Sr Analyst, Claims Research (Medicaid Claims) Remote
Molina Healthcare
Appeals & Grievances Coordinator
Florida Blue
Specialist, Appeals & Grievances Members - Remote
Molina Healthcare
Senior Specialist, Appeals & Grievances
Molina Healthcare
Adjudicator, Provider Claims - Remote (Inbound Provider Calls)
Molina Healthcare
Claims Operations, Senior Manager Meritain TPA, Remote
CVS Health / Aetna
Adjudicator, Provider Claims (Inbound Call Center) Remote in Ohio
Molina Healthcare
Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote
Molina Healthcare
Senior Claims Examiner
University Health
Claims Quality Auditor
HealthEdge
Staff VP Digital Claims Operations
Elevance Health
Claims Processor II
Magellan Health / Magellan Federal
Director of Product, Claims Design
Oscar Health
Claims Manager
Baystate Health
Lead Revenue Cycle Advisor (PB/HB Billing & Claims preferred; EPIC exp required) - REMOTE
Vanderbilt University Medical Center
Specialist, Appeals & Grievances
Molina Healthcare
Claims Examiner I
Florida Blue
Claims Compliance Program Manager
Devoted Health
Claims Specialist
BrightonONE
Claims Production Supervisor
HealthPartners
Hiring a Medical Claims Processor? Reach medical coders, billers and revenue cycle staff who are looking for their next job.
Post a Job →A medical claims processor (claims examiner or adjudicator) works on the payer side, at health plans, third-party administrators and government contractors, reviewing incoming claims against coverage, eligibility, coding and contract rules and approving, pricing, pending or denying them.
Payer-side claims work also covers claims auditing, provider claims service and appeals and grievances, and is often remote.
BLS counts claims processors in insurance claims and policy processing clerks across every industry; medical claims examiners fall under a separate claims adjuster occupation. Source: BLS OEWS May 2025, SOC 43-9041 Insurance Claims and Policy Processing Clerks. BLS pay excludes overtime and the self-employed.