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Medical Insurance Claims Jobs (NOW HIRING)

Job Summary We are seeking a detail-oriented Medical Insurance Claims professional for a full-time temp-to-hire opportunity in Bakersfield, CA. This hybrid/remote role is ideal for a claims ...

Category Insurance Insurance Claims Specialist - DME/HME Location: Tarentum, PA Department: Claims At Blackburn's Physicians Pharmacy, we help patients gain access to the medical equipment and health ...

Category Insurance Insurance Claims Specialist - DME/HME Location: Tarentum, PA Department: Claims At Blackburn's Physicians Pharmacy, we help patients gain access to the medical equipment and health ...

Insurance Claims Specialist

Monroe, LA ยท 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 ...

Insurance Claims Specialist

Monroe, LA ยท 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 ...

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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Stay current on and ensure strict compliance with all medical/payer guidelines and regulations ... Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst. Deep ...

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Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Jun 30, 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.

What health insurance jobs pay the most?

Senior roles in medical insurance claims, such as Claims Director or Claims Manager, tend to have the highest salaries, often exceeding $100,000 annually. These positions require extensive experience, strong knowledge of insurance policies, and leadership skills, and they often involve overseeing claims processing teams and ensuring compliance with regulations.

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 completing pre-licensing courses and passing an exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; some employers prefer candidates with a bachelor's degree or experience in healthcare or insurance. Continuing education and certifications, such as the Certified Professional Coder (CPC), can enhance job prospects.

Which health insurance company pays the most claims?

In the context of medical insurance claims processing, large health insurance companies such as UnitedHealthcare, Anthem, and Cigna are known for handling high volumes of claims. The amount paid out varies based on policy coverage, claim complexity, and provider networks, but these companies are among the top in claim payments due to their extensive customer bases and coverage options.

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 is the highest paid job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paid, often earning six-figure salaries plus bonuses. These positions require extensive experience, leadership skills, and industry knowledge, and they oversee large teams and strategic decision-making within insurance companies.
More about Medical Insurance Claims jobs
What cities are hiring for Medical Insurance Claims jobs? Cities with the most Medical Insurance Claims job openings:
What are the most commonly searched types of Medical Insurance Claims jobs? The most popular types of Medical Insurance Claims jobs are:
What states have the most Medical Insurance Claims jobs? States with the most job openings for Medical Insurance Claims jobs include:
What job categories do people searching Medical Insurance Claims jobs look for? The top searched job categories for Medical Insurance Claims jobs are:
Infographic showing various Medical Insurance Claims job openings in the United States as of June 2026, with employment types broken down into 10% Full Time, 67% Part Time, and 23% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $43,622 per year, or $21 per hour.
Medical Insurance Claims

Medical Insurance Claims

AppleOne

Bakersfield, CA โ€ข On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Retirement

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Job Summary
We are seeking a detail-oriented Medical Insurance Claims professional for a full-time temp-to-hire opportunity in Bakersfield, CA. This hybrid/remote role is ideal for a claims processing professional with payer-side or health insurance claims experience, rather than clinic-only billing experience.
In this role, you will review, process, audit, and resolve medical and facility claims for payment while applying contract benefits, policies, procedures, eligibility rules, coding guidelines, and payment standards. You will support accurate, timely, and compliant claims administration within a mission-driven healthcare services environment focused on improving member health.
This is a strong opportunity for someone who enjoys focused claims review work, values accuracy, and wants to grow within a stable healthcare organization. The team environment supports collaboration, clear processes, professional development, and access to leadership guidance on more complex claims. This position may be filled at the I or II level based on experience and qualifications.
Key Responsibilities
- Review and process medical and facility claims from contracted and non-contracted providers, subscribers, and enrollees.
- Resolve system-suspended claims for PCPs, labs, radiology, less complex specialists, and physical therapy claims.
- Apply benefits, contract terms, claims policies, coding guidelines, and payment procedures accurately and timely.
- Identify billing errors, possible fraudulent submissions, overpayments, CCS eligibility issues, COB concerns, and claims requiring additional review.
- Deny inappropriate claims according to policy guidelines and route complex claims to the appropriate department or supervisor.
- Maintain productivity, quality, documentation, and attendance standards in accordance with department guidelines.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angelesโ€™ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1087

Company Description

This company offers growth and a great group of people to work with.

AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964