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Medical Claims Administrator Jobs (NOW HIRING)

Cottingham & Butler

Claims Administrator

Dubuque, IA · On-site

... 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 ...

Cottingham & Butler

Claims Administrator

Dubuque, IA · On-site

... 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 ...

Machinify

Claims Administrator

$24/hr

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 ...

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How much do medical claims administrator jobs pay per hour?

As of Aug 8, 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 does a medical claims administrator do?

A medical claims administrator reviews and processes insurance claims related to healthcare services, ensuring accuracy and compliance with policies. They verify patient information, determine claim eligibility, and communicate with healthcare providers and insurance companies, often using claims processing software. Strong attention to detail and knowledge of healthcare regulations are essential for this role.

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.

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 job requires strong organizational skills and attention to detail, which can contribute to work-related stress, especially during high-volume periods or complex cases.

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.

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:
What job categories do people searching Medical Claims Administrator jobs look for? The top searched job categories for Medical Claims Administrator jobs are:
Medical Claims Administrator jobs near you
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Administrator

Cottingham & Butler

Dubuque, IA

Full-time

Re-posted 4 days ago

Cottingham & Butler rating

8.6

Company rating: 8.6 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

87th of 303 rated insurance

Job description

CBCS, a division of Cottingham & Butler, is growing and we're excited to welcome new team members to our Workers' Compensation team as Claims Administrators. This is a great opportunity to start or build your career in a professional office environment. In this role, you'll learn how to review and manage medical-only claims while providing helpful, responsive service to our clients. No insurance experience? No problem. We provide training to teach you what you need to know. We're simply looking for people who are dependable, eager to learn, and comfortable communicating with others.

Responsibilities
As a Claims Administrator, you will manage a caseload of medical-only Workers' Compensation claims from start to finish. Your core responsibilities include:

  • Reviewing and evaluating medical-only claims to understand what occurred
  • Communicating with injured workers, medical providers, and clients
  • Documenting claim activity accurately and consistently following CBCS Best Practices
  • Making timely decisions within your assigned authority to resolve claims efficiently
  • Submitting required state EDI filings and supporting Medicare compliance
  • Identifying when a claim should be upgraded for further investigation or lost‑time consideration
  • Evaluating potential subrogation opportunities and escalating when appropriate
  • Meeting performance benchmarks for contact, reserving, and claim closure

We're seeking individuals with experience in a professional setting who bring strong attention to detail, organization, and communication skills. You should be comfortable managing multiple priorities, navigating documentation, and working both independently and as part of a team. Prior claims or insurance experience is a plus but not required. We provide training on the technical aspects of the role. More importantly, we're looking for individuals who are dependable, motivated, and eager to build a long-term career in a high-performance environment.

Full-Time Benefits - Most benefits start day 1

  • Medical, Dental, Vision Insurance
  • Flex Spending or HSA
  • 401(k) with company match
  • Profit-Sharing/Defined Contribution (1-year waiting period)
  • PTO/Paid Holidays
  • Company-paid ST and LT Disability
  • Maternity Leave/Parental Leave
  • Subsidized Parking
  • Company-paid Term Life/Accidental Death Insurance

About Cottingham & Butler Claims Services

At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn

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