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Medical Claims Representative Trainee Jobs in Rochester, NY

... Claims Representative , Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level ... A comprehensive benefits package is offered including but not limited to, medical, dental, vision ...

New

Claims Adjuster Trainee

Rochester, NY · Hybrid

$60K - $63K/yr

As a claims adjuster trainee , you'll learn how to help customers get back on the road after an ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Medical Biller

Rochester, NY · Remote

$20 - $25/hr

... or denied claims. * Communicate with payers, managed care plans, insurance representatives, and ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

... or denied claims. * Communicate with payers, managed care plans, insurance representatives, and ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

... or denied claims. * Communicate with payers, managed care plans, insurance representatives, and ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

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Medical Claims Representative Trainee information

See Rochester, NY salary details

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How much do medical claims representative trainee jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical claims representative trainee in Rochester, NY is $20.60, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.79 per hour, depending on experience, location, and employer.

What does a medical claims representative trainee do?

A Medical Claims Representative Trainee assists in reviewing, processing, and resolving medical insurance claims. They learn how to evaluate claims for accuracy, determine coverage eligibility, and communicate with policyholders, healthcare providers, and other parties. The trainee works under supervision, gaining knowledge of company policies, claims procedures, and medical terminology. Over time, they develop the skills needed to handle claims independently and ensure compliance with legal and regulatory guidelines.

What are the key skills and qualifications needed to thrive as a medical claims representative trainee?

To thrive as a Medical Claims Representative Trainee, you need a strong understanding of medical terminology, attention to detail, and at least a high school diploma or equivalent. Familiarity with claims management software, healthcare billing systems, and possibly industry certifications like those from AAPC or AHIMA are valuable. Excellent communication, problem-solving, and organizational skills help you navigate complex cases and interact effectively with claimants and providers. These competencies are crucial for accurately processing claims, minimizing errors, and ensuring customer satisfaction in a regulated healthcare environment.

What are some common challenges faced by medical claims representative trainees during their initial training period?

Medical Claims Representative Trainees often encounter challenges such as learning complex insurance policies and procedures, understanding medical terminology, and mastering multiple claims processing systems. Adapting to the fast-paced environment and balancing accuracy with efficiency can also be demanding. However, most organizations provide comprehensive training, mentorship, and ongoing support to help trainees build confidence and competence in these areas.

What is the difference between Medical Claims Representative Trainee vs Medical Claims Representative?

AspectMedical Claims Representative TraineeMedical Claims Representative
CredentialsHigh school diploma or equivalent; on-the-job trainingHigh school diploma; certification or licensing may be preferred
Work EnvironmentTraining environment, supervised tasksFull-time office or remote work, handling claims independently
Job ResponsibilitiesAssisting with claims processing, learning proceduresProcessing claims, reviewing documentation, resolving issues

The Medical Claims Representative Trainee role is an entry-level position focused on training and gaining experience, while the Medical Claims Representative handles claims independently with more responsibility. Trainees develop skills before advancing to full representative roles.

What are popular job titles related to Medical Claims Representative Trainee jobs in Rochester, NY?

For Medical Claims Representative Trainee jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Medical Claims Representative Trainee jobs in Rochester, NY look for?

The top searched job categories for Medical Claims Representative Trainee jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Medical Claims Representative Trainee jobs?

Cities near Rochester, NY with the most Medical Claims Representative Trainee job openings:

Infographic showing various Medical Claims Representative Trainee job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $42,849 per year, or $20.6 per hour.

Claims Representative , Auto

Sedgwick

Rochester, NY • On-site

$50K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

212th of 311 rated insurance


Job description

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Full time

R76894

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative , Auto

PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

  • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

  • Identifies and pursues subrogation opportunities; secures and disposes of salvage.

  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

  • Maintains professional client relations.

  • Performs coverage, liability, and damage analysis on all claims assignments.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

QUALIFICATIONS

  • Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

  • Familiarity with personal and commercial lines policies and endorsements

  • Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

  • Knowledge of total loss processing, State salvage forms and title requirements, preferred

  • Excellent oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong organizational skills

  • Good interpersonal skills

  • Ability to work in a team environment

  • Ability to meet or exceed Service Expectations

Work environment requirements include -

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

When applicable and appropriate, consideration will be given to reasonable accommodations.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com


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