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Medical Claims Representative Jobs in Indiana (NOW HIRING)

Progressive

Claims Specialist Int

Carmel, IN · Hybrid

$63K - $81K/yr

As a claims adjuster specialist , you'll play a critical role managing attorney represented bodily ... Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process ...

Liberty Mutual

Senior Claims Specialist

Indianapolis, IN

$22.25 - $30.50/hr

... medical examiners. * Refers to claim to subrogation group or Special Investigations Unit as ... trials as a representative of the company. * Acts as senior technical professional on team ...

SIHO HOLDING INC

Claims Analyst

Columbus, IN

Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Represent the department when needed for internal and external company meetings * Complete special ...

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Represent the department when needed for internal and external company meetings * Complete special ...

SIHO Insurance Services

Claims Analyst

Columbus, IN

Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Represent the department when needed for internal and external company meetings * Complete special ...

Sedgwick

Disability Representative

Indianapolis, IN · On-site

... Disability Representative Our teams thrive together! We collaborate in person and embrace a ... claims based on the disability plan. * Reviews and analyzes routine medical information (i.e ...

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Medical Claims Representative information

See Indiana salary details

$13

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$28

How much do medical claims representative jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical claims representative in Indiana is $19.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.97 per hour, depending on experience, location, and employer.

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

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 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 popular job titles related to Medical Claims Representative jobs in Indiana?

For Medical Claims Representative jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medical Claims Representative jobs in Indiana look for?

The top searched job categories for Medical Claims Representative jobs in Indiana are:

What are popular job titles related to Medical Claims Representative jobs in IN?

For Medical Claims Representative jobs in IN, the most frequently searched job titles are:

Medical Claims Representative jobs near you
Infographic showing various Medical Claims Representative job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $41,324 per year, or $19.9 per hour.

Claims Specialist Int

Progressive Casualty Insurance Company

Carmel, IN • On-site

$63K - $81K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Progressive Insurance rating

8.6

Company rating: 8.6 out of 10

Based on 601 frontline employees who took The Breakroom Quiz

96th of 315 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 claims adjuster specialist, you'll play a critical role managing attorney represented bodily injury (BI) claims. An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. By joining our organization, you'll have the support of a collaborative team that will help you grow your claims career. Read on to learn more about some of the day-to-day responsibilities.
This is a hybrid role. You'll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued coaching from a supportive team. If you prefer an in-office environment, you're welcome to work in the office more than four days per month.
Duties & responsibilities
  • Determines coverage and liability
  • Negotiate with claimants or their attorneys
  • Settle claims and set reserves
  • Estimates cost of treatment or compensation for those injured in accidents
  • Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution
  • Interview, collect and document information from various people such as claimants, agents/brokers, attorneys, and police

Must-have qualifications
  • Four years of relevant work experience with one year in claims handling
  • {OR} Associate's degree and three years relevant work experience with one year in claims handling
  • {OR} Bachelor's degree and one year in claims handling
  • This position requires a valid driver's license and auto insurance.

Preferred skills
  • Auto and/or commercial insurance experience
  • Experience handling Injury claims

Compensation
  • Salary is commensurate with experience and based on geographical location. Salary range $63,100 - $81,600/year.
  • 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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