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Medical Insurance Claims Processor Jobs (NOW HIRING)

Amwins

Claims Processor

Scottsdale, AZ · On-site

$17.25 - $22/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office position, that offers the flexibility to work from home ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

Enters claims data into system while interpreting coding and understanding medical terminology in ... Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

ProCare Rx

Claims Processor l

Southfield, MI

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and ... Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance. * Time to ...

ICONMA

Claims Processor

Baltimore, MD · On-site

$17 - $21.25/hr

Our Client, a Health Insurance company, is looking for a Claims Processor for their Baltimore, MD location. Responsibilities: * 50% Research and improve operations by examining and researching ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.50 - $19.75/hr

Claims Processor Job Category: Client Services Requisition Number: CLAIM001705 Posted: July 7, 2026 ... Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance. * Time to ...

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Experience with medical billing and/or coding as well as document imaging systems and Medical ...

InnovAge

Claims Processor II

Denver, CO · Remote

$17.50 - $22.25/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...

MUSC

$17.50 - $22/hr

Summary Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve ...

Cynet Systems

Claims Processor - Remote / Telecommute

$17.34 - $21.34/hr

Examine and resolve non-adjudicated claims by identifying processing requirements based on contracts, medical policies, and procedures. * Process product- or system-specific claims to ensure timely ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

... claims Process and evaluate hospital claims manually or through claims work flow Validate ... medical claims in a health insurance or benefits environment required Basic keyboarding skills ...

Ourhrconnect

Claims Processor I

Florence, SC

$16.50 - $20.75/hr

What You'll Do: * Researches and processes claims according to business regulation, internal ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

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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 Jul 22, 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 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.

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 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, and why are they important?

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.
More about Medical Insurance Claims Processor jobs
What cities are hiring for Medical Insurance Claims Processor jobs? Cities with the most Medical Insurance Claims Processor job openings:
What states have the most Medical Insurance Claims Processor jobs? States with the most job openings for Medical Insurance Claims Processor jobs include:
What job categories do people searching Medical Insurance Claims Processor jobs look for? The top searched job categories for Medical Insurance Claims Processor jobs are:
What are popular job titles related to Medical Insurance Claims Processor jobs? For Medical Insurance Claims Processor jobs, the most frequently searched job titles are:
Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.
Claims Processor

Claims Processor

Amwins

Scottsdale, AZ • On-site

$17.25 - $22/hr

Full-time

PTO

Posted 21 days ago

Amwins rating

7.8

Company rating: 7.8 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

170th of 281 rated insurance

Job description

Join Our Team as Claims Analyst at Amwins Self-Funded!
Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst. This is an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training.
Why Choose Amwins?
At Amwins, we value our team members and offer a range of benefits to enhance your work experience:
  • Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
  • Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
  • Continual Learning: Thrive in a collaborative, education-focused work environment.
  • Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

Learn more about us at amwins.com/benefits.
Responsibilities:
  • Learn Amwins Business Model: Understand Amwins business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
  • Effective Correspondence: Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
  • Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
  • Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
  • Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
  • Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
  • Reimbursement Issuance: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
  • Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
  • Year-End Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client's account.
  • Adaptability and Team Collaboration: Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.

Qualifications
  • Education and Experience: A college degree or equivalent work experience is strongly preferred.
  • Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
  • Critical Thinking: The ability to critically think and problem-solve.
  • Confidentiality: Ability to maintain strict confidentiality.
  • Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
  • Communication Skills: Effective written and verbal communication skills with both internal and external parties.
  • Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
  • Eager to Learn: Eagerness to learn Amwins business model is a necessity.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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