1

Medical Insurance Claims Processor Jobs in Michigan

Optician / medical biller

Rochester Hills, MI · On-site

$16 - $20.50/hr

Handle medical billing and insurance claims * Provide exceptional patient care and general repair ... Knowledge of long-term disability claims processing Salary and Benefits: Competitive salary based ...

$16 - $20.50/hr

Handle medical billing and insurance claims * Provide exceptional patient care and general repair ... Knowledge of long-term disability claims processing Salary and Benefits: Competitive salary based ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters ... Negotiate with insurers, adjusters and other stakeholders to expedite and obtain fair settlement of ...

Claims Adjuster

Detroit, MI · On-site

$50K - $80K/yr

Claims Adjuster CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey ... Comprehensive health benefits including medical, dental and vision coverage * Generous paid time ...

$69K - $92K/yr

Summit provides independent insurance agents and their clients with market-leading workers' comp ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Showing results 21-40

Medical Insurance Claims Processor information

See Michigan salary details

$12

$18

$23

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

As of Sep 5, 2026, the average hourly pay for medical insurance claims processor in Michigan is $18.34, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $20.72 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.

What are popular job titles related to Medical Insurance Claims Processor jobs in Michigan?

For Medical Insurance Claims Processor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Claims Processor jobs in Michigan look for?

The top searched job categories for Medical Insurance Claims Processor jobs in Michigan are:

What are popular job titles related to Medical Insurance Claims Processor jobs in MI?

For Medical Insurance Claims Processor jobs in MI, the most frequently searched job titles are:

Infographic showing various Medical Insurance Claims Processor job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 16% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $38,143 per year, or $18.3 per hour.

Mortgage Claims Default Specialist

The EMAC Group

Detroit, MI • On-site

Full-time

Re-posted 26 days ago


Job description

Company Description
The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients.
Job Description
POSITION SUMMARY
The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required.
ESSENTIAL POSITION FUNCTIONS
• Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed.
• Document and maintain all systems necessary for proper claim handling and follow-up.
• Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company.
• Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed.
• Monitor claim process reports to ensure all required responses are timely filed.
• Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated.
EDUCATION / EXPERIENCE REQUIREMENTS
• Graduation from a 4-year college or university with major course work in a discipline related to the requirements of the position is preferred. Will consider the equivalent combination of job experience & education that demonstrates the ability to perform the essential functions of this job.
• Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus.
• Previous work with mortgage claim filing is a requirement.
Qualifications
Additional Information
Please contact Tabitha Wolf at: 303-953-4748

EMAC Group logo

About EMAC Group

Sourced by ZipRecruiter

The EMAC (Employment Management Advisory Consulting) Group was founded in 2004 as a mortgage industry executive search and recruitment training platform. Our client-focused and candidate-centric approach is evident in your commitment to collaborating with clients and professionals to help them achieve their aspirations. With over 20 years of experience, The EMAC Group has accumulated a wealth of stories and insights from professionals we represent. Our client-focused and candidate-centric approach is evident in your commitment to collaborating with clients and professionals to help them achieve their aspirations. We recruit amazing people to help your business reach new heights. Our team’s approach of not depending on job boards but focusing on direct recruitment and attracting passive candidates who prioritize their career aspirations is a distinctive and effective strategy. Passive candidates, often highly qualified and experienced, can be a valuable asset to organizations seeking top talent.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Palm Harbor, FL, US

Year founded

2004