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Medical Claims Associate Jobs (NOW HIRING)

Chubb

ESIS Claims Associate

Dallas, TX · On-site

$17.75 - $23.75/hr

Job Title Claims Associate Are you ready to make a meaningful impact in the world of workers ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

York Risk Services

$24/hr

... Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred Are you looking ... May process routine payments and prescriptions and status reports for lifetime medical claims and ...

Sedgwick

$24/hr

... Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred Are you looking ... May process routine payments and prescriptions and status reports for lifetime medical claims and ...

Sedgwick

$24/hr

... Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred Are you looking ... May process routine payments and prescriptions and status reports for lifetime medical claims and ...

Zurich Insurance Group

Claims Associate II-Workers Comp

CA · Remote

$18.25 - $24.50/hr

Zurich is currently hiring a Claims Associate II to join their Workers' Compensation Claims Team ... Managing medical requests and coordinating with providers as needed * Evaluating claims for closure ...

York Risk Services

$24/hr

... Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred Are you looking ... May process routine payments and prescriptions and status reports for lifetime medical claims and ...

Zurich Insurance Company Ltd.

CA · On-site

$22.40 - $30.87/hr

Zurich is currently hiring a Claims Associate II to join their Workers' Compensation Claims Team ... Managing medical requests and coordinating with providers as needed * Evaluating claims for closure ...

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Medical Claims Associate information

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How much do medical claims associate jobs pay per hour?

As of Jul 22, 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.

Which claim adjusters make the most money?

In the field of medical claims, experienced senior claims adjusters and those specializing in complex or high-value claims tend to earn the highest salaries. Adjusters with certifications such as the Chartered Property Casualty Underwriter (CPCU) and strong negotiation skills often command higher pay. Salary levels also vary based on location, employer, and years of experience.

Can I get a claims adjuster job with no experience?

Medical Claims Associate roles typically require some knowledge of insurance processes and claims handling, but entry-level positions may be available for candidates with strong attention to detail and basic administrative skills. Prior experience is often preferred, but relevant certifications or training can improve chances of hiring without previous claims experience.

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 role of a claims associate?

A claims associate in the medical field reviews and processes insurance claims to ensure accurate and timely reimbursement. They verify patient information, interpret policy details, and use claims processing software to resolve discrepancies and submit claims for payment. Strong attention to detail and knowledge of healthcare billing are essential for 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.

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 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 July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 28% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.
Medical Claims Processor

Medical Claims Processor

Northwest Administrators

Federal Way, WA • On-site

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!
What you'll be doing...
At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with life claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process and handling of life claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned
Located in Mountlake Terrace, WA, Federal Way, WA or Seattle, WA.
Who you are...
  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word
Who we are...
Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)
If hired, you can expect...
  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance

Equal Employment Opportunity
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)

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