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Medical Insurance Claims Jobs (NOW HIRING)

AppleOne

Remote Med Insurance Claims Rep

Bakersfield, CA · Remote

$23/hr

Job Summary We are seeking a Remote Med Insurance Claims Rep for California Residents this is a busy managed care healthcare environment. This role is ideal for a detail-oriented medical claims ...

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Real Soft Inc

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Medical Claims Specialist

Minneapolis, MN · On-site

$28.16/hr

Experience processing insurance claims, preferably Critical Illness or Voluntary Benefits claims. * Strong medical terminology and medical record review skills. * Ability to interpret diagnoses ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro Insurance ... Medical, Dental, Vision Benefits * Dependent Care & Healthcare Flexible Spending Account * Simple ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

Salary: $16.00 - $20.00 Insurance Claims Specialist Peach Tree Dental - Monroe, West Monroe, Ruston ... Medical, Dental, Vision Benefits * Dependent Care & Healthcare Flexible Spending Account * Simple ...

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Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for medical insurance claims in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

How do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves passing a state exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; obtaining a certification such as the Certified Professional Coder (CPC) can enhance job prospects.

What is the highest paid insurance adjuster?

Senior medical insurance claims adjusters or those with extensive experience and specialized certifications can earn salaries exceeding $80,000 annually, with top earners reaching over $100,000. Factors influencing pay include location, employer size, and individual expertise in complex claims processing and negotiation.

What are the key skills and qualifications needed to thrive in the Medical Insurance Claims position, and why are they important?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

What is a Medical Insurance Claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in Medical Insurance Claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What health insurance company pays the most claims?

Medical insurance claims professionals work with various insurance providers, but the amount of claims paid depends on the company's size, policy coverage, and claim volume. Larger insurers like UnitedHealthcare, Anthem, and Cigna process the highest total claims due to their extensive customer bases. The role requires knowledge of claims processing systems and industry regulations.

How to start a career in insurance claims?

To start a career in medical insurance claims, obtain a high school diploma or equivalent, and consider pursuing relevant certifications such as the Certified Professional Coder (CPC) or claims processing courses. Entry-level roles often require strong attention to detail, knowledge of insurance policies, and proficiency with claims processing software, with opportunities for advancement through experience and additional training.
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Medical Insurance Claims jobs near you
Medical Insurance Claims Specialist

Medical Insurance Claims Specialist

Robert Half

Cedar Rapids, IA • On-site

$18 - $21/hr

Temporary

Posted 5 days ago

New

Job description

We are seeking a detail-oriented and customer-focused Claims Specialist to join a growing healthcare-related organization. This role is ideal for someone with experience working with medical insurance, healthcare claims, or medical billing who enjoys problem-solving, investigating claim issues, and helping patients receive the coverage they deserve.

This position offers comprehensive training from a highly experienced team member and provides an excellent opportunity for someone looking to build a long-term career through Contract-to-Hire in medical claims and insurance administration that is outside of a hospital or provider environment.


What You'll Do

As a Claims Specialist, you will play a key role in processing insurance claims and ensuring patients receive accurate billing and reimbursement information.

Responsibilities include:

  • Verify insurance coverage, deductibles, and eligibility through payer websites and direct communication with insurance carriers
  • Review patient insurance information, prescriptions, and supporting documentation
  • Process insurance claims accurately within the claims management system
  • Monitor claim status and investigate denied or rejected claims
  • Work with insurance companies, physician offices, and patients to obtain missing information and required documentation
  • Research authorization requirements, coding issues, and claim discrepancies
  • Correct and resubmit claims when necessary
  • Review Explanation of Benefits (EOBs) to determine patient balances, refunds, or additional amounts due
  • Maintain accurate records and documentation throughout the claim lifecycle


What We're Looking For

Required Qualifications:

  • Experience working with medical insurance, healthcare claims, medical billing, or a related healthcare administrative role
  • Strong attention to detail and accuracy
  • Ability to investigate issues and follow through to resolution
  • Confidence communicating with insurance representatives, physician offices, and patients

Preferred Qualifications:

  • Experience processing and appealing insurance claims
  • Familiarity with EOBs, prior authorizations, and healthcare reimbursement processes

The Successful Candidate Is:

  • Curious and resourceful when faced with claim challenges
  • Comfortable picking up the phone and working directly with insurance carriers to find answers
  • Organized and able to manage multiple claims at various stages of processing
  • Patient, persistent, and solutions-oriented
  • Eager to learn and develop expertise in medical claims administration


Why Consider This Opportunity?

  • Extensive training and knowledge transfer provided
  • Opportunity to develop specialized expertise in medical insurance claims
  • Collaborative, team-focused environment
  • Meaningful work that helps patients obtain insurance coverage for healthcare-related products and services

If you enjoy problem-solving, working with insurance carriers, and helping people navigate complex healthcare processes, we encourage you to apply.

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

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