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Medical Claims Associate Jobs (NOW HIRING)

K2 Security Insurance

Claims Associate

CA · Remote

Our compensation program includes competitive pay: bonus plan: medical, dental and vision insurance; paid time-off in year of hire; and 401(k) with employer match. Job Summary: The Claims Associate ...

Sedgwick

Claims Associate - Liability (Hybrid)

Irving, TX · Hybrid

$17 - $23/hr

... Claims Associate - Liability (Hybrid) Are you looking for an opportunity to join a global industry ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Sedgwick

Claims Associate - Liability (Hybrid)

Irving, TX · On-site

$17 - $23/hr

... Claims Associate - Liability (Hybrid) Are you looking for an opportunity to join a global industry ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Sedgwick

Claims Associate - Liability (Hybrid)

Irving, TX · On-site

$17 - $23/hr

... Claims Associate - Liability (Hybrid) Are you looking for an opportunity to join a global industry ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Jarrett Industries

Claims Associate

Orrville, OH · On-site

$16.75 - $22.50/hr

Claims Associate Employment Type: Full-time, In-Person Location: Orrville, OH Job Category: Claims ... Medical, Dental, and Vision insurance * Company-paid life insurance * Paid time off * 8 paid ...

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Medical Claims Associate information

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How much do medical claims associate jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for medical claims associate in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

What does a medical claims associate do?

A Medical Claims Associate is responsible for reviewing, processing, and adjudicating medical insurance claims submitted by healthcare providers or policyholders. They verify the accuracy of claims, ensure compliance with insurance policies, and determine the appropriate payment or denial based on guidelines. The role involves communication with healthcare providers, patients, and insurance companies to resolve discrepancies or gather additional information. Medical Claims Associates play a crucial part in ensuring that claims are handled efficiently and accurately, contributing to the smooth operation of healthcare reimbursement processes.

What are the key skills and qualifications needed to thrive as a medical claims associate, and why are they important?

To thrive as a Medical Claims Associate, you need strong knowledge of medical terminology, health insurance policies, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 or CPT, and basic office applications is essential. Attention to detail, problem-solving, and effective communication are vital soft skills for accuracy and client interactions. These skills ensure timely, accurate claims processing and help prevent errors or fraud, supporting efficient healthcare operations.

What are some common challenges faced by medical claims associates, and how can they be effectively managed?

Medical Claims Associates often encounter challenges such as managing high volumes of claims, navigating complex insurance policies, and ensuring accuracy under tight deadlines. To address these, it's important to develop strong organizational skills, keep up-to-date with the latest policy changes, and utilize available claims processing software efficiently. Additionally, collaborating closely with healthcare providers and insurance representatives can help clarify discrepancies and resolve issues more quickly, making teamwork and communication key assets in this role.

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

AspectMedical Claims AssociateMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, submit claims, follow up on payments
Industry UsageInsurance companies, healthcare providersHealthcare providers, billing services

While both roles involve working with healthcare payments, a Medical Claims Associate primarily reviews and processes insurance claims to ensure accuracy and compliance. In contrast, a Medical Billing Specialist focuses on generating bills, submitting claims, and managing payment collections. Both roles require similar credentials and often work in healthcare or insurance settings, but their core functions differ in the claims review versus billing process.

Is claims processing a stressful job?

Claims processing as a Medical Claims Associate can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex information and working under time constraints, which can contribute to job-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

What cities are hiring for Medical Claims Associate jobs?

Cities with the most Medical Claims Associate job openings:

What are the most commonly searched types of Medical Claims jobs?

The most popular types of Medical Claims jobs are:

What states have the most Medical Claims Associate jobs?

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

Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.

Claims Associate

K2 Insurance Services, LLC

San Diego, CA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Aegis Powersports is seeking a full-time Claims Associate to join its Claims Team remotely.

Founded in 2014 by K2 Insurance Services, Aegis Powersports underwrites and administers vehicle service contracts providing protection beyond factory warranties across the country.

Aegis Powersports offers the opportunity to join an established company in growth mode. Our compensation program includes competitive pay: bonus plan: medical, dental and vision insurance; paid time-off in year of hire; and 401(k) with employer match.

Job Summary:

The Claims Associate reports to the Claims Manager. This position assists in claims operations while learning to process assigned claims from intake through coverage determination and communicating with interested parties throughout the claim process.

Key Responsibilities:

  • Review, evaluate, and adjudicate claims in accordance with contract terms and company guidelines.
  • Audit Parts and labor submissions to ensure accuracy, reasonableness, and compliance with repair standards.
  • Accurately document claim files with clear defensible notes.
  • Prioritize and manage claim workloads to ensure timely resolution of open items.
  • Communicate claim determinations professionally to dealers, servicers, and customers.
  • Coordinate servicer setup documentation including W9 collection and validation.
  • Apply technical knowledge of multi-line powersports units to evaluate repair scope and validity.
  • Identify discrepancies in repair orders, parts usage, and labor times.
  • Work collaboratively with internal departments to ensure consistent policy application.
  • Provide input to improve existing procedures and systems.

Education/Experience

  • Minimum of 2+ years of multi-line powersports service advisor or warranty administrator experience (strongly preferred).
  • Demonstrated expertise in parts and labor auditing.
  • Knowledge of powersports repair diagnostics and maintenance procedures.
  • Strong documentation skills and experience working with claims or contract management systems.
  • Excellent verbal and written communication skills.
  • Ability to independently manage claim workflows with minimal supervision.
  • Organizational skills and accountability in tracking claim lifecycle management.
  • Flexibility to occasionally attend business-related meetings and other events outside usual business hours.

Pay Range: $55,000 – $70, 000 USD per year


Compensation details: 55000-75000 Yearly Salary


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