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Medical Claims Representative Jobs (NOW HIRING)

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Fully Remote Medical Claims Rep- $26/Hr.

Charlotte, NC · Remote

$26/hr

Remote Medical Claims Billing Coordinator (Contract-to-Hire) 100% Remote | Full-Time | M-F | 8AM-5PM CST We're seeking experienced Medical Claims Billing Coordinators to join a fast‐paced ...

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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 ...

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 ...

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 · 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 ...

EquipmentShare

Claims Representative

Saint Louis, MO · On-site

Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting ... Full medical, dental, and vision coverage for full-time employees * Generous PTO + paid holidays ...

Cottingham & Butler

Claims Representative

Dubuque, IA · On-site

As a Claims Representative you will: * Analyze and process claims * Talk with injured employees ... Salary * Most Benefits start Day 1 * Medical, Dental, Vision Insurance * Flex Spending or HSA ...

Cottingham & Butler

Claims Representative

Dubuque, IA · On-site

As a Claims Representative you will: * Analyze and process claims * Talk with injured employees ... Salary * Most Benefits start Day 1 * Medical, Dental, Vision Insurance * Flex Spending or HSA ...

CBCS

Claims Representative

Dubuque, IA

As a Claims Representative you will: * Analyze and process claims * Talk with injured employees ... Salary * Most Benefits start Day 1 * Medical, Dental, Vision Insurance * Flex Spending or HSA ...

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Medical Claims Representative information

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$29

How much do medical claims representative jobs pay per hour?

As of Jun 10, 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.

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.
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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 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $43,428 per year, or $20.9 per hour.
Medical Claims Representative Trainee

Medical Claims Representative Trainee

Progressive

Everett, WA

$29.81 - $31.73/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Progressive Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 580 frontline employees who took The Breakroom Quiz

62nd of 260 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 medical claims representative trainee, you’ll be instrumental in keeping the medical claims process efficient and supportive for our customers. Focusing on personal injury protection (PIP) medical coverage, you’ll analyze accident details, medical records and terminology. You’ll also adjust claims while maintaining solid relationships with customers. Bring your passion for helping others and we’ll teach you the insurance stuff – allowing you to be confident when speaking with customers.

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.

Candidates must reside within 30 miles of a Progressive's Washington Claims offices (Federal Way or Everett).

Duties & responsibilities after training

  • Research policy contract, regulation and cause of injury to make coverage decisions
  • Conducts research to understand correlations between medical records and motor vehicle accidents, injuries or medical conditions
  • Identify and research wage loss expenses and documentation for payment consideration
  • Review and interpret policy language when subrogation demands are received

Must-have qualifications

  • 3 years of relevant work experience
  • {OR} Associate's degree and 2 years relevant work experience
  • {OR} Bachelor's degree

Schedule: Monday - Friday, 7 AM to 4 PM / 8:00 AM - 5:00 PM / 9 AM to 6 PM

Compensation

  • $29.81 - $31.73/hour
  • 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

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://careers.progressive.com/pages/how-we-hire-faq-job-scams/

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