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Medical Insurance Claims Processor Jobs (NOW HIRING)

DATAMARK (Texas)

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... In this role, you will be responsible for verifying insurance coverage, conducting research, and ...

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

... medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of ...

Total Recon Auto Center

Claims Processor

Rockville, MD · On-site

$23 - $26/hr

As a Claims Processor at Total Recon, a Tesla-approved body shop, you will be the primary liaison with insurance companies. You will ensure that all claims progress smoothly and are properly ...

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... medical claims pended for manual adjudication in assigned Workflow roles. The Claims Processor II will accurately interpret benefit and policy provisions applicable to fully-insured plan members and ...

HealthONE

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

Claims Processor II Our mission is to enhance well-being by connecting individuals with vital ... Medical Insurance * Paid Time Off * Pet Insurance * Short Term Disability * Vision Insurance Pre ...

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... medical claims pended for manual adjudication in assigned Workflow roles. The Claims Processor II will accurately interpret benefit and policy provisions applicable to fully-insured plan members and ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Highmark Health

Claims Processor

New York, NY · On-site

$24.19/hr

Reviews processed claims and inquiries to determine corrective action including adjusting claims as ... other insurance information received, appeals, and system changes, etc.; provides technical ...

CHI Health Clinic

Claims Processor

Omaha, NE · On-site +1

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

Zenith American Solutions

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

CHI Health Clinic

Claims Processor

Omaha, NE · Remote

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

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Medical Insurance Claims Processor information

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How much do medical insurance claims processor jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical insurance claims processor in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.80 per hour, depending on experience, location, and employer.

What does a medical insurance claims processor do?

A Medical Insurance Claims Processor reviews and processes insurance claims submitted by healthcare providers or patients. They verify the accuracy of claim information, ensure services are covered by the patient’s insurance policy, and calculate the payment amounts. Claims processors also communicate with providers and policyholders to resolve discrepancies or request additional information when necessary. Their work helps ensure timely and accurate reimbursement for medical services.

What are the key skills and qualifications needed to thrive as a medical insurance claims processor?

To thrive as a Medical Insurance Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims processing procedures, typically supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 and CPT, and electronic health record (EHR) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and efficiency when handling sensitive information and resolving claim issues. These skills are crucial for minimizing errors, expediting claims resolution, and maintaining compliance with industry regulations.

What are some common challenges faced by medical insurance claims processors, and how can they be managed?

Medical Insurance Claims Processors often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and communicating with both providers and patients to resolve discrepancies. Staying organized and detail-oriented is crucial, as missing documentation or incorrect coding can delay claim approvals. Regularly attending training sessions on insurance regulations and collaborating closely with billing teams can help manage these challenges and ensure accurate, timely claim processing.

What is the difference between Medical Insurance Claims Processor vs Medical Billing Specialist?

AspectMedical Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing departments
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, follow up on payments, manage accounts

While both roles involve healthcare billing and insurance, Medical Insurance Claims Processors focus on reviewing and submitting insurance claims, ensuring they are correctly processed. Medical Billing Specialists handle the entire billing cycle, including generating invoices and managing payments. Both roles require similar certifications and often work in healthcare or insurance settings, but their core functions differ in scope and daily tasks.

How to become a medical insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in healthcare billing and coding. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and experience with claims processing software; certifications such as Certified Professional Coder (CPC) can also enhance job prospects.

Is a medical insurance claims processor job in demand?

The demand for medical insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims processing software and regulations. Certification and experience can enhance job prospects in this role.
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Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.

Insurance Claims Processor

Newark, NJ

Transfer Trailer Services
See more jobs at Transfer Trailer Servicesexternal

$50K - $65K/yr

Full-time

Medical, Retirement, PTO

Re-posted 6 days ago

Job description

Be Part of something Unique.

Transfer Trailer Services ("TTS") and Voyager Trucking Corp ("VTC")  are sister companies operated out of the same location. Together TTS and VTC are the industry leader and largest by market-share within our logistics sub-sector in the tri-state area.  We are a family owned and operated company with a relaxed work environment in a modern and recently renovated facility.  We are looking for a person with industry knowledge and experience that could manage and process all internal claims for Auto, Liability, Physical Damage, Umbrella and Workers Compensation.  This employee will also be an working directly with the carriers processing claims and pricing annual renewals.  We average two - three claims per month, the employee will take ownership and manage the claim from start to finish.

Job Responsibilities:

  • Manage and price annual renewals for all lines of insurance.
  • Oversee all risk policies and procedure for TTS and VTC.
  • Provide quality assistance and customer service in a professional and timely manner to policyholders who have experienced an Auto and Workers Compensation loss. (1099 Subcontractors and Company owned assets)
  • Navigate multi-systems to access appropriate information to service policyholders.
  • Accurately receive and respond to the first reports of an insured's losses.
  • Listen and record information simultaneously and follow through by assessing losses and acting upon the claim, should it require attention.
  • Determine appropriate coverage and complete necessary follow ups in a timely and efficient manner.
  • Perform additional duties within the department as needed.
  • Conduct on-site loss control surveys and underwriting evaluations to assess potential hazards for our Policyholders
  • Conduct accident investigations
  • Prepares loss control reports and sends recommendations to policyholders to help them improve potential risk factors
  • A knowledge of logistics and commercial auto safety
  • An understanding of nationally recognized standards and codes
  • Develop, enhance and present training programs in the area of loss prevention
  • Communicate loss prevention services available to policyholders

Required Qualifications and Experience:

  • Bachelor's Degree is preferred
  • 5+ years of experience in Loss Control and/or Logistics
  • Excellent communication, interpersonal and presentation skills
  • Ability to work in a team environment or independently
  • Strong organizational skills and the ability to multi-task and be detail-oriented
  • Excellent analytical and decision making skills
  • Experience with laptop computers as well as Microsoft Word, Excel and Outlook
  • Loss Control and Safety experience in the Insurance Industry (Workers Comp, Commercial Auto, Property or General Liability) is preferred
  • Speaking Spanish is a benefit although not required. 

Transfer Trailer Services and Voyager Trucking Corp is proud to be an Equal Opportunity Employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Benefits include, Vacation, 401k with 6% employer match, PTO and Healthcare.

Employment Type: FULL_TIME

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