other departments to resolve complex claims issues?

As a Lead Claims Processor, you'll frequently work alongside teams from customer service, underwriting, and legal departments to resolve complex or disputed claims. This cross-functional collaboration ensures that claims are handled efficiently and in compliance with company policies and regulations. You may also coordinate with IT or analytics teams to improve claims processing workflows, and regularly communicate updates or training to your own team. Building strong interdepartmental relationships is essential for streamlining processes and delivering a positive customer experience.

What is the difference between Lead Claims Processor vs Claims Processor?

AspectLead Claims ProcessorClaims Processor
CredentialsHigh school diploma or equivalent; often some experience in claims processingHigh school diploma or equivalent; entry-level position
Work EnvironmentTeam-based, collaborative setting within insurance or healthcare companiesIndividual work handling claims in an office or remote setting
ResponsibilitiesOversees claims processing, mentors team members, ensures accuracyReviews and processes insurance claims, verifies information

The Lead Claims Processor typically has more experience and takes on supervisory tasks, guiding a team and ensuring quality. In contrast, Claims Processors focus on executing claims tasks independently. Both roles are essential in insurance and healthcare industries, but the Lead Claims Processor holds additional leadership responsibilities.

More about Lead Claims Processor jobs
What job categories do people searching Lead Claims Processor jobs look for? The top searched job categories for Lead Claims Processor jobs are:
Lead Claims Processor jobs near you
Claims Processor

Claims Processor

Amwins

Scottsdale, AZ

$17.25 - $21.75/hr

Full-time

PTO

Posted 6 days ago

Amwins rating

7.8

Company rating: 7.8 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

165th of 260 rated insurance

Job description

Join Our Team as a Claims Processor at Amwins Self-Funded, LLC!

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This is an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training.

Why Choose Amwins?

At Amwins, we value our team members and offer a range of benefits to enhance your work experience:

  • Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
  • Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
  • Continual Learning: Thrive in a collaborative, education-focused work environment.
  • Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

Learn more about us at amwins.com/benefits.

Responsibilities:

  • Learn Amwins Business Model: Understand Amwins business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
  • Effective Correspondence: Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
  • Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
  • Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
  • Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
  • Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
  • Reimbursement Issuance: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
  • Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
  • Year-End Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client's account.
  • Adaptability and Team Collaboration: Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.

Qualifications

  • Education and Experience: A college degree or equivalent work experience is strongly preferred.
  • Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
  • Critical Thinking: The ability to critically think and problem-solve.
  • Confidentiality: Ability to maintain strict confidentiality.
  • Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
  • Communication Skills: Effective written and verbal communication skills with both internal and external parties.
  • Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
  • Eager to Learn: Eagerness to learn Stealth's business model is a necessity.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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