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Medical Claims Administrator Jobs (NOW HIRING)

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Claims Administrator

Orange, CA · On-site

$20 - $23/hr

The Claims Administrator is responsible for the day-to-day administration and handling of primarily medical-only claims, investigation, coordination with safety team, adjusters, making claim reports ...

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As part of the Complex Payment Solutions Team , you will, as a Claims Administrator , be ... Preferred experience in medical record review and knowledge of medical terminology. * Proficient in ...

... as Claims Administrators. This is a great opportunity to start or build your career in a ... In this role, you'll learn how to review and manage medical-only claims while providing helpful ...

The Claims Administrator I oversees the intake and output of files, responding to inquiries ... Preferred experience in medical record review and knowledge of medical terminology. * Proficient in ...

Job Summary As the Claims Specialist, you will be responsible for managing the life cycle of ... Medical, dental and vision insurance * FSA with debit card * 401(k) employer match 1% for the first ...

New

Claims Administrator

Richardson, TX · On-site

$30K - $40K/yr

Job Summary As the Claims Specialist, you will be responsible for managing the life cycle of ... Medical, dental and vision insurance * FSA with debit card * 401(k) employer match 1% for the first ...

Job Summary As the Claims Specialist, you will be responsible for managing the life cycle of ... Medical, dental and vision insurance * FSA with debit card * 401(k) employer match 1% for the first ...

Key Requirements Recent medical claims experience REQUIRED Experience with medical claims ... It is unlawful in Massachusetts to require or administer a lie detector test as a condition of ...

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication ... It is unlawful in Massachusetts to require or administer a lie detector test as a condition of ...

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication ... It is unlawful in Massachusetts to require or administer a lie detector test as a condition of ...

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Medical Claims Administrator information

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$14

$26

$49

How much do medical claims administrator jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical claims administrator in the United States is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $29.81 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical claims administrator?

To thrive as a Medical Claims Administrator, you need a strong understanding of medical billing, insurance policies, and coding practices, often supported by a relevant associate degree or certification. Familiarity with claims management software, electronic health records (EHR) systems, and ICD/CPT coding tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for resolving discrepancies and collaborating with patients and providers. These abilities ensure accurate claims processing, minimize errors, and support timely reimbursement within the healthcare system.

What are some common challenges medical claims administrators face when processing claims, and how can they effectively address them?

Medical Claims Administrators often encounter challenges such as incomplete or inaccurate patient information, discrepancies in coding, and navigating evolving insurance policies. To address these issues, it is essential to maintain strong attention to detail, stay updated on the latest coding standards (like ICD-10 and CPT), and communicate proactively with healthcare providers and insurers to clarify any ambiguities. Developing strong organizational and problem-solving skills can also help streamline the claims process and reduce the likelihood of denials or delays.

What is the difference between Medical Claims Administrator vs Medical Billing Specialist?

AspectMedical Claims AdministratorMedical Billing Specialist
CredentialsTypically requires a certification in medical billing or claims processingOften requires certification in medical billing or coding
Work EnvironmentWorks in healthcare offices, insurance companies, or billing companiesWorks mainly in healthcare provider offices or billing departments
Job FocusManages and processes insurance claims, ensures compliancePrepares and submits patient bills, follows up on payments

Both roles involve billing and claims processing, often requiring similar certifications. However, Medical Claims Administrators focus more on managing insurance claims and ensuring compliance, while Medical Billing Specialists handle patient billing and payment follow-up. They often work in similar environments within healthcare and insurance industries, making their roles complementary but distinct.

Is claims processing a stressful job?

Medical Claims Administrators often find claims processing to be a demanding task due to strict deadlines, detailed documentation, and the need for accuracy. The role requires strong organizational skills and attention to detail, which can contribute to work-related stress, especially during high-volume periods or complex cases.

What does a medical claims administrator do?

A medical claims administrator reviews and processes insurance claims for healthcare providers and patients, ensuring accuracy and compliance with policies. They verify patient information, determine claim eligibility, and communicate with insurance companies to resolve issues, often using claims processing software. Strong attention to detail and knowledge of healthcare regulations are essential for this role.
More about Medical Claims Administrator jobs

What cities are hiring for Medical Claims Administrator jobs?

Cities with the most Medical Claims Administrator job openings:

What states have the most Medical Claims Administrator jobs?

States with the most job openings for Medical Claims Administrator jobs include:

Infographic showing various Medical Claims Administrator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Administrator

Orange, CA • On-site

Citi Staff
Recruiting and Staffing Services • 51 - 200 employees

$20 - $23/hr

Full-time

PTO

Posted 2 days ago

New

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Job description

Position Summary:

The Claims Administrator is responsible for the day-to-day administration and handling of primarily medical-only claims, investigation, coordination with safety team, adjusters, making claim reports to the insurance / TPA, closing completed claims and ensuring compliance with procedures and deadlines. 

Key Responsibilities:

  • Investigate, evaluate, and manage medical only work injuries. 
  • Coordinate with safety and other claims team members. 
  • Open new claim with TPA 
  • Inputting claim details into claims management software
  • Communicate with injured workers, employers, and other stakeholders professionally.
  • Review and respond to subpoenas. ( Record collection and pick up coordination).
  • Respond to routine inquiries from injured workers, providers, and attorneys, escalating as needed.
  • Data entry and maintenance of claim status updates, diary entries, and payment records
  • Assist with generating claim reports and spreadsheets.
  • Provide general office support to the claims team (supplies, meeting coordination, correspondence)
  • Mail Distribution and Collection. 

Qualifications:

Claims or administrative experience. (Entry/admin level: 0-2 years, prior general office experience)

Strong organizational skills and ability to manage volume claims communication. 

Excellent written and verbal communication skills

Helpful if candidate has knowledge of Claims, WCAB, Labor Code and best practices but not required. 

Company Description

CitiStaff Solutions, Inc.