ZipRecruiter

Log In

1

Medical Claims Associate Jobs in Oregon (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Clackamas, OR · On-site

$19.75 - $25.25/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews ... High school diploma or Associate degree in Accounting or Business Administration or related field ...

Progressive

Claims Adjuster Trainee

Portland, OR · On-site

$59K - $63K/yr

Two years work experience and an associate degree Schedule: Monday - Friday, 8 AM to 5 PM with ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

previous pagenext page

Showing results 21-40

All JobsMedical Claims Associate JobsMedical Claims Associate Jobs in Oregon

Medical Claims Associate information

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 are the most commonly searched types of Medical Claims jobs in Oregon?

The most popular types of Medical Claims jobs in Oregon are:

What cities in Oregon are hiring for Medical Claims Associate jobs?

Cities in Oregon with the most Medical Claims Associate job openings:

Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, 6% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Claims Adjuster Senior - Litigation

Progressive

Eugene, OR • Hybrid

$75K - $98K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Progressive Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 597 frontline employees who took The Breakroom Quiz

70th of 311 rated insurance

Job description

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.

As a senior claims specialist on our team, you’ll play a critical role in our ability to successfully and efficiently resolve injury claims. Investigating complex and high-risk claims – which may be attorney represented or have additional litigation features – you’ll consult with police officers, medical professionals, claimants and others involved in the accident. The information gathered will then be used while determining coverage, liability and the total value of the claim.

This is a hybrid role. You’ll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued coaching from a supportive team. If you prefer an in-office environment, you’re welcome to work in the office more than four days per month.

Must-have qualifications

  • Five years of relevant work experience with two years in claims handling OR
  • Two years in claims handling and a bachelor’s degree OR
  • Four years of relevant work experience with two years in claims handling and an associate degree

Preferred skills

  • Ability to quickly build rapport and successfully effect settlements
  • Strong negotiation and customer service skills
  • Excellent organization and problem-solving skills along with ability to multi-task and prioritize
  • Demonstrated proficiency analyzing coverage and liability
  • Ability to direct the use of discovery tools such as interrogatories, depositions and production of document
  • Experience handling Auto Litigation claims

Compensation

  • Based on location and level of experience
    • Eugene/Salem, OR: You will be paid $70,000 - $90,000/year
    • Tigard, OR: You will be paid $75,000 - $98,000/year
  • Gainshare annual cash incentive payment up to 24% of your eligible earnings based on company performance

Benefits

  • 401(k) with dollar-for-dollar company match up to 6%
  • Medical, dental & vision, including free preventative care
  • Wellness & mental health programs
  • Health care flexible spending accounts, health savings accounts, & life insurance
  • Paid time off, including volunteer time off
  • Paid & unpaid sick leave where applicable, as well as short & long-term disability
  • Parental & family leave; military leave & pay
  • Diverse, inclusive & welcoming culture with Employee Resource Groups
  • Career development & tuition assistance

Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.

Equal Opportunity Employer

Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role.

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/

What Progressive Insurance employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply