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Medical Insurance Claims Processor Jobs in Phoenix, AZ

Claims Advisor

Phoenix, AZ · On-site

$45K - $70K/yr

We are seeking a process-driven, detailed, and focused teammate who excels at crafting pathways for claims management and success for their clients. As a Claims Advisor for Reseco, you will be ...

At Capital Insurance Group we offer our employees more than just a job. We foster career growth ... Medical, dental, vision plans * One hundred percent covered plans * Basic Life & AD&D * Employee ...

Manage first and third-party injury claims related to No-Fault/Med Pay and liability exposures ... Comprehensive understanding of insurance contracts, investigation techniques, legal requirements ...

Be Seen First

TTF is recruiting for a Medical / Behavioral Revenue Cycle representative for a well-respected ... and Claims Processor. We never charge a fee to candidates, and all conversations are kept ...

Maintain accurate, thorough, and current claim file documentation throughout the claims process ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

Maintain accurate, thorough, and current claim file documentation throughout the claims process ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

... insurance claims presented by or against members to include the end-to-end claims process and ... Comprehensive medical, dental and vision plans, 401(k), pension, and life insurance * Parental ...

Showing results 41-60

Medical Insurance Claims Processor information

See Phoenix, AZ salary details

$13

$20

$27

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

As of Aug 18, 2026, the average hourly pay for medical insurance claims processor in Phoenix, AZ is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $23.61 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 job categories do people searching Medical Insurance Claims Processor jobs in Phoenix, AZ look for?

The top searched job categories for Medical Insurance Claims Processor jobs in Phoenix, AZ are:

Infographic showing various Medical Insurance Claims Processor job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $43,453 per year, or $20.9 per hour.

$45K - $70K/yr

Full-time

Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

We are seeking a process-driven, detailed, and focused teammate who excels at crafting pathways for claims management and success for their clients. As a Claims Advisor for Reseco, you will be directly responsible for moving the claims process along for our clients by focusing on past and current trends and by being the liaison between the client and the carriers. While we are heavy in construction, your clientele will be from all silos within the industry. If selected to be a part of our Claims Management team, you will be joining an already successful and stable functioning team of individuals. This role is process-driven, occasionally client-facing, and critical to the value proposition of Reseco.
This role requires a candidate with strong attention to detail and one who carries an ability to follow through with each suggested path.
Responsibilities:
  • Enter Loss Runs in ModMaster/EMOD forecast and analysis preparation
  • Research, collect, and confirm claim details
  • Accurately input all claim details within EPIC
  • Update any documents and client correspondence pertaining to all claims in EPIC
  • Utilize Epic template to provide claim information to clients
  • Respond to and update Clients on claim status
  • Communicate with client on pre-claim and claim strategy
  • Develop effective claim strategy with all claim adjusters
  • Communicate with carriers and TPAs to resolve all service issues

For this specific role, we would like you to have at a minimum:
  • 3 Years experience as a Claims Adjuster or similar experience
  • Fluency in Spanish (Speaking, writing, and reading) would be great
  • State Adjuster's license is preferred

Compensation package:
  • Compensation for the role is in the range of $45,000 - $70,000
  • Compensation is based upon based on experience and organizational culture impact.

You'll also receive
  • Unlimited PTO
  • Healthy bonus structure
  • Travel expenses
  • Employee Benefit Incentive dollars
  • Immediate eligibility in our 401k

If you are interested in this opportunity, please apply to this posting or reach out to Amy Gallego at agallego@resecoadvisors.com. For more information on Reseco Advisors, please visit our website at resecoadvisors.com. We look forward to hearing from you.