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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1000+ Claims Processor jobs found on Monster.

Jobs 1 to 20 of 44406
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Your goal will be to develop pioneering approaches to emerging industry trends which impact the operations of healthcare and the millions of members that we cover. Bring your claims knowledge, your tenaciousnes...
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Your goal will be to develop pioneering approaches to emerging industry trends which impact the operations of healthcare and the millions of members that we cover. Bring your claims knowledge, your tenaciousnes...
We Need to Fill 14 Positions ASAP!!! · Official title of these positions are Member Services Representative · Answer member and pharmacy calls in the Member Services and Pharmacy call center. · The employee will utilize the RxCLAIM and INFO Call Tracking systems while assisting pharmacies with the processing of claims and members with basic inquiries about their pharmacy plan benefits. · As yo...
ABOUT OUR COMPANY ValueOptions® is a health improvement company that serves more than 32 million individuals. On behalf of employers, health plans and government agencies, we manage innovative programs and solutions that directly address the challenges our health care system faces today. A national leader in the fields of mental and emotional wellbeing, recovery and resilience, employee assistanc...
What are the top 5-10 responsibilities for this position? 1. Review critical errors from 837 EDI submissions, research and correct the data in the IT system; 2. Assist in preparing testing scripts for new system; 3. Executing testing scripts for new system; 4. Reviewing various system settings in new system, analyzing same, and making recommendations to the team for final decisions. What soft...
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. The ...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Our client, a major Insurance Carrier, has an immediate need for several Claims Assistants, Claims Associates to provide support to their internal claims staff. Duties: Provide support to the claims staff and to perform other office tasks depending on the client program. Sets up and enters new claims into claims management system. Inputs and reviews notes/diaries in claims management system as...
Molina Healthcare Inc Long Beach, CA
Job Summary Perform daily audits on processed claims to ensure payment accuracy. Compile and report audit findings. Essential Functions • Collects claims sample data from system to perform audits. • Evaluates the adjudication of Medicaid claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, wa...
Beaver Medical Group Redlands, CA, 92373
The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group, health plans and contracted hospitals for accurate processing of claims. The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interaction with patients, insurance provid...
Molina Healthcare Long Beach, CA, 90802
Job Summary Perform daily audits on processed claims to ensure payment accuracy. Compile and report audit findings. Essential Functions • Collects claims sample data from system to perform audits. • Evaluates the adjudication of Medicaid claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, wast...
Southern Nevada Health Clinics Las Vegas, NV, 89134
OVERALL JOB PURPOSE Adjudicates most complex of medical claims including hospital, DME, non-participating hospital and physician claims in timely and accurate manner. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. Requirements MINIMUM JOB QUALIFICATIONS AND REQUIREMENTS High school diploma or GED Minimum ei...
UnitedHealth Group Inc West Valley City, UT
Position Description Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The purpose of this position is to delight our customers by resolving their issues through fast and accurat...
Description Assurant Employee Benefits specializes in quality employee benefits and services, including long-term and short-term disability, life insurance, voluntary benefits such as cancer, critical illness and accident, dental coverage, and disability reinsurance management services.Assurant Employee Benefits is the brand name for insurance products underwritten by Union Security Insurance Com...
Wellcare Health Plans Inc Tampa, FL
Claims Coding Specialist - CPC Preferred/Claims Processing Exp Required - 1407573 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescriptio...
RESPONSIBILITIES: Our client is seeking a Claims Processor in Mason, Ohio (OH). Responsibilities: Accurately and efficiently processes all types of payments, billing, apply cash, or collections Effectively researches and resolves payment/billing/cash apply/collection issues for customers Assist with resolving analysis of issues Quickly understand processing changes resulting from new plans, ...
This position requires previous insurance / medical healthcare claims experience, or someone with a background in Medical Coding / Medical Billing. Job Purpose: Reviews, evaluates and processes claims for Veterans utilizing the Aid and Assistance Program for payment in accordance with the terms and conditions of the policy and within established deadlines and company objectives. Ensures the appro...
A-Line Staffing Solutions is looking to hire 8-10 Physician Engagement Coordinator to work as full time, direct hire position in the Greater Detroit area. Interested candidates should send resume to Allison Ginotti at ***** or call 877-782-3334 ext. 226 Summary: The Physician Engagement Coordinator is responsible for the overall coordination, implementation, execution, contr...
Our Client, a retailer in Mason, is looking for an experienced Claims Processor for a contract to hire opportunity. If you feel that you can benefit from this type of position please apply below or contact me via email: *****. I would love to discuss the position more in detail. CLAIMS PROCESSOR Data Entry scores of 9,000+ KSPH are required. Must be comfortable with sitting a...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directe...

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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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