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Medical Insurance Claims Processor Jobs (NOW HIRING)

The Claims Processor serves as a mediator on claims between company drivers, Insurance and at times 3 rd parties. Is responsible for the maintenance, audit and management of files assigned to he or ...

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 ...

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

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 ...

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 ...

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

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 ...

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 ...

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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 ...

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 ...

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 ...

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 ...

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Prepare and submit medical records to insurers and other requesters * Verify patient insurance information * Submit claims * Adjust accounts and work on balance reconciling projects * Enter patient ...

Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...

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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 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:
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.

Claims Processor I

MVT Holdings

Las Cruces, NM • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

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


Job description

Join the MVT family!!! Mesilla Valley Transportation is hiring a Claims Processor in Las Cruces, NM!!
The Claims Processor serves as a mediator on claims between company drivers, Insurance and at times 3 rd parties. Is responsible for the maintenance, audit and management of files assigned to he or she. Follows the processes and procedures as by the Risk Management Department to ensure compliance with Federal, State, Insurance and Company regulations
Responsibilities:
  • Working knowledge of insurance claim processing and adjusting.
  • Ensure all claim files are up to date with the most current information.
  • Assist in the production of statistical data reports which includes maintaining and updating various spreadsheets.
  • Performs claims audits.
  • Organizes with the department personnel other associates job-related duties and others.
  • Completes required training as assigned.
  • Must maintain active his or her Adjusting License.
  • Other duties as assigned.
Qualifications:
  • Minimum Associates Degree; or at least 1-year related experience and /or training in the Auto Insurance Claim Adjusting Industry; or equivalent combination of education and experience is required.
  • Candidate must have current Adjusting License.
  • Be familiar with all state, federal, and local laws and regulations governing Insurance and transportation industry.
  • Strong written and communication skills; analytical, positive attitude, and highly motivated.
  • Proficient with Microsoft Office Suite or related software.
  • Bilingual in English and Spanish (Preferred).
Job Benefits:
  • 401(k)
  • Dental Insurance
  • Health Insurance
  • Life Insurance
  • Paid Time Off
  • Tuition Reimbursement
  • Vision insurance
Benefit Conditions:
  • Only full-time employees are eligible.

Mesilla Valley Transportation began in 1982 as a small independent fleet in the Southwest. In the late '80s, MVT went through a controlled growth spurt and began to encompass the 48 connected states and Canada.
Today, Mesilla Valley Transportation is one of the largest locally-owned Truck Load carriers in the U.S. We specialize in time-sensitive service between major manufacturing areas in the U.S., Canada, and Mexico borders.
"Where family, careers, and success come together!"