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Medical Claims Executive Jobs (NOW HIRING)

IMA Financial Group

Claims Executive

Manhattan, NY · On-site

Claims Executive Essential Job Responsibilities include but are not limited to: * Supports and ... Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family ...

IMA Financial Group

Claims Executive

Harrison, NY · On-site

$110K - $150K/yr

... Claims experience in Executive Risk and/or Property coverage required * Bachelor's degree or work ... Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family ...

IMA Financial Group

Claims Executive

Harrison, NY · On-site

$110K - $150K/yr

... Claims experience in Executive Risk and/or Property coverage required * Bachelor's degree or work ... Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family ...

Chubb

VP, Regional Claims Executive

New Haven, CT · On-site

... Executive for the Region, you will serve as a primary point of entry to North America Claims for ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

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All JobsFinance And Insurance JobsInsurance JobsInsurance Claims Specialist JobsMedical Claims Executive Jobs

Medical Claims Executive information

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$14

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$31

How much do medical claims executive jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medical claims executive in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 per hour, depending on experience, location, and employer.

What does a medical claims executive do?

A Medical Claims Executive is responsible for processing and managing health insurance claims submitted by patients or healthcare providers. They review medical documentation, verify coverage, assess the validity of claims, and ensure that payments are made accurately and in accordance with policy guidelines. This role often involves communicating with healthcare providers, policyholders, and insurance underwriters to resolve discrepancies or gather additional information. Medical Claims Executives play a vital role in ensuring the claims process is efficient, accurate, and compliant with regulations.

What are the key skills and qualifications needed to thrive as a medical claims executive, and why are they important?

To excel as a Medical Claims Executive, you need a strong understanding of insurance policies, claims processing procedures, and medical terminology, often supported by a relevant degree or certification in health administration. Familiarity with claims management software, electronic health records (EHR), and regulatory compliance systems is essential for efficiency. Attention to detail, analytical thinking, and effective communication skills are crucial soft skills that help resolve issues and liaise with stakeholders. These competencies ensure accurate claims adjudication, minimize errors, and maintain positive relationships with clients and healthcare providers.

What are some common challenges faced by medical claims executives when handling complex claims, and how can these be managed effectively?

Medical Claims Executives often encounter challenges such as incomplete documentation, discrepancies in medical coding, and the need to interpret complex insurance policies. Managing these issues effectively requires strong attention to detail, up-to-date knowledge of healthcare regulations, and clear communication with healthcare providers and policyholders. Building strong relationships with team members, such as medical coders and underwriters, can also help streamline claim resolution and ensure accuracy. Staying organized and utilizing claims management software can further reduce errors and improve workflow.

What is the difference between Medical Claims Executive vs Medical Claims Specialist?

AspectMedical Claims ExecutiveMedical Claims Specialist
CredentialsTypically requires relevant certifications like CPC or CCS, with some managerial experienceRequires certifications such as CPC, with focus on claims processing skills
Work EnvironmentOften in managerial or supervisory roles within healthcare insurance companiesPrimarily in claims processing departments, handling claims review and adjudication
Employer & Industry UsageUsed in insurance companies, healthcare providers, and third-party administratorsCommonly employed in insurance companies, healthcare facilities, and billing firms

The Medical Claims Executive and Medical Claims Specialist roles share similar credentials and industry settings. However, the executive position typically involves oversight, decision-making, and managerial responsibilities, while the specialist focuses on processing and reviewing claims. Both roles are essential in healthcare insurance operations, with the executive often leading teams and strategizing claims management processes.

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 Executive jobs?

States with the most job openings for Medical Claims Executive jobs include:

What are popular job titles related to Medical Claims Executive jobs?

For Medical Claims Executive jobs, the most frequently searched job titles are:

Infographic showing various Medical Claims Executive job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Medical Claims Coder

Tucson, AZ • On-site

Next Step Systems
IT Services • 11 - 50 employees
Learn more about Next Step Systemsexternal

Full-time

Medical, Retirement, PTO

Re-posted 5 days ago

Job description

Medical Claims Coder, Tucson, AZ
Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and adjudicating medical and inpatient claims received from all provider types and lines of business. Review and resolve rejected and/or denied claims. Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and outgoing revenue sources and measure different financial cycles on behalf of Customers. Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote.
Medical Claims Coder Responsibilities:
- Submit claims and encounters in a timely manner.
- Review and resolve rejected, pended, and/or denied claims within expected timeframes.
- Coordinate claim adjustments with the customer.
- Identify revenue cycle issues and implement solutions to improve systems and processes.
- Respond to calls on claims issues and provide information and resolution in a timely manner.
- Provide education and technical support to Claims Examiners and customers regarding claims related issues through on-line training and in person training.
- Produce scheduled reports for in-house and customers.
- Prepare written inter-departmental and external correspondence.
- Develop and publish formal written guidance for customers to process claims.
- Analyze encounter-processing data using statistical methodologies.
- Update and maintain electronic billing manual and distribute updates as directed.
- Compare business operations and coordinate technical analysis support for upcoming collection of accounts.
Medical Claims Coder Qualifications:
- High School diploma or GED plus 5 years of full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
- Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations.
- Knowledge of Microsoft Excel and 10-key by touch is also required.
- Knowledge of and experience working with Electronic Health Records system(s).
- Ability to translate customer needs to technical and/or business process solutions.
- Ability to effectively work with internal teams across numerous functions and levels.
- Ability to quickly learn complex business processes and understand the underlying transactional systems.
- Strong customer service skills and abilities.
- Exceptional communication skills, including strong customer-facing presentation and facilitation skills.
- Ability to work on multiple projects.
- Strong attention to detail and follow-through skills.
- Experience working in a team-oriented, collaborative environment.
- Strong analytical and problem-solving abilities.
Benefits include medical insurance, retirement plan, PTO, etc. Salary: 80K+ DOE. Keywords: Tucson AZ Jobs, Medical Claims Coder, Medical Examiner, ICD10, CPT, HCPCS, In-Patient Coding, In-Patient Billing, HIPAA Regulations, MS Excel 10-Key, Electronic Health Records, EHR, Claims Processing, Accounting, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting
Looking to hire for similar positions in Tucson, AZ or in other cities? Our IT recruiting agencies and staffing companies can help.
We help companies that are looking to hire Medical Claims Coders for jobs in Tucson, Arizona and in other cities too. Please contact our IT recruiting agencies and IT staffing companies today! Phone 630-428-0600 ext. 11 or email us at jobs@nextstepsystems.com. Click here to submit your resume for this job and others.
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