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Medical Claims Associate Jobs (NOW HIRING)

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Key Requirements Recent medical claims experience REQUIRED Experience with medical claims ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

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 ...

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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 - Workers Compensation | Ontario, CA

Claims Associate - Workers Compensation | Ontario, CA

Sedgwick

Ontario, CA • On-site

$25 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Key responsibilities

  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.

  • Processes workers compensation claims determining compensability and benefits due, monitors reserve accuracy, and files necessary documentation with state agency.

  • Communicates claim action and processing with claimant, client, and appropriate medical contact.

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

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Associate - Workers Compensation | Ontario, CA
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?
  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our core values that include empathy, accountability, collaboration, growth, and inclusion.
LOCATION: IN-OFFICE ONTARIO, CALIFORNIA
PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes workers compensation 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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATIONS
Education & Licensing
High school diploma or GED; Licenses as 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
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $25-28/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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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