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Medical Claims Officer Jobs (NOW HIRING)

DSHS ESA Attorney

Olympia, WA · Remote

$6.3K - $8.5K/mo

Description Claims Officer 1 - 2 In Training (Attorney) DSHS's Division of Child Support (DCS) is ... and medical obligations, day care and special child-rearing expenses, and compliance with ...

Chief Claims Officer About Hippo: Hippo Holdings consists of national property and casualty ... Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental ...

Chief Claims Officer About Hippo: Hippo Holdings consists of national property and casualty ... Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental ...

$60 - $65/hr

Sign off/approve credit memos and employee receivables. * Assist with administrative accounting procedures per Controller/CFO. * Audit team performance, monitor team metrics and manage claims process.

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CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires ... Minimum five years medical claims adjudication experience in managed healthcare * Proficiency in ...

AVP, Claims-TCO

Morristown, NJ · Hybrid

$145K - $198K/yr

Position Summary Reporting to the Chief Technical Claim Officer (CTCO), this role is a ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

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Medical Claims Officer information

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$5

$16

$18

How much do medical claims officer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medical claims officer in the United States is $16.83, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 per hour, depending on experience, location, and employer.

What is a medical claims officer?

Medical Claims Officers are professionals responsible for reviewing, processing, and assessing medical insurance claims submitted by patients or healthcare providers. They ensure that claims are accurate, meet policy requirements, and are supported by the necessary documentation. Their work involves investigating claims, communicating with clients and healthcare providers, and authorizing payments or denying claims as appropriate. Medical Claims Officers play a key role in preventing insurance fraud and ensuring the fair handling of claims.

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

To thrive as a Medical Claims Officer, you need strong knowledge of healthcare insurance policies, medical terminology, and claims processing, usually supported by a degree in healthcare administration or a related field. Familiarity with claims management systems, medical billing software, and regulatory compliance tools is essential. Attention to detail, analytical thinking, and effective communication are crucial soft skills for evaluating claims and collaborating with providers and policyholders. These abilities ensure accurate claims adjudication, minimize errors or fraud, and support positive relationships with clients and healthcare partners.

What are some common challenges medical claims officers face when processing claims, and how can they be managed?

Medical Claims Officers often encounter challenges such as incomplete documentation, discrepancies in patient information, and the need to interpret complex medical codes. Managing these issues typically requires strong attention to detail, effective communication with healthcare providers, and up-to-date knowledge of insurance policies and regulations. Many organizations support their Claims Officers through ongoing training and by fostering collaboration with medical and administrative teams to resolve issues quickly and accurately.

What is the difference between Medical Claims Officer vs Medical Billing Specialist?

AspectMedical Claims OfficerMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, claims processing, and relevant certificationsRequires understanding of billing codes, insurance procedures, and often similar certifications
Work EnvironmentHealthcare facilities, insurance companies, or third-party claims processorsMedical offices, clinics, or billing companies
Employer & Industry UsageUsed in healthcare and insurance sectors for claims processing rolesCommon in healthcare settings for billing and coding tasks
Search & Comparison IntentOften compared for claims processing and reimbursement rolesCompared for billing, coding, and revenue cycle management

The Medical Claims Officer and Medical Billing Specialist roles share similarities in certifications and work environments but differ mainly in their focus. The Claims Officer handles the processing and approval of insurance claims, while the Billing Specialist manages billing procedures and coding. Both roles are essential in healthcare revenue cycle management, but they serve distinct functions within the industry.

More about Medical Claims Officer jobs
Infographic showing various Medical Claims Officer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.

DSHS ESA Claims Officer 1 - 2 (Attorney)

State of Washington

Olympia, WA • On-site, Remote

$6.3K - $8.5K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Key responsibilities

  • Develop and maintain knowledge of case law, laws, and regulations related to child support and debts owed to the state.

  • Represent the department in adjudicative proceedings, including preparing legal documents and providing testimony.

  • Review cases, assess causes for hearings, and prepare recommendations based on procedural guidelines.


