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Medical Claims Officer Jobs (NOW HIRING)

AVP, Claims-TCO

Morristown, NJ ยท 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 ...

AVP, Claims-TCO

Morristown, NJ ยท On-site

$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 ...

AVP, Claims-TCO

Morristown, NJ ยท On-site

$145 - $190/hr

Position Overview**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 ...

Medical Biller

Colorado Springs, CO ยท On-site

$18 - $23.25/hr

Work directly with the CEO and be rewarded for your wins * Make an impact on local employment and ... Process and submit medical claims to insurance companies with precision and attention to detail

Medical Biller

Colorado Springs, CO ยท On-site

$18 - $23.25/hr

Work directly with the CEO and be rewarded for your wins * Make an impact on local employment and ... Process and submit medical claims to insurance companies with precision and attention to detail

Medical Biller

Colorado Springs, CO ยท On-site

$18 - $23.25/hr

Work directly with the CEO and be rewarded for your wins * Make an impact on local employment and ... Process and submit medical claims to insurance companies with precision and attention to detail

Showing results 21-40

Medical Claims Officer information

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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.

AVP, Claims-TCO

Archgroup

Morristown, NJ โ€ข Hybrid

$145K - $198K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago


Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Position Summary

Reporting to the Chief Technical Claim Officer (CTCO), this role is a Collaboratory leader of the strategy and resolution of the organization's most complex, high-exposure claim matters-spanning sophisticated complexdisputes, multi-district litigation, class actions, declaratory judgment actions, and suits against the Company.

You will be a visible advisor to senior leadership and a go-to technical resource for the broader claims organization-driving outcomes, and elevating best practices across lines including General Liability, Business Auto, Excess/Umbrella, Inland Marine, and Professional Liability (including Programs and Middle Markets).

Responsibilities

  • Lead end-to-end strategy for complex coverage issues and litigation matters, including investigation, exposure assessment, reserve adequacy, and resolution planning.
  • Drive litigation management in complex settlements.
  • Prepare executive-level reporting and lead discussions with senior leadership, customers, and key stakeholders on high-profile matters, trends, and emerging case law.
  • Serve as a technical leader-staying current on insurance claim trends, commercial insurance laws, and regulations and ensuring alignment with company guidelines and fair claim practices.
  • Lead and contribute to cross-functional initiatives sponsored by the CTCO/Chief Claims Officer to strengthen complex-claims capability and operating discipline.
  • Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks.

Experience & Required Skills

  • 10+ years of experience as an attorney and/or claims professional with deep expertise in complex coverage issues, high-exposure claims, and coverage litigation.
  • Proven ability to partner with and influence claim executives and senior stakeholders.
  • Ease of operating in a fast-paced, evolving environment with sound judgment and strong prioritization.
  • Executive-level communication, negotiation, and relationship-building skills across insureds, brokers, counsel, and internal business partners.
  • Strong analytical skills-able to synthesize complex facts and present crisp recommendations.
  • Collaborative, with the ability to work independently and lead through influence.
  • Strong proficiency with Microsoft Office (Word, Excel, PowerPoint) and analytics/reporting tools (e.g., Power BI).
  • Hybrid role 3 days a week in office.
  • Availability for business travel as needed.

Education

  • J.D. required.

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For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$145,000 - $198,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.