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.
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125 Claims Processor jobs found on Monster.

Jobs 1 to 20 of 125
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...
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...
Customer Service Rep/Claims Processor Jeffersonville, IN This is a 3 month contract to hire position. This is an opportunity to work for a well-known, established company located in Jeffersonville, IN. Hours: Monday - Friday 9:30am to 6pm. Job Description: Must have previous knowledge of HVAC industry. The candidate will be fielding calls for customers (Typically Best Buy) that have a warranty cla...
Medical claims processors needed for the White Plains office: *Processing medical claims *Claims Processor, Medical Billing, Customer Service or Call Center experience in the insurance industry or Banking background *Team Player working in a group *Ability to meet quotas *Results driven *Excellent written and verbal communication skills *Excellent benefits *Ability to work independently *College d...
>>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...
For a quick response please send your resume directly at ***** 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 location is Virgi...
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...
Zenith American Solutions. Remarkable People, Remarkable Results. We are far more than a benefits administrator – we are the strongest, most respected third-party administrator in the industry, and we are pleased to announce an exciting new opportunity. We are currently seeking an experienced Medical Claims Processor to join the Claims team in our DeForest, WI office. Our Medical Claims Processors...
Required Skills -Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals Preferred Skills Healthcare Industry/Medicaid Industry DESCRIPTION For a quick response please send your resume directly at...
Required Skills - Handling Office Equipments - Processing Documents - HIPAA DESCRIPTION • The Claims Processor works both independently and in conjunction with network personnel to adjudicate claims and respond to inquiries in an accurate and courteous manner Responsibilities: • Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims pr...
Required Skills -Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals Preferred Skills Healthcare Industry DESCRIPTION For a quick response please send your resume directly at mohamedirfan.khan@...
Required Skills •Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals. DESCRIPTION For a quick response please send your resume directly at ***** •The Claims Processor...
Randstad National Recruiting is seeking skilled healthcare professionals for openings with a client in Wilmington, DE. Positions will involve: Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and...
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...
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Business Career Tools

Claims/Policy Processing Clerk

Salaries

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

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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