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Medical Insurance Claims Processor Jobs (NOW HIRING)

Amwins

Claims Processor

Scottsdale, AZ

$17.25 - $21.75/hr

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

APS Medical

Clerical - Claims Processor

Maumee, OH · On-site

$16/hr

Clerical - Claims Processor Job Category: Insurance Requisition Number: CLAIM001023 Posted ... Prepare and submit medical records to insurers and other requesters * Verify patient insurance ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to ... The In-Force, Claims Processor position is responsible for the reviewing and processing of death ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

In-Force, Claims Processor Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining ...

1001

Inforce, Claims Processor

Zionsville, IN · On-site

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to ... The In-Force, Claims Processor position is responsible for the reviewing and processing of death ...

Belcan

Coordinator - Claims Processor

Mason, OH · On-site

$22.55/hr

Coordinator - Claims Processor Job Number: 366102 Category: Finance/Accounting Description: Job ... Benefits offered may include health care, dental, vision, life insurance; 401(k); education ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

New

NTT DATA

Medical Claims Processor - Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our ...

Mindlance

Office/Administration - Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

GENERAL FUNCTION The Claims Coordinator accurately and efficiently processes all types of claims from source documents, maintaining compliance with the insurance plan requirements and with high ...

Ampcus

Claims - Processor, Claims I

Baltimore, MD · On-site

$17 - $21.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

New

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to ... TheIn-Force, Claims Processorposition is responsible for thereviewing andprocessingof death claim ...

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Medical Insurance Claims Processor information

See salary details

$13

$21

$27

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

As of Jun 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.

Is a claims processor job in demand?

Medical insurance claims processor jobs are in steady demand due to the ongoing need for healthcare administration and insurance processing. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims software and regulations. The role often requires attention to detail and knowledge of medical billing procedures.

What does a medical claims processor do?

A medical claims processor reviews and processes insurance claims submitted by healthcare providers or patients to ensure accuracy and compliance with policy guidelines. They verify patient information, coding, and billing details, often using specialized software, to determine claim approval or denial. This role requires attention to detail and knowledge of medical billing and coding standards.

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.

How much do claims processors make in the US?

Medical insurance claims processors in the US typically earn a median annual salary of around $40,000 to $45,000. Salaries can vary based on experience, location, and certifications, with some earning over $50,000 annually in certain regions or with specialized skills.

How to become a health insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer candidates with certification in medical billing and coding, such as the Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS), and proficiency with claims processing software. On-the-job training is common, and strong attention to detail and knowledge of insurance policies are essential for success.

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 June 2026, with employment types broken down into 1% As Needed, and 99% Full Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.
Life - Claims Processor

Life - Claims Processor

Cincinnati Financial Corporation

Fairfield, OH • On-site

$21 - $23/hr

Other

Medical, Life

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

Key responsibilities

  • Review and investigate claim evidence to determine liability and prevent fraud.

  • Interpret and apply contract language to verify coverage and calculate benefit amounts.

  • Communicate with claimants, agents, beneficiaries, attorneys and others regarding claim requirements, settlement options, and claim decisions.

Cincinnati Insurance Company rating

8.7

Company rating: 8.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

61st of 277 rated insurance

Job description

Make a difference with a career in insurance

At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.

If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.

Build your future with us

Our Cincinnati Life Insurance Company Life Claims department is currently seeking a claim processor to investigate and analyze life and annuity claims to determine liability. The position requires professional communication with beneficiaries, agents and other customers while providing fair adjudication of claims and acting as a resource to others. This position is based at our Headquarters in Fairfield, Ohio.  

The pay range for this position is $21.00 - $23.00 hourly. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.

Be ready to:

  • review and investigate claim evidence to determine liability and prevent fraud
  • interpret and apply contract language to verify coverage
  • answer telephone inquiries regarding new, pending and settled claims
  • communicate with claimants, agents, beneficiaries, attorneys and others regarding claim requirements, settlement options, and claim decisions
  • approve claims accurately, promptly, and within scope of authority
  • maintain claim files in thorough, clear and objective manner 
  • verify data in policy administration system and calculate benefit amount to ensure accurate claim payment and financial reporting
  • complete contestable claim investigations

Be equipped with:

  • understanding of life and annuity claim processing
  • knowledge of basic life insurance contract language
  • familiarity with medical terminology
  • strong analytical and math skills
  • ability to work well independently and in teams
  • proficiency in Microsoft Word and Excel
  • strong attention to detail
  • customer service orientation
  • excellent verbal and written communication skills
  • a willingness to pursue education to enhance professional growth

Bring education or experience from:

  • a high school diploma (required)
  • an associate degree or equivalent life/annuity or tax-related experience (preferred)
  • knowledge of LifePro administration system (preferred)

Enhance your talents 

Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. 

Enjoy benefits and amenities 

Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.

Embrace a diverse team 

As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights. 

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