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Medical Insurance Claims Processor Jobs in Minnesota

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In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

HealthPartners

Claims Specialist

MN · On-site +1

$20.13 - $30.19/hr

This position ensures that insurance and other 3rd party claims are submitted and/or paid in a ... company processes, government policy/regulation, and payer requirements. * Prior medical ...

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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 23, 2026, the average hourly pay for medical insurance claims processor in Minnesota is $20.61, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $23.32 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 Minnesota?

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

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

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

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

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

Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 15% Part Time, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $42,862 per year, or $20.6 per hour.

Claims Representative- Auto Physical Damage

Western National Group & Umialik Insurance

Edina, MN • On-site

$59K - $81K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

Description

Who are we?

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as "The Relationship Company," we define success as a measure of the relationships we've built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That's the power of "nice". At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.


Does this opportunity interest you?

Western National is seeking a Claims Representative to join our Auto Physical Damage team!


The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve multi-line insurance claims as assigned.


What are the responsibilities and opportunities of this role?

  • Handles high volume, low-to-moderate complexity claims within settlement authority.
  • Ensures customer service excellence.
  • Investigates and reviews policy forms, facts, and documents that are related to claims to make appropriate decisions on claims resolutions.
  • Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience while maintaining appropriate reports to ensure the current status of claims is clearly documented at all times.
  • Provides direction to outside resources.
  • Performs duties and activities covered by specific instructions, standard practices, and established procedures that generally require some interpretation.
  • Gathers input and makes recommendations to solve problems of moderate complexity.
  • Deals with moderately complex problems that must be broken down into manageable pieces.
  • Sees relationships between problem components and prioritizes them.
  • Utilizes knowledge, experience, and available resources to find solutions.
  • Participates in development of improvements and helps implement changes.
  • Maintains regular contact with customers (e.g., policyholders, claimants, agents) as well as regular contact with employees across the organization and outside vendors.
  • Travels for field work as required.
  • Performs special projects and other duties as assigned.

Requirements

What are the must-have qualifications for a candidate?

  • Understanding of industry practices, standards, and claim concepts.
  • Prior claims experience.
  • Ability to multitask and solve problems.
  • Proficient oral and written communication skills.
  • Strong negotiation and relationship-building skills.
  • Analytical with ability to exercise sound business judgment.
  • Good time management skills.
  • Bachelor's degree or equivalent related experience.

What will our ideal candidate have?

  • Working toward AIC or AINS certification is preferred.
  • Proficient use of various core systems, office and computer equipment, and software packages.

Compensation overview

The full hiring range for this role is $59,200 - $81,400, annually. However, the base pay offered may vary depending on the job-related knowledge, skills, credentials, and experience of each candidate as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and/or may be considered for other positions.


Culture and Total Rewards

Western National has long been known as "The Relationship Company", and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our employees are our biggest asset.


Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for consecutive years. In addition, the Group is consistently recognized as a Ward's 50 property-and-casualty insurance company for its outstanding financial results.


Western National offers full-time employees a significant Total Rewards Package, including:

  • Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!
  • Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
  • 401(k) Plan (plus company match)
  • Wellbeing Program, including onsite fitness studio
  • Paid Time Off - including holiday, vacation, and volunteer
  • 100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)
  • Paid parental leave
  • Bonus opportunities

Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs.


Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.


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