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Medical Claims Processor Jobs in Detroit, MI (NOW HIRING)

The EMAC Group

Mortgage Claims Specialist

Detroit, MI · On-site

POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout ...

Healthrise

Coding Denials Resolution Specialist

Farmington, MI · On-site

$18.50 - $23.50/hr

... claims or other coding reasons, and processing charge corrections based on medical record reviews, contracts, and regulations as directed by supervisor. * Interprets data, draws conclusions, and ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Detroit, MI

Medical Claims Processor information

See Detroit, MI salary details

$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medical claims processor in Detroit, MI is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.39 per hour, depending on experience, location, and employer.

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 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.

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 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.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of medical billing, coding, and claims processing software, and some positions may offer on-the-job training or certification programs.
More about Medical Claims Processor jobs

What are the most commonly searched types of Medical Claims Processor jobs in Detroit, MI?

The most popular types of Medical Claims Processor jobs in Detroit, MI are:

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For Medical Claims Processor jobs in Detroit, MI, the most frequently searched job titles are:

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The top searched job categories for Medical Claims Processor jobs in Detroit, MI are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Detroit, MI as of August 2026, with employment types broken down into 66% Full Time, 16% Temporary, and 18% Contract. Highlights an 59% In-person, 20% Hybrid, and 21% Remote job distribution, with an average salary of $40,087 per year, or $19.3 per hour.

Claims Advocate - Commercial Insurance

Hylant

Ann Arbor, MI • On-site

Full-time

Re-posted 29 days ago

Hylant rating

9.8

Company rating: 9.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

1st of 310 rated insurance

Job description

The Opportunity:
The Claims Advocate is a client facing role providing interpretation of policy language, coverage analysis, advocacy, coverage, and dispute resolution. This position will act as liaison between clients and internal and external stakeholders to advocate for our clients in resolving any issues relating to their loss.
In This Role You Will Execute On:

  • Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, third party administrators, and other external parties as well as Hylant client executives and client services team members to advocate and facilitate claim resolution.
  • Actively research and obtain claims information from clients and carriers, monitor claims status and action plans, and proactively communicate with all interested parties.
  • Negotiate with insurers and other stakeholders to expedite the resolution of claims.
  • Consult with clients and internal stakeholders to understand client coverage needs and intentions; provide knowledge and guidance on claims processes, policy coverage, terms, and conditions. Review and recommend solutions to coverage and loss management issues where appropriate.
  • Assist clients in developing special claims servicing instructions ensuring to meet client information, analytics and internal approval process needs.
  • Produce and maintain records, reports, presentations, and other documents necessary to record claim details. Consult with clients and internal stakeholders to gauge claims experience and make recommendations to improve the client experience where appropriate.
  • Participate in presentations and meetings with current and prospective clients; provide claims expertise to support client retention and new business efforts.
  • Perform other duties and special projects as requested.


In This Role You Will Need:

  • Bachelor's degree plus a minimum of five years property and casualty insurance experience including a minimum of one year experience managing claims OR equivalent combination of education and experience.
  • Active Property and Casualty insurance license.
  • Excellent written and verbal communication skills.
  • Ability and willingness to travel by car or airplane for meetings, conferences, or other business-related functions.


Why Hylant?

A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in eight states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you.

Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify.

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