Associate Claims Processor

Job Description

• This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Associate Claims Processor in United States. This role is centered on accurately reviewing, validating, and adjudicating healthcare claims in a structured, compliance-driven environment. You will be responsible for ensuring that claims are processed correctly according to established policies, benefits, and eligibility rules. The position requires careful attention to detail as you evaluate claim data, identify errors, and determine appropriate actions such as payment, denial, or escalation. You will work within multiple systems to verify information, apply guidelines, and maintain high standards of accuracy and timeliness. This is a process-oriented role where consistency, precision, and adherence to regulatory standards are essential. It is well-suited for individuals who enjoy structured work, analytical tasks, and contributing to the integrity of healthcare operations.
• Accountabilities: In this role, you will be responsible for processing and adjudicating healthcare claims while ensuring accuracy, compliance, and adherence to organizational guidelines. Receive, review, and process claims by entering and verifying data for completeness and accuracy. Evaluate claim details against benefits, eligibility, and historical records to determine appropriate payment, denial, or correction actions. Resolve claim edits and discrepancies by applying established policies and procedures. Navigate multiple systems to verify information and ensure accurate claim adjudication. Escalate complex or unresolved issues to supervisory staff when necessary. Maintain production, quality, and timeliness standards for all assigned work. Participate in required training sessions and apply updated procedures in daily work. Requirements: The ideal candidate is detail-oriented, comfortable working with structured processes, and able to manage repetitive, high-accuracy tasks in a regulated environment. High school diploma or GED required. 0–1 year of experience in claims processing, administrative, or clerical roles preferred. Basic understanding of administrative systems, records management, and data entry processes. Ability to interpret guidelines and apply structured rules to decision-making tasks. Strong numerical and analytical skills for basic claim calculations and adjudication. Proficiency in using multiple computer systems simultaneously. Strong attention to detail with the ability to follow instructions accurately. Good organizational and time management skills to meet production targets. Ability to work effectively in a structured, office-based environment. Benefits: Competitive pay range: $18.00 – $21.99 per hour Structured onboarding and training program Opportunity to gain experience in healthcare claims and insurance operations Exposure to healthcare systems, compliance processes, and regulatory standards Stable office-based role with clear procedures and expectations Career development opportunities within claims and healthcare administration Inclusive and compliance-focused work environment Access to standard employee benefits (health, dental, vision depending on eligibility)
• How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
• We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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