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Medical Claims Associate Jobs in Utah (NOW HIRING)

Progressive

Claims Adjuster Trainee

Salt Lake City, UT · Hybrid

$54K - $57K/yr

Two years work experience and an associate degree Schedule: Monday - Friday, 9:30 am - 6:30 pm MT ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Progressive

Claims Adjuster Trainee

Sandy, UT · Hybrid

$54K - $57K/yr

Two years work experience and an associate degree Schedule: Monday - Friday, 9:30 am - 6:30 pm MT ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

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Medical Claims Associate information

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 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 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 the most commonly searched types of Medical Claims jobs in Utah? The most popular types of Medical Claims jobs in Utah are:
What cities in Utah are hiring for Medical Claims Associate jobs? Cities in Utah with the most Medical Claims Associate job openings:
Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Member Claims Associate (6-month Contract)

Collective Health

Lehi, UT • Hybrid

$16.75 - $22.50/hr

Contractor

Posted 18 days ago

Collective Health rating

7.5

Company rating: 7.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

200th of 485 rated business services

Job description

As a Member Claims Associate Contractor, you will drive the core processes behind Collective Health's employer-sponsored medical plans and help our members navigate their most complex claims issues. In this role, you will gain a comprehensive, hands-on understanding of health plan operations-from processing medical claims and deciphering complex coding to managing regulatory requirements and network partner relationships. Everything you do will be through the lens of delivering an exceptional member experience.

This contract is a gateway to becoming an expert in the payer-side of healthcare. Backed by our established, knowledgeable teams, you will play an essential role in scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry.

Start Date and Training
  • Contract Start date: September 14, 2026
  • Contract End date: March 5, 2027
  • You must be available for the first 5 weeks of required training. You will not be able to take time off during the training period.
  • This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week.
What you'll do:
  • Execute the daily operations of a health plan, including processing medical claims, researching and responding to the members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affects the business
  • Be part of the team that is continuously adapting to improve efficiency and scalability
  • Think critically and strategically to continually boost teamwork and communication across offices
  • Gain additional skills across different areas of the business over time
  • Develop in-depth industry expertise in the healthcare economy
  • Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of the team
  • Reporting to the Manager of Member Claims, this is an essential role on the Customer Experience team
To be successful in this role, you'll need:
  • Above all, you are driven, curious, and take ownership for everything you do
  • You can become proficient with a large volume of information quickly
  • You are a committed team player
  • You are excited to build and adapt to the adventures of working on a growing team
  • You are passionate about being a part of a fast-growing company
  • You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees
Nice to have:
  • Bachelor's degree or 1 or more years of work experience

What Collective Health employees say

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Hours and flexibility

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