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Medical Claims Administrator Jobs (NOW HIRING)

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 ...

Searhc

Medical Claims Analyst

Juneau, AK

$31.83 - $44.56/hr

Serves as the system administrator for the PRC claims processing platform, including user access ... Medical terminology course required or 1 year of documented experience in a medical field requiring ...

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Medical Claims Administrator information

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How much do medical claims administrator jobs pay per hour?

As of Jul 29, 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.

Is claims a stressful job?

Medical Claims Administrators often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially when handling high volumes of claims or complex cases. The job may involve tight deadlines and dealing with dissatisfied clients, but stress levels can vary based on workload, support systems, and individual coping skills.

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 is the highest paying healthcare administration job?

In healthcare administration, executive roles such as Chief Medical Officer, Chief Executive Officer, or Vice President of Healthcare Services tend to have the highest salaries. These positions often require extensive experience, advanced degrees, and leadership skills, with salaries reaching six figures or higher depending on the organization and location.

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

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 does a claims administrator do?

A claims administrator manages and processes insurance claims, verifying coverage, reviewing documentation, and ensuring accurate and timely payments. They often use specialized software and need strong attention to detail and knowledge of insurance policies to handle claims efficiently.

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 July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Administrator

M. J. Electric, LLC

Iron Mountain, MI • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

Job description

About Us
For over 60 years, M. J. Electric, LLC, a Quanta Services company, has built-long standing working relationships and an industry-wide reputation as the single source solution to our customer's electrical utility construction and maintenance needs.
MJE values integrity, is inspired by our work, and is invested in delivering quality projects for our customers. Our culture is a product of our core values and operating principles which unite our personnel. Their professional competence and intelligent innovation result in outstanding customer satisfaction. We stand by everything we do.
We are committed to investing in our employees and their growth through training, tools, equipment, industry-leading safety measures, advancement opportunities and more. At M. J. Electric, you aren't just applying for job, you are building a career.
About this Role - Claims Administrator
Are you a healthcare professional or nurse looking to transition out of direct patient care while still using your analytical skills, attention to detail, and documentation expertise?
We are seeking a Claims Administrator to support and oversee claims operations across workers' compensation claims. This role offers the opportunity to apply your experience reviewing documentation, identifying discrepancies, and ensuring compliance-all within a structured, professional environment.
What You'll Do
- Manage and coordinate injury claims events involving workers' compensation including routing, documentation, and data entry
- Evaluate and assist with directing injury care
- Review documentation and claims information to ensure accuracy, completeness, and compliance with applicable regulations
- Track, trend, and analyze claims activity and related costs to support informed decision-making
- Analyze and update claim data as new information becomes available
- Assist in improving claims reporting procedures and workflows
- Collaborate with third-party administrators to evaluate claims and determine company liability
- Review billing information and process claims accurately, including third-party subrogation
- Assess documentation and determine claim validity based on available information
- Conduct thorough investigations by gathering relevant details from multiple sources
- Communicate with claimants, witnesses, and other stakeholders to obtain additional information
- Maintain accurate and compliant records in accordance with state and federal guidelines
- Evaluate expenses, reserves, and assist in claims resolution within authorized limits
- Partner with internal teams and external contacts to resolve claims efficiently
- Support reporting, trending, and statistical analysis for department insights
- Utilize claims management systems such as Origami, Claims Management System, and Risktrac
- Respond to after-hours incidents as needed
What You'll Bring
- Strong attention to detail and ability to review, interpret, and validate documentation
- Proven communication, organizational, and interpersonal skills
- Ability to manage sensitive information with confidentiality and professionalism
- Strong computer skills and ability to work within multiple systems
- Experience identifying discrepancies and ensuring accuracy in records or documentation
- Ability to anticipate needs, work independently, and meet deadlines
- Strong problem-solving and decision-making skills with the ability to assess complex situations
- Ability to collaborate with stakeholders at all levels and build effective working relationships
- Commitment to continuous improvement and process optimization
- Ability to function effectively both independently and within a team environment
Healthcare Experience
- Prior claims management or case management experience preferred OR
- Experience in a healthcare or clinical setting (e.g., nursing, medical support roles) with exposure to documentation review, compliance, or case coordination
What You'll Get
- 401(k) with company match (Traditional & Roth)
- Paid Holidays and PTO
- Medical, Dental, and Vision
- Flexible Spending Accounts
- Health Savings Account
- Accident Insurance
- Hospital Indemnity Insurance
- Critical Illness Insurance
- LifeLock Identity Theft Protection
- Employee Discounts
- Short-Term & Long-Term Disability
For more benefit details click here!

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