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Medical Claims Processor Jobs in Boston, MA (NOW HIRING)

Progressive

Claims Adjuster Trainee

Canton, MA · Hybrid

$59K - $63K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Progressive

Claims Adjuster Trainee

Westborough, MA · Hybrid

$59K - $63K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Progressive

Claims Adjuster Trainee

Woburn, MA · Hybrid

$59K - $63K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Hiscox

Portfolio Claims Handler

Boston, MA

The assignment includes all aspects of the claims and litigation process and requires coordination with external and internal business partners, including outside experts, legal counsel, underwriting ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Boston, MA

Medical Claims Processor information

See Boston, MA salary details

$15

$21

$27

How much do medical claims processor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical claims processor in Boston, MA is $21.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $23.51 per hour, depending on experience, location, and employer.

What are some common challenges faced by medical claims processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

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

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Is a medical claims processor job in demand?

Medical claims processor jobs are in demand due to the ongoing need for healthcare administration and insurance processing. The role requires attention to detail and familiarity with claims processing software, and employment is expected to grow as healthcare coverage expands and insurance companies seek qualified staff.

What do you need to be a medical claims processor?

To become a medical claims processor, you typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Some employers prefer candidates with certification in medical billing or coding, such as the Certified Professional Coder (CPC). Good organizational skills and the ability to work with sensitive information are also important.

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, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What are the most commonly searched types of Medical Claims Processor jobs in Boston, MA? The most popular types of Medical Claims Processor jobs in Boston, MA are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Boston, MA as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 85% In-person, 9% Hybrid, and 6% Remote job distribution, with an average salary of $43,989 per year, or $21.1 per hour.

Claims Adjuster Trainee

Progressive Casualty Insurance Company

Woburn, MA • On-site

$59K - $63K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Progressive Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 596 frontline employees who took The Breakroom Quiz

70th of 304 rated insurance

Job description

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like.
You must reside within 30miles of Progressive's Canton, MA, Westborough, MA or Woburn, MA Claims office at: 250 Royall St., Canton, MA 02021, 2000 W. Park Dr #110, Westborough, MA 01581, or 300 Unicorn Park Dr., Woburn, MA 01801
Duties & responsibilities (upon completion of training)
  • Determine coverage
  • Determine liability (who's at fault for the damages)
  • Interview customers, claimants, and witnesses
  • Partner with appraisers/estimators to manage vehicle repairs
  • Negotiate with customers and other insurance carriers and resolve claims

Must-have qualifications
  • Three years of work experience OR
  • Bachelor's degree OR
  • Two years work experience and an associate degree

Schedule:
  • Training Schedule: Monday-Friday 8:30am-5:30pm
  • Work Schedule: Monday-Friday 8:00am-5:00pm and 9:00am-6:00pm, based on business need, which we will cover while you're in training.

Location: Canton, MA, Woburn, MA or Westborough, MA. You must reside within 30miles of Progressive's Canton, MA, Westborough, MA or Woburn, MA Claims office at: 250 Royall St., Canton, MA 02021, 2000 W. Park Dr #110, Westborough, MA 01581, or 300 Unicorn Park Dr., Woburn, MA 01801
Compensation
  • $59,500 - $63,500/yearly
  • Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance

Benefits
  • 401(k) with dollar-for-dollar company match up to 6%
  • Medical, dental & vision, including free preventative care
  • Wellness & mental health programs
  • Health care flexible spending accounts, health savings accounts, & life insurance
  • Paid time off, including volunteer time off
  • Paid & unpaid sick leave where applicable, as well as short & long-term disability
  • Parental & family leave; military leave & pay
  • Diverse, inclusive & welcoming culture with Employee Resource Groups
  • Career development & tuition assistance

This position will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role.
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/
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