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Medical Claims Associate Jobs (NOW HIRING)

Sedgwick

Claims Associate - Liability

$18.25 - $24.50/hr

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

Diverse Lynx

Claims Associate

Tampa, FL · On-site

$16.25 - $21.75/hr

Position: Claims Associate (AA Level) Work Location: Tampa, FL (Remote) Job Type : Full-time ... Medical Claims Processing: Accurately review, verify, and process insurance claims as per company ...

York Risk Services

Liability Claims Associate

Cincinnati, OH · Hybrid

$17 - $23/hr

... Claims Associate Are you looking for an impactful job requiring no prior experience that offers an ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Sedgwick

Liability Claims Associate

Cincinnati, OH · Hybrid

$17 - $23/hr

... Claims Associate Are you looking for an impactful job requiring no prior experience that offers an ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Sedgwick

Liability Claims Associate

Cincinnati, OH · On-site

$17 - $23/hr

... Claims Associate Are you looking for an impactful job requiring no prior experience that offers an ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Sedgwick

Liability Claims Associate

Cincinnati, OH · On-site

$17 - $23/hr

... Claims Associate Are you looking for an impactful job requiring no prior experience that offers an ... Communicates claim action/processing with claimant, client and appropriate medical contact.

Aegis Security Insurance

Claims Associate

Harrisburg, PA · On-site

Our compensation program includes competitive pay: bonus plan: medical, dental and vision insurance ... The Claims Associate reports to the Claims Manager. This position assists in claims operations ...

New

Sedgwick

Claims Associate - Liability

Atlanta, GA · On-site

$17 - $23/hr

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

New

K2 Insurance Services, LLC

Claims Associate

Harrisburg, PA · On-site

$55K - $70K/yr

Our compensation program includes competitive pay: bonus plan: medical, dental and vision insurance ... The Claims Associate reports to the Claims Manager. This position assists in claims operations ...

Sedgwick

Liability Claims Associate

Saint Bernard, OH · On-site

$16.50 - $22.25/hr

... Claims Associate Are you looking for an impactful job requiring no prior experience that offers an ... Communicates claim action/processing with claimant, client and appropriate medical contact.

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Medical Claims Associate information

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How much do medical claims associate jobs pay per hour?

As of Jun 30, 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 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 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 job makes $10,000 a month without a degree?

A Medical Claims Associate typically earns less than $10,000 a month, but some high-level or specialized roles in healthcare billing and coding can reach that level with extensive experience, certifications, and advanced skills. These positions often require knowledge of medical billing software, insurance policies, and strong attention to detail, but generally do not require a college degree.

What jobs pay 2000 a day?

Most jobs that pay around $2,000 a day are high-level roles such as specialized medical professionals, senior executives, or consultants with extensive experience. These positions often require advanced skills, certifications, or significant industry expertise, and may involve long hours or high responsibility levels.

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.

What is a medical claims associate?

A medical claims associate is a professional responsible for reviewing, processing, and managing insurance claims related to healthcare services. They ensure claims are accurate, comply with policies, and facilitate reimbursement for providers and patients, often using claims processing software and requiring knowledge of insurance regulations.

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 kind of claims adjuster makes the most money?

In the claims adjusting field, specialized adjusters such as catastrophe or large-loss claims adjusters tend to earn higher salaries due to the complexity and scale of their cases. These roles often require advanced certifications and experience, and they may work for insurance companies or independent adjusting firms. Compensation varies based on experience, location, and the size of claims handled.
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 June 2026, with employment types broken down into 6% As Needed, 24% Full Time, and 70% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.
Claims Associate - Liability

Claims Associate - Liability

Sedgwick

Remote

$18.25 - $24.50/hr

Other

Medical, Dental, Vision, Retirement

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

Sedgwick rating

7.5

Company rating: 7.5 out of 10

Based on 312 frontline employees who took The Breakroom Quiz

198th of 277 rated insurance

Job description

Claims Associate - Liability

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Ideal Candidate

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Primary Purpose of the Role

To analyze reported lower-level general liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

Essential Responsibilities May Include
  • Handles lower-level liability and/or physical damage claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
  • Communicates claim action/processing with claimant, client and appropriate medical contact.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships.
Qualifications

Education & Licensing: High School Diploma or GED required.

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Taking Care of You
  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work Environment Requirements Include When Applicable and Appropriate, Consideration Will Be Given to Reasonable Accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, [travel as required (leave travel statement only if applicable)]

Auditory/Visual: Hearing, vision and talking

#claimsexaminer #claims #LI-REMOTE #georgiajobs

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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