Claims Processor Jobs

Claims Processor Overview

Claims Processors are clerks who process claims for insurance companies. Some of the duties that they perform include processing new insurance policies, modifying existing ones and obtaining information from policyholders to verify the accuracy of their accounts. Some of the specific tasks that Claims Processors have to perform include calculating the amounts of claims, applying insurance rating systems to claims, contacting people involved in claims to obtain relevant information and recommend claim actions. Claims Processors do much more than simply fill out paperwork. They have to analyze the data that they are given to recommend an informed decision and keep with their company’s standards.

Claims Processor Education Requirements

Typically, the minimum educational requirement that candidates must have to become Claims Processors is a high school diploma or the equivalent. No experience is usually required to become a Claims Processor since on-the-job-training is typical for this career. However, candidates who have training in clerical duties or some college might be given preference over other candidates. Generally, Claims Processors must be detail-oriented, be organized and possess good customer service skills since they will be directly working with the public. They must also be able to navigate various types of software like claim system processing software and spreadsheet software; however, employees are usually trained upon being hired.

Claims Processor Job Market

The job market for Claims Processors is projected to increase by 8 percent from 2012 through 2022, which is about as fast as the average for all occupations. The number of Claims Processors required by insurance companies is directly affected by the amount of motor vehicle accidents, natural disasters and other sorts of accidents that occur. A similar position would be as a Claims Handler.

Claims Processor Salary

The median annual salary of Claims Processors is approximately $35,700. Claims Processors in the highest-earning percentile earn as much as $52,560 and tend to work for the postal service, local government services, state government services and business, professional, labor, political and similar organizations.

