ZipRecruiter

Log In

1

Medical Claims Representative Jobs (NOW HIRING)

Robert Half

Medical Claims Representative

Pleasanton, CA · On-site

$31.35 - $36.30/hr

We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical ...

Robert Half

Medical Claims Representative

Chicago, IL · On-site

$22.80 - $26.40/hr

We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract position based in Lincolnwood, Illinois. This role focuses on reviewing ...

RemX

Be Seen First

Remote Medical Claims Representative | $19/Hr.

Jacksonville, FL · Remote

$19/hr

Medical Claims Rep * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!!! * Equipment will be shipped to you! * Schedule: 8am-9pm EST. M-Fri. (Must be able to work ANY 8hr Shift between these ...

RemX

Be Seen First

$19/Hr. Work-From-Home Medical Claims Representative

Augusta, GA · Remote

$19/hr

Medical Claims Rep * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!!! * Equipment will be shipped to you! * Schedule: 8am-9pm EST. M-Fri. (Must be able to work ANY 8hr Shift between these ...

RemX

Be Seen First

$19/Hr. Work-From-Home Medical Claims Representative

Salt Lake City, UT · Remote

$19/hr

Medical Claims Rep * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!!! * Equipment will be shipped to you! * Schedule: 8am-9pm EST. M-Fri. (Must be able to work ANY 8hr Shift between these ...

RemX

Be Seen First

Remote Medical Claims Rep | $19/Hr.-Weekly pay!

Savannah, GA · Remote

$19/hr

****REMOTE MEDICAL CLAIMS ROLES CLOSING SOON**** A Fortune 500 healthcare company is filling its final openings for Medical Claims Representatives . Job Details: * $19/hr • Weekly Pay+ Benefits * Paid ...

eTeam

Claims Representative - Liability

May process low-level lifetime medical and/or defined period medical claims which include state and ... Claims Representative training required. Skills & Knowledge Developing knowledge of regulations ...

Elevance Health

Claims Representative I

Baltimore, MD · On-site

$16.24 - $20.30/hr

Claims Representative I Claims Representative I (Health & Dental) Shift: Monday-Friday: 830am-5pm ... Medical Claims For candidates working in person or virtually in the below locations, the salary ...

Elevance Health

Claims Representative I

Baltimore, MD · On-site

$16.24 - $20.30/hr

Claims Representative I Claims Representative I (Health & Dental) Shift: Monday-Friday: 830am-5pm ... Medical Claims For candidates working in person or virtually in the below locations, the salary ...

Cottingham & Butler

Claims Examiner

Dubuque, IA · On-site

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

Elevance Health

Claims Representative I

Baltimore, MD · On-site

$16.24 - $20.30/hr

Claims Representative I Claims Representative I (Health & Dental) Shift: Monday-Friday: 830am-5pm ... Medical Claims For candidates working in person or virtually in the below locations, the salary ...

SISCO

Claims Examiner

Dubuque, IA

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

Cottingham & Butler

Claims Examiner

Dubuque, IA

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

next page

Showing results 1-20

All JobsMedical Claims Representative Jobs

Medical Claims Representative information

See salary details

$13

$20

$29

How much do medical claims representative jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for medical claims representative in the United States is $20.88, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.08 per hour, depending on experience, location, and employer.

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

AspectMedical Claims RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentInsurance companies, healthcare providers, third-party payersHealthcare facilities, billing companies, clinics
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting billing statements to patients and insurers
Common UsageInsurance companies, healthcare providersMedical offices, billing services

While both roles involve handling healthcare financial transactions, Medical Claims Representatives primarily focus on processing insurance claims and ensuring proper reimbursement, whereas Medical Billing Specialists handle the creation and submission of billing statements to patients and insurers. Both roles require similar credentials and often work in healthcare or insurance settings, but their specific responsibilities differ.

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

To thrive as a Medical Claims Representative, you need strong knowledge of medical terminology, insurance policies, and claims processing, often backed by a high school diploma or associate degree in a related field. Familiarity with claims management software, ICD and CPT coding systems, and electronic health records is typically required. Attention to detail, problem-solving abilities, and effective communication skills are crucial soft skills for success. These skills and qualities are important because they ensure accurate claims processing, minimize errors, and provide excellent service to clients and healthcare providers.

