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Senior Claims Associate Jobs (NOW HIRING)

Arrowhead Programs

SR. Claims Examiner

Garden City, NY

$85K - $100K/yr

The Sr. Claims Examiner position will manage an inventory of third-party bodily injury and property ... Associates or bachelor's degree preferred. * Relevant experience handling third-party bodily injury ...

Brown & Brown, Inc.

SR. Claims Examiner

Garden City, NY · On-site

$85K - $100K/yr

The Sr. Claims Examiner position will manage an inventory of third-party bodily injury and property ... Associates or bachelor's degree preferred. * Relevant experience handling third-party bodily injury ...

Pacificlife

Operations Claims Specialist

Charlotte, NC

$26/hr

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business ...

Allstate

PIP Claims Associate

Concord, NC

$68K - $117K/yr

We are seeking detailoriented professionals to join our team as PIP Claims Adjuster Associates ... Adjuster Cons I: $53,500.00 - $86,400.00 Adjuster Cons II: $56,000.00 - $93,250.00 Adjuster Sr. ...

Pacificlife

Operations Claims Specialist

Omaha, NE

$26/hr

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business ...

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All JobsSenior Claims Associate Jobs

Senior Claims Associate information

See salary details

$29K

$74.2K

$133K

How much do senior claims associate jobs pay per year?

As of Jun 11, 2026, the average yearly pay for senior claims associate in the United States is $74,198.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $95,000.00 per year, depending on experience, location, and employer.

What is the difference between Senior Claims Associate vs Claims Examiner?

AspectSenior Claims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles prefer insurance certificationsHigh school diploma; insurance licensing or certifications often preferred
Work EnvironmentInsurance companies, claims departments, often team-basedInsurance carriers, third-party administrators, claims offices
Industry UsageCommonly used in insurance claims processingWidely used in insurance industry for claims review
Job FocusAssisting with claims, customer service, supporting claims processingReviewing claims for accuracy, compliance, and validity

The main difference is that Senior Claims Associates often handle customer interactions and support claims processing, while Claims Examiners focus on reviewing and validating claims for accuracy and compliance. Both roles require similar credentials and are integral to insurance claims operations.

What cities are hiring for Senior Claims Associate jobs? Cities with the most Senior Claims Associate job openings:
What are the most commonly searched types of Senior Claims jobs? The most popular types of Senior Claims jobs are:
What states have the most Senior Claims Associate jobs? States with the most job openings for Senior Claims Associate jobs include:
Senior Claims Associate jobs near you
Infographic showing various Senior Claims Associate job openings in the United States as of June 2026, with employment types broken down into 66% Full Time, and 34% Part Time. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $74,198 per year, or $35.7 per hour.
Business Claims Associate

Business Claims Associate

Avalon Healthcare Solutions

Tampa, FL • On-site

$16.75 - $22.75/hr

Full-time

Medical

Posted 5 days ago

Job description

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost.
Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.
Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.
Avalon is a high growth company where every associate has an opportunity to make a difference. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.
For more information about Avalon, please visit www.avalonhcs.com.
Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.
For more about Avalon, please visit our web site at http://www.avalonhcs.com.
About the Business Claims Associate:
The Business Claims Associate will be a part of the Claims Operations Department and will report to the Claims Operations Supervisor. Responsibilities of the Claims Associate includes the submittal of weekly Provider Reconsideration faxes to multiple health plans and providing follow ups when appropriate. The Claims Associate will also upload faxed confirmations and health plan determination letters to in process tickets and will be expected to monitor Reconsideration queue to identify discrepancies. This role will also include performance of outbound calls and email communications to clients for status updates on tickets submissions to facilitate issue resolution. Additionally, the Claims Associate will evaluate provider issues presented on Provider Support tickets and work with the Senior team and management to determine trends and assist in driving resolution. Additionally, this role will include support of Network Operations. Furthermore, this position will also provide support for Network Operations, which includes the review and research of claims, verification of provider documentation, and the creation of ad-hoc reports
This position is eligible for hybrid-remote work and will be required to report to the corporate office in Tampa, Florida for 1-2 days per week.
Business Claims Associate - Essential Functions and Responsibilities:
  • Submit Provider Reconsideration tickets to multiple Health plans
  • Evaluate disputed claims in Reconsideration process and share findings with Senior staff to determine scope
  • Maintain and update Provider demographic records for network participation.
  • Uploading Health plan determination letters to appropriate Reconsideration tickets
  • Track Provider issues and monitor trends to support their resolution.
  • Update and responds to provider ticket requests within established turnaround times.
  • Provides excellent customer service to providers.
  • Collaborates with other departments to support provider needs.
  • Performs outbound calls to Health Plans to investigate aging reconsideration submissions and claims payment details.
  • Maintenance of various logs
  • Excellent written and verbal communication skills.
  • Research and resolve provider inquiries.
  • Performs other duties as assigned.
  • Storing and maintenance of multiple electronic documents.
  • Ability to multi-task

Business Claims Associate - Minimum Qualifications:
  • Good customer service and communication skills
  • Attentive to details and organized
  • Intermediate knowledge of Microsoft Office Suite products
  • Excellent interpersonal skills
  • Willingness to learn new skills
  • Experience with using eFax and performing outbound phone calls to clients

Business Claims Associate - Minimum Qualifications:
  • Associate degree preferred but not required
  • Experience working in the health care industry is preferred but not required
  • Experience with Provider credentialing is preferred but not required

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