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Medical Claim Jobs (NOW HIRING)

1199SEIU Funds

Processor IV

Hicksville, NY

... medical claim image and other reference materials as appropriate Apply contractual benefits, medical policy, and operational procedures to finalize claim Handle adjustments and reversals of ...

Hire Talent

Data Entry Representative

Bloomfield, CT · On-site

$15.50 - $19.75/hr

Job Title This position is responsible for entering medical claim data for a Coordination of Benefits (COB) Competitive Intelligence Team. Knowledge with how to read and... Intake Call notes ...

The Whiteside Agency

Chief Medical Officer

Chicago, IL · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

The Whiteside Agency

Chief Medical Officer

Saint Paul, MN · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

The Whiteside Agency

Chief Medical Officer

Richardson, TX · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

The Whiteside Agency

Chief Medical Officer

Orlando, FL · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

The Whiteside Agency

Chief Medical Officer

Tampa, FL · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

1199SEIU Funds

Processor IV

Hicksville, NY

... medical claim image and other reference materials as appropriate Apply contractual benefits, medical policy, and operational procedures to finalize claim Handle adjustments and reversals of ...

The Whiteside Agency

Chief Medical Officer

Hartford, CT · On-site

$262K - $404K/yr

Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how ... developments in the broader medical environment impact Property & Casualty product lines. This role ...

OSI Vision

Medical Claims Reviewer

San Antonio, TX · On-site

Perform medical claim review activities in support of Security Assistance and Security Cooperation training programs. * Receive, track, and verify medical, dental, and pharmacy pre-authorizations and ...

US Tech Solutions

Medical Reviewer LPN #

Performs medical claim reviews and makes a reasonable charge payment determination. * Monitors process's timeliness in accordance with contractor standards. * Performs authorization process, ensuring ...

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All JobsMedical Claim Jobs

Medical Claim information

See salary details

$5

$16

$18

How much do medical claim jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for medical claim in the United States is $16.83, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 per hour, depending on experience, location, and employer.
What cities are hiring for Medical Claim jobs? Cities with the most Medical Claim job openings:
What states have the most Medical Claim jobs? States with the most job openings for Medical Claim jobs include:
Infographic showing various Medical Claim job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 1% Part Time, and 9% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.
Processor IV

Processor IV

1199SEIU Funds

Hicksville, NY

Full-time

Medical

Posted 20 days ago

Job description

Responsibilities:
Review suspense reason of medical claims and determine actions to be taken to handle edit
Verify information entered in Medical claims system (QNXT) is correct, including patient's name, provider tax identification number and suffix, diagnosis and procedure codes
Access medical claim image and other reference materials as appropriate
Apply contractual benefits, medical policy, and operational procedures to finalize claim
Handle adjustments and reversals of previously paid medical claims as necessary
Review and handle call tracking tickets as assigned
Research eligibility issues in Vitech (V3)
Review and handle EOBs as assigned
Research and complete request refund form
Complete medical inquiry form for Medical Consultant
Handle complex edits and manual pricing
Perform additional duties and projects as assigned by management

Qualifications:
High School Diploma or GED required, some college or degree preferred
Minimum of two (2) years' experience examining and resolving medical claims in a health insurance or benefits environment required
Thorough knowledge of medical claims processing including major medical, office visits, surgery, anesthesia, lab and x-rays required
Knowledge of eligibility systems including Coordination of Benefits (COB) and Consolidated Omnibus Budget Reconciliation Act (COBRA) benefits required
Excellent data entry skills rate required
Excellent oral and written communication skills
Demonstrated organizational skills with ability to multi-task and follow up
Good problem-solving skills with ability to work independently and as a team player
Ability to work independently and as a team player
Must meet performance standards including attendance and punctuality

Employment Type: Full time

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