What are some common challenges Medical Claims Representatives face when handling complex claims?

Medical Claims Representatives often encounter challenges such as deciphering intricate medical documentation, ensuring compliance with ever-changing insurance regulations, and managing high volumes of claims with tight deadlines. They must carefully communicate with healthcare providers, policyholders, and other insurance professionals to resolve discrepancies or gather missing information. Staying organized, detail-oriented, and up-to-date on policy guidelines is key to overcoming these obstacles and ensuring accurate and timely claim processing.

Is being a claim adjuster worth it?

A Medical Claims Representative evaluates insurance claims related to healthcare services, ensuring accurate processing and compliance. The role typically requires attention to detail, knowledge of medical billing, and familiarity with claims processing software; it can offer stable employment with opportunities for advancement. Whether it is worth it depends on individual career goals and interest in the healthcare and insurance industries.

Is there a demand for claims adjusters?

There is steady demand for claims adjusters, including those working in medical claims, due to the ongoing need for insurance claims processing across various industries. Employment in this field is expected to grow as insurance companies require skilled professionals to evaluate and settle claims efficiently, often requiring knowledge of insurance policies and claims management software.

Is it hard to become a claims adjuster?

Becoming a claims adjuster typically requires completing a training program or obtaining a license, which involves passing an exam and meeting state-specific requirements. The job demands strong communication skills, attention to detail, and knowledge of insurance policies, but the difficulty varies based on individual background and preparation.

What does a Medical Claims Representative do?

A Medical Claims Representative is responsible for processing and reviewing insurance claims related to healthcare services. They evaluate medical documents, verify patient information, and ensure that claims are accurate and comply with insurance policies. Their job also includes communicating with healthcare providers, policyholders, and insurance adjusters to resolve discrepancies or gather additional information. Ultimately, they help ensure claims are paid correctly and in a timely manner.

What kind of claims adjuster makes the most money?

In the claims adjusting field, catastrophic claims adjusters, who handle large-scale and complex claims such as natural disasters or major accidents, tend to earn the highest salaries. These adjusters often require specialized knowledge, certifications, and experience, and they may work long hours in challenging environments to resolve high-value claims efficiently.
More about Medical Claims Representative jobs
What cities are hiring for Medical Claims Representative jobs? Cities with the most Medical Claims Representative job openings:
What are the most commonly searched types of Medical Claims Representative jobs? The most popular types of Medical Claims Representative jobs are:
What states have the most Medical Claims Representative jobs? States with the most job openings for Medical Claims Representative jobs include:
What job categories do people searching Medical Claims Representative jobs look for? The top searched job categories for Medical Claims Representative jobs are:
What are popular job titles related to Medical Claims Representative jobs? For Medical Claims Representative jobs, the most frequently searched job titles are:
Medical Claims Representative jobs near you
Infographic showing various Medical Claims Representative job openings in the United States as of June 2026, with employment types broken down into 16% Full Time, and 84% Part Time. Highlights an 72% Physical, 1% Hybrid, and 27% Remote job distribution, with an average salary of $43,428 per year, or $20.9 per hour.
Medical Claims Representative

Medical Claims Representative

Robert Half

Pleasanton, CA • On-site

$31.35 - $36.30/hr

Temporary

Posted 3 days ago

Job description

We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical claims, billing activity, and insurance-related documentation in a fast-paced environment. The person in this role will support accurate claim review and member-related processing while communicating clearly with Spanish-speaking members and internal teams. Success in this position requires strong knowledge of medical terminology, benefit plans, and claims administration procedures.
Responsibilities:
• Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details.
• Enter and maintain member, enrollment, beneficiary, and medical information within internal claims systems while following established procedures.
• Verify insurance details and confirm benefit eligibility to support timely and correct claim handling.
• Interpret billing information, coding details, and supporting documentation to determine appropriate claim outcomes.
• Communicate with members, providers, and internal partners regarding claim status, required documentation, and benefit-related questions.
• Assist Spanish-speaking members by providing clear and thorough support in both English and Spanish.
• Apply working knowledge of healthcare benefits, policies, and regulatory guidelines when reviewing claim activity.
• Escalate complex or legally sensitive claim matters to leadership when additional review or direction is needed.
Robert Half logo

About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948

View All Robert Half Jobs