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Medical Claims Processor Jobs in Portland, OR (NOW HIRING)

Corvel

Claims Specialist

Portland, OR · On-site

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Core Specialty

Claims Operations Assistant

Vancouver, WA · On-site

$42K - $45K/yr

Processes payments * Provides additional general administrative assistance to claims technicians ... We offer medical, dental, vision, and life insurances; short and long-term disability; a Company ...

Core Specialty

Claims Operations Assistant

Vancouver, WA · On-site

$42K - $45K/yr

Processes payments * Provides additional general administrative assistance to claims technicians ... We offer medical, dental, vision, and life insurances; short and long-term disability; a Company ...

Tristar Insurance

Claims Assistant

Lake Oswego, OR · On-site

$18 - $20/hr

Execute benefit and medical payments on assigned claim files under the direction of the Claims ... Ability to transcribe dictation; make appointments and process mail; write form letters or routine ...

Chubb

ESIS Claims Associate

Portland, OR

$18.75 - $25.25/hr

Maintain control of the claims resolution process to minimize current exposure and future risks ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Chubb

ESIS Claims Associate

Portland, OR

$18.75 - $25.25/hr

Maintain control of the claims resolution process to minimize current exposure and future risks ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR · On-site

$71K - $104K/yr

Strong technical knowledge of claims handling processes and terminology. * Excellent communication ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR · On-site

$78K - $109K/yr

... medical condition, genetic information, military and veteran status, age, and pregnancy or any ... Strong technical knowledge of claims handling processes and terminology. * Excellent communication ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR · On-site

$78K - $109K/yr

... medical condition, genetic information, military and veteran status, age, and pregnancy or any ... Strong technical knowledge of claims handling processes and terminology. * Excellent communication ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR · On-site

$71K - $104K/yr

... medical condition, genetic information, military and veteran status, age, and pregnancy or any ... Strong technical knowledge of claims handling processes and terminology. * Excellent communication ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR

$71K - $104K/yr

... medical condition, genetic information, military and veteran status, age, and pregnancy or any ... Strong technical knowledge of claims handling processes and terminology. * Excellent communication ...

Chubb

ESIS Senior Claims Representative, WC

Portland, OR · On-site

$71K - $104K/yr

Strong technical knowledge of claims handling processes and terminology. * Excellent communication ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

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Medical Claims Processor information

See Portland, OR salary details

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How much do medical claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical claims processor in Portland, OR is $20.65, according to ZipRecruiter salary data. Most workers in this role earn between $18.37 and $22.93 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.
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The most popular types of Medical Claims Processor jobs in Portland, OR are:

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For Medical Claims Processor jobs in Portland, OR, the most frequently searched job titles are:

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The top searched job categories for Medical Claims Processor jobs in Portland, OR are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Portland, OR as of August 2026, with employment types broken down into 65% Full Time, 17% Temporary, and 18% Contract. Highlights an 59% In-person, 20% Hybrid, and 21% Remote job distribution, with an average salary of $42,943 per year, or $20.6 per hour.

Claims Specialist

Corvel

Portland, OR • On-site

$52K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

85th of 150 rated financial services

Job description

The Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Receives Workers' Compensation claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex lost-time workers' compensation claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional projects and duties as assigned

KNOWLEDGE & SKILLS:
  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:
  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year of industry experience and claims management preferred
  • Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel
  • Minimum of 2 years Oregon workers' compensation claims handling experience

PAY RANGE
CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range, and these adjustments would be clarified during the offer process.
Pay Range: $52,999 - $85,473
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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