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Medical Insurance Claims Jobs (NOW HIRING)

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Stay current on and ensure strict compliance with all medical/payer guidelines and regulations ... Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst. Deep ...

Review claim documentation, medical records, and supporting materials to assist with claim ... claims, legal support, investigations, case management, negotiations, or insurance related ...

Insurance Claims Specialist

Middleton, WI · On-site

$50K - $60K/yr

Review claim documentation, medical records, and supporting materials to assist with claim ... claims, legal support, investigations, case management, negotiations, or insurance related ...

Insurance Claims Specialist

Middleton, WI · On-site

$50K - $60K/yr

Review claim documentation, medical records, and supporting materials to assist with claim ... claims, legal support, investigations, case management, negotiations, or insurance related ...

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Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for medical insurance claims in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What health insurance jobs pay the most?

Senior roles in medical insurance claims, such as Claims Director or Claims Manager, tend to have the highest salaries, often exceeding $100,000 annually. These positions require extensive experience, strong knowledge of insurance policies, and leadership skills, and they often involve overseeing claims processing teams and ensuring compliance with regulations.

How do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves completing pre-licensing courses and passing an exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; some employers prefer candidates with a bachelor's degree or experience in healthcare or insurance. Continuing education and certifications, such as the Certified Professional Coder (CPC), can enhance job prospects.

Which health insurance company pays the most claims?

In the context of medical insurance claims processing, large health insurance companies such as UnitedHealthcare, Anthem, and Cigna are known for handling high volumes of claims. The amount paid out varies based on policy coverage, claim complexity, and provider networks, but these companies are among the top in claim payments due to their extensive customer bases and coverage options.

What are the key skills and qualifications needed to thrive in the Medical Insurance Claims position, and why are they important?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

What is a Medical Insurance Claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in Medical Insurance Claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What is the highest paid job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paid, often earning six-figure salaries plus bonuses. These positions require extensive experience, leadership skills, and industry knowledge, and they oversee large teams and strategic decision-making within insurance companies.
More about Medical Insurance Claims jobs
What cities are hiring for Medical Insurance Claims jobs? Cities with the most Medical Insurance Claims job openings:
What are the most commonly searched types of Medical Insurance Claims jobs? The most popular types of Medical Insurance Claims jobs are:
What states have the most Medical Insurance Claims jobs? States with the most job openings for Medical Insurance Claims jobs include:
What job categories do people searching Medical Insurance Claims jobs look for? The top searched job categories for Medical Insurance Claims jobs are:
Infographic showing various Medical Insurance Claims job openings in the United States as of June 2026, with employment types broken down into 10% Full Time, 67% Part Time, and 23% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $43,622 per year, or $21 per hour.

Insurance Claims Specialist

Fittings Unlimited

Waterloo, IA • On-site

$23/hr

Full-time

PTO

Posted 27 days ago

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Job description

About the Role

We are seeking an experienced, detail-oriented Insurance Claims Analyst / Specialist to join our team in Cedar Rapids. In this role, you will manage the full lifecycle of insurance claims, from initial submission and prior authorizations to resolving complex denials and appeals. If you have a sharp eye for detail, a strong understanding of payer guidelines, and a drive to resolve financial irregularities, we want you on our team!

Key Responsibilities

Claim Management: Efficiently submit and systematically follow up on all insurance claims.

Denials & Appeals: Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement.

Prior Authorizations: Prepare, submit, and track prior authorization requests.

Compliance: Stay current on and ensure strict compliance with all medical/payer guidelines and regulations.

Account Resolution: Actively monitor accounts for non-payments, delayed payments, and other irregularities; resolve unpaid claims promptly.

Qualifications & Experience

Required: Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst.

Deep understanding of insurance terminology, payer guidelines, and claim submission processes.

Strong analytical, problem-solving, and communication skills.

High attention to detail and ability to spot account irregularities.

Perks & Benefits

We value our employees' hard work and offer a supportive work environment with excellent incentives:

Sign-On Bonus: $500 bonus after successful completion of a 60-day probationary period.

Work-Life Balance: Flexible daily hours with no nights and no holidays required.

Paid Time Off: Generous paid vacation and paid sick time.

Career Growth: Enjoy peace of mind with a guaranteed pay raise.

Company Description

Our small Mastectomy & Compression boutique measures and fits customers in bra's, breast forms and a variety of compression garments. The insurance filing comes into play when a customer has a prescription from the Dr. and can be filed to their insurance.