How to hire a claim processor

How to hire a claim processor, step by step

Here's a step-by-step claim processor hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write a claim processor job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new claim processor
• Step 8: Go through the hiring process checklist

What does a claim processor do?

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1. Identify your hiring needs

   First, determine the employments status of the claim processor you need to hire. Certain claim processor roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   A claim processor's background is also an important factor in determining whether they'll be a good fit for the position. For example, claim processors from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

   This list presents claim processor salaries for various positions.

   Type of Claim Processor	Description	Hourly rate
   Claim Processor	Claims adjusters, appraisers, examiners, and investigators evaluate insurance claims. They decide whether an insurance company must pay a claim, and if so, how much... Show more	$12-29
   Adjuster	An adjuster is responsible for evaluating the extent of loss in the company by calculating the damage costs, determining the settlement payment to the client, and managing the reputation of the company for claims accountability. Adjusters must have extensive knowledge of the insurance principles and processes, following the state and federal regulations to protect clients and the business from insurance fraud... Show more	$16-32
   Appraiser	An appraiser is someone who assesses the monetary value of a property such as an automobile, real property, and personal claim. His/Her or her responsibilities include resolving disparities between a property's monetary values and preparing narrative reports for projects... Show more	$13-28

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Customer Service
   • Data Entry
   • Medical Terminology
   • CPT
   • Claims Processing
   • Medical Insurance Claims
   • Provider Contracts
   • Medicaid
   • Quality Standards
   • Excellent Negotiation
   • Adjudicate Claims
   • ICD-9
   • CMS
   • Property Damage

   Check all skills

   Responsibilities:

   • Experience in many facets of the managed healthcare insurance business.
   • Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
   • Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
   • Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
   • Call DME and HME companies to correct invoices.
   • Coach and assist in the training of new EMR databases.

   More claim processor duties

3. Make a budget

   Including a salary range in your claim processor job description is a great way to entice the best and brightest candidates. A claim processor salary can vary based on several factors:

   • Location. For example, claim processors' average salary in alaska is 48% less than in connecticut.
   • Seniority. Entry-level claim processors earn 58% less than senior-level claim processors.
   • Certifications. A claim processor with a few certifications under their belt will likely demand a higher salary.
   • Company. Working for a prestigious company or an exciting start-up can make a huge difference in a claim processor's salary.

   Average claim processor salary

   $41,201yearly

   $19.81 hourly rate

   ---

   Entry-level claim processor salary

   $26,000 yearly salary

   Updated December 5, 2025

   Average claim processor salary by state

   Rank	State	Avg. salary	Hourly rate
   1	Maryland	$49,730	$24
   2	Connecticut	$49,141	$24
   3	New Jersey	$49,106	$24
   4	New York	$48,398	$23
   5	Hawaii	$47,708	$23
   6	California	$45,040	$22
   7	Massachusetts	$43,194	$21
   8	Oregon	$40,699	$20
   9	Oklahoma	$40,455	$19
   10	Pennsylvania	$40,321	$19
   11	District of Columbia	$39,211	$19
   12	Texas	$38,309	$18
   13	Colorado	$37,810	$18
   14	Florida	$37,644	$18
   15	Wisconsin	$37,011	$18
   16	Virginia	$36,516	$18
   17	Missouri	$36,465	$18
   18	Georgia	$36,217	$17
   19	Ohio	$36,202	$17
   20	Illinois	$34,931	$17

   Average claim processor salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	NTT Data International L.L.C.	$83,795	$40.29	19
   2	W. R. Berkley	$83,006	$39.91	13
   3	ICW Group	$76,155	$36.61	6
   4	Karna	$74,599	$35.86
   5	Cedars-Sinai