106 Claims Processor jobs found on Monster.

Jobs 1 to 20 of 106
The Boon Group Claims Processor, SR Job Description Title Claims Processor, SR Department Claims Processing Company Boon Administrative Services, Inc. Reports to Supervisor, Claims Processing Job summary The Senior Claims Processor is responsible for investigating and processing one or more of the following types of claims: Medicare, Life, STD, HRA, FSA,. In addition, they will review documentatio...
HVHC Inc. is a privately-held, for-profit holding company for a portfolio of vision companies which includes, among other companies, Davis Vision, Inc., and Visionworks of America, Inc. Together the vertically integrated company is the third largest provider of managed vision care products and services, and the third largest operators of specialty optical retail stores in the United States. It is...
Title: Tempe, AZ Medical Claims Processor Jobs Summary: We are hiring for a Medical Claims Processor job in Tempe, AZ. This opportunity will be responsible for processing and adjudicating incoming medical claims and deciding whether to pay or deny the claim. Experience working for an insurance provider in a claims processing position is a must. The company is looking to setup and interview candida...
Our client is seeking a Senior level medical claims processor with experience and knowledge of med, dental, vision claims. Review and process in coming claims for accuracy of benefits for each group plan based on eligibility and coverage. 5 years minimum claims processing experience, knowledge of reading plan documents regarding coverage limits and benefits, process claims according to each group...
Claims Resolution Processor Processes claims and develop for missing information in accordance with regulations and guidelines with particular expertise in the area of all specialty claims. · Analyze claims to determine if eligibility requirements are met and make complex eligibility determinations · Analyze claims to determine if all claim filing requirements have been met · Add development infor...
Medical Claims Processor needed in Winston Salem Reviews claims forms and documents for accuracy and completion and obtains missing information as necessary. Determines claims coverage by examining company records. Responsible for calculating claims amounts and submitting claims for payment. Requires a high school diploma or its equivalent and 2 or more years of related experience. Has knowledge o...
>>MEDICAL CLAIMS PROCESSOR/EXAMINER - SUPERVISOR Must be experienced in all aspects of processing medical claims. Knowledge of Access database a must. Minimum two years of supervisory experience required. The ability to lead your team to stay on schedule and meet deadlines required. This is a working supervisor position. Immediately available for qualified candidate. Up to $24.00 p/hr doe...
Our client in Cambridge is seeking a Claims Processor who will be responsible for processing claims from a variety of medical specialties. The Claims Processor verifies accuracy and authenticity of claims in a timely manner to maintain a low turnaround time. Responsibilities include verifying accuracy and authenticity of claims and process in a timely and efficient manner, meeting predetermined pr...
Send me your resume directly to ***** or reach me at 973-854-9112 Arun Pope Description Job Description: - Claims Processor - We are hiring 45 full time and 30 part time eligibility/claims workers. Shift Hours: - Shift schedule for full time is 7am - 4pm Monday - Friday - Shift Schedule for part time is 4pm - 8pm Monday - Friday and 8am - 5pm on Saturdays Responsibilities: - The...
Required Skills Claims, claims processor, Elegibility specialist, medicare, Medicaid, application process, healthcare, Medical Claims, Claimant Preferred Skills -Medicare or Medicaid or health insurance or healthcare Insurance or claims processing or healthcare Industry, Eligibility specialists, disability claims or Health claims specialists -Medicare or Medicaid or health insurance or healthcare...
Required Skills Claims, claims processor, Elegibility specialist, medicare, Medicaid, application process, healthcare, Medical Claims, Claimant Preferred Skills Claims, claims processor, Elegibility specialist, medicare, Medicaid, application process, healthcare, Medical Claims, ClaimantClaims, claims processor, Elegibility specialist, medicare, Medicaid, application process, healthcare, Medical C...
Job Description: Excellent opportunity for 3 key individuals with FSA or CDHP experience. As this department is being revamped and need coverage through Oct. Responsibilities will include processing and reviewing FSA claims with end users, paying the claims with medical insurance debit card, answering questions and monitoring the inbox for patient emails. If you have health insurance experience wh...
Required Skills • Minimum two years medical claims examination and/or billing experience • Minimum six months experience in customer service/call center environment Preferred Skills Experienced in Claims Processing DESCRIPTION Healthcare BILINGUAL Customer Care Specialist We need call center agents that have 2 years medical experience to answer inbound telephone calls for the Medi-Cal Program for...
Genpact, Jawood Healthcare Solutions, is seeking experienced Healthcare Claims Analysts. Key Responsibilities: • Will perform complex healthcare payer claims processing • Identify and investigate system and benefit discrepancies and follow through with proposed resolution. • Identification and implementation of process improvements and efficiencies • Exhibit a spirit of teamwork and contribute ide...
Basic Job Purpose: Review claims files to determine payment, return, or rejection to lender. Essential Functions: - Review claim file for required documentation. - Meet departmental standards in a production environment. - Validate payment calculations and proper interest rate is used. - Verify loan balances using a spreadsheet application. - Resolve problem accounts and update system with correct...
Job Description: We are in need of 2 Claims Processors. Must have excellent data entry, typing and computer skills. Must have a High School diploma and be able to pass a drug test and background check. Looking for candidates that have 2+ years experience in the field. Customer service skills-internal and external Please apply by submitting a resume for review. We are an equal employment opportunit...
Description Must handle all aspects of revenue cycle in the Nextgen system for new physician practice. Charge entry, claims processing, payment posting, insurance collections and follow-up and patient statements and follow-up. Qualifications Education: High school, college degree preferred. Experience: Minimum 4-6 years experience in all aspects of medical billing and collection....
Performs a variety of duties including data entry, payment posting and processing support in medical claims payment systems. Ability to identify and analyze medical claims and insurance eligibility information. Daily production and quality standards required as it relates to retrieval, processing and updating of data within automated internal and client systems. Operates alphanumeric keyboard for...
THE COMPANY Since its founding in 1945 by Earnest S. Wheaton, one thing has always come first at Wheaton World Wide Moving - the customer. The customer-first philosophy is the cornerstone of Wheaton's success as its employees take great pride in ensuring that each customer moved has a positive relocation experience. As such, Wheaton seeks to employ individuals who support and share its customer-fo...
Adjudication of medical insurance claims utilizing payer specific polices and procedures for which specific training is provided. PREFERRED QUALIFICATIONS: Claims processing, medical billing and MUST HAVE: CPT,HCPCS and ICD-9 CMS 1500 and/or CMS 1450 claims Medicare billing Strong experience in the analysis and processing of claims, utilization review/quality assurance procedures, CMS payment meth...
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Business Career Tools

Claims/Policy Processing Clerk


$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
(47 Respondents)
Source: Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
High School
(46 Respondents)
Source: Careerbenchmarking Tool

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