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Medical Claims Processing Jobs in Michigan (NOW HIRING)

Chubb

ESIS Medical Claims Analyst

Southfield, MI · On-site

Process medical only claims that are clearly work related and do not require investigation. * Process authorized payments. * Input data entry correspondence into claim system, and review files at ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.50 - $19.75/hr

... medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate underpayments, resolve non-payments and rejected claims. Follow ...

ProCare Rx

Claims Processor l

Southfield, MI

$15.75 - $19.75/hr

... medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate underpayments, resolve non-payments and rejected claims. Follow ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.75 - $19.75/hr

... medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate underpayments, resolve non-payments and rejected claims. Follow ...

TIC Midwest, LLC

Be Seen First

Medical Claims Examiner/Eligibility Coordinator

Lansing, MI · On-site

$20/hr

Successful candidate will perform routine claims processing, process payments or rejections of ... Medical Child Support Orders and death benefit claims processing. Runs reports, assists with mass ...

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Evaluates medical reports and correspondence for appropriate action/documentation ... Supports the customer service work and processes for the multi-functional claims team; Communicates ...

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Evaluates medical reports and correspondence for appropriate action/documentation ... Supports the customer service work and processes for the multi-functional claims team; Communicates ...

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Medical Claims Processing information

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$12

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How much do medical claims processing jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for medical claims processing in Michigan is $16.97, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.85 per hour, depending on experience, location, and employer.

What are some common challenges faced in medical claims processing, and how can professionals address them?

Medical claims processors often encounter challenges such as handling complex insurance policies, navigating frequent regulatory changes, and ensuring the accuracy of coding and billing information. To address these issues, professionals need to stay updated with industry regulations, maintain strong attention to detail, and communicate effectively with healthcare providers and insurance companies. Ongoing training and the use of specialized software can also help streamline workflows and minimize errors, making the process more efficient.

What is medical claims processing?

Medical claims processing is the administrative procedure of reviewing, validating, and handling healthcare claims submitted by providers to insurance companies or payers for reimbursement. This process involves checking the accuracy of the submitted information, verifying patient eligibility and coverage, and ensuring that services are medically necessary and properly coded. Claims processors work to approve, deny, or request additional information to resolve claims, ultimately ensuring that healthcare providers receive payment and patients are billed accurately.

What is the difference between Medical Claims Processing vs Medical Billing?

AspectMedical Claims ProcessingMedical Billing
CredentialsTypically requires knowledge of insurance policies and claims proceduresRequires understanding of coding and billing practices
Work EnvironmentOften in insurance companies, healthcare providers, or claims processing centersPrimarily in healthcare provider offices or billing companies
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, medical practices, billing services

Medical Claims Processing focuses on reviewing and submitting insurance claims for reimbursement, ensuring compliance with policies. Medical Billing involves coding patient services and generating bills for patients and insurers. While related, Claims Processing emphasizes claim review and approval, whereas Billing centers on creating accurate invoices for services rendered.

How to become a medical claims processor?

To become a medical claims processor, candidates typically need a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer familiarity with claims processing software and knowledge of healthcare regulations, and some roles may require certification such as the Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS).

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. Job availability can vary based on location and experience, but entry-level positions are often accessible with proper skills and certifications such as CPC or CPC-A. Strong organizational skills and understanding of insurance processes improve employment prospects.

What are the key skills and qualifications needed to thrive as a Medical Claims Processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, insurance policies, and claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, healthcare coding systems (ICD-10, CPT), and electronic health record (EHR) systems is typically required. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and timely processing. These skills are crucial for minimizing errors, reducing claim denials, and supporting efficient healthcare reimbursement processes.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, who handle complex claims and often work for major insurance companies. These positions usually require extensive experience, industry certifications like the Chartered Property Casualty Underwriter (CPCU), and may involve working long hours or in high-stress environments.

What healthcare jobs pay over $100k per year?

In medical claims processing, senior roles such as Claims Manager or Director can earn over $100,000 annually, especially with extensive experience and certifications. Other high-paying healthcare jobs include physicians, surgeons, and specialized healthcare administrators, which often require advanced degrees and specialized skills.
What are the most commonly searched types of Medical Claims Processing jobs in Michigan? The most popular types of Medical Claims Processing jobs in Michigan are:
What are popular job titles related to Medical Claims Processing jobs in Michigan? For Medical Claims Processing jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medical Claims Processing jobs in Michigan look for? The top searched job categories for Medical Claims Processing jobs in Michigan are:
What cities in Michigan are hiring for Medical Claims Processing jobs? Cities in Michigan with the most Medical Claims Processing job openings:
Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Michigan as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $35,293 per year, or $17 per hour.
ESIS Medical Claims Analyst

ESIS Medical Claims Analyst

Chubb

Southfield, MI • On-site

Full-time

Posted 26 days ago

Chubb rating

8.2

Company rating: 8.2 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

123rd of 281 rated insurance

Job description

ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit www.esis.com.

Summary:

ESIS is seeking an experienced workers' compensation Medical Claims Analyst for the Southfield MI. The person in this role will handle and maintain Medical Only Workers' Compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team.

Minimum Responsibilities:

  • Receive new claim losses and verify accuracy of information submitted.             
  • Provide customer service to agents, insureds, clients and other customers.
  • Process medical only claims that are clearly work related and do not require investigation.
  • Process authorized payments.
  • Input data entry correspondence into claim system, and review files at appropriate intervals determined by Best Practices.
  • Complete required state forms.
  • Typing, photocopying, indexing and filing.
  • Maintain desk according to Best Practice Standards
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
  • 1-2 years previous claims processing experience.
  • Strong customer service background.
  • Ability to operate and contribute positively in a team-based environment.
  • Good written and oral communication skills including effective telephone skills.
  • Ability to work independently under limited supervision.
  • Superior organizational skills and the ability to effectively manage multiple priorities.
  • Demonstrate initiative as evidenced by the ability to self-manage, organize and prioritize work.
  • Strong working knowledge of computer systems and various Microsoft applications such as Word, Excel and Outlook
  • Committed to high standards of behavior and performance.
  • An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters.  Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

What Chubb employees say

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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US

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