State Of Washington rating

7.9

Company rating: 7.9 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

17th of 50 rated states


Job description

Salary: $6,384.00 - $8,583.00 Monthly
Location : Multiple Locations Statewide, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2026-04926
Department: Dept. of Social and Health Services
Division: ESA
Opening Date: 08/27/2026
Closing Date: 9/10/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step
Description
Claims Officer 1 - 2 In Training (Attorney)
DSHS's (DCS) is seeking detail-oriented and analytical attorneys to join the Virtual Legal Office as a Claims Officer 1 - 2 (In-Training). This is the entry level in the Claims Officer series. You would begin at the Claims Officer 1 level and work under close supervision while receiving structured training in the specialized legal areas of child support and the administration of the child support program.
During the in-training period, you will develop expertise in child support case law, federal and state statutes, administrative rules, international child support frameworks, and department procedures. You will learn to review assigned cases, assess the causes for hearings, apply clear procedural guidelines, and prepare accurate recommendations. Upon successful completion of training, typically within 12 to 24 months - depending on prior experience, you will progress to the Claims Officer 2 level.
  • Claims Officer 1 -
  • Claims Officer 2 -

Please note: Multiple openings are currently available. Official duty stations can be located in either our Tacoma, Everett, Yakima, Spokane, Olympia, Wenatchee, Vancouver and Kennewick DCS Field Offices. We offer a flexible/hybrid schedule as business needs allow, although presence within office will be required as business needs arise. Initial training of the successful candidates will be mostly completed via virtual training in a group environment.
Advantages of working for the VLO include:
  • Potential opportunities for flexible work schedule and telework.
  • An informal work environment and relaxed dress code.
  • Collaboration and problem solving with peers within teams and statewide.
  • Annual statewide educational seminars providing CLE credit.
  • Encouragement to join in statewide strategic workgroups and policy initiatives.
  • Career advancement opportunities within DCS statewide.

Some of what you'll do:
  • Develop and maintain working knowledge of case law, federal, state, and international laws and regulations governing the establishment and collection of child support or debts owed to the state.
  • Represent the department's interests in adjudicative proceedings under the Administrative Procedures Act and RCW 74.20A.057 regarding the establishment and collection of child support, financial and medical obligations, day care and special child-rearing expenses, and compliance with collection and enforcement orders.
  • Exercise independent judgment to provide equitable relief, including charge-off of child support debts owed to the State of Washington.
  • Negotiate with private attorneys, representatives, or parties prior to adjudicative proceedings, with the authority to reach settlements.
  • Appear as the department's pro-se representative or witness before an Administrative Law Judge; testify regarding agency records, make opening statements, examine witnesses, raise objections, present closing arguments, and seek correction or reconsideration of decisions as needed.
  • Draft, review, and prepare legal documents, including subpoenas, motions, memorandums, briefs, appeals, and responses to appeals. Ensuring accuracy, clarity, and compliance with applicable laws and policies.
  • Provide legal interpretation and procedural guidance to support enforcement officers regarding federal and state laws applicable to the child support enforcement program.
  • Conduct ongoing reviews of case law, statutes, and regulations affecting the establishment and collection of child support or debts due to the state.
  • Maintain detailed and accurate electronic records that provide a clear and contemporaneous account of all actions taken on a child support case.
  • Safeguard sensitive, confidential, and legally protected information at all times.

Who should apply? Professionals with;
Current admission to practice law in the state of Washington.
Additional knowledge, skills, and abilities we are looking for
  • Legal and regulatory knowledge: Understanding of Washington State statutes, administrative codes, and agency policies governing claims processing and appeals.
  • Analytical skills: Ability to examine complex information, identify key issues, and synthesize findings into clear conclusions.
  • Research skills: Proficiency in locating and applying relevant case law, administrative guidance, and policy references.
  • Professional integrity: Commitment to impartiality, confidentiality, and ethical decision-making.
  • Collaboration: Works effectively with attorneys, administrators, and agency staff to ensure consistent application of law and policy.
  • Judgment and discretion: Demonstrated ability to make sound decisions on matters with legal or financial implications.
  • Communication skills: Ability to explain complex information clearly and respectfully to diverse audiences.
  • Attention to detail: Consistent accuracy in reviewing documentation, drafting findings, and maintaining records.

Interested? Apply now!
As part of your application, you will be asked to provide the following:
  • A current resume.
  • Three professional references with current contact information.
  • A cover letter addressing the following:
    • Describe what skills and experience you have that will prepare you to work in the field of child support.
    • Explain why you want to be a Claims Officer and list which of the field office locations you would prefer to work in.
See how our DCS employees partner with people to access support, care, and resources:
Questions? Emailand reference 04926.
The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Supplemental Information
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed . Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.
Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.
Sick Leave
Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.
Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.
Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in (1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.
Part-time employees

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About State of Washington

Sourced by ZipRecruiter

The State of Washington is not a traditional company, but a governmental organization that is tasked with managing the various state-run services and enterprises in Washington. Headquartered in Seattle, Washington, USA, the organization is responsible for the overall administration of the state's agencies and public services. Since the admission of Washington into the Union on November 11, 1890, the state government has aimed to provide a high quality of life for its residents through effective and efficient public services.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US

Year founded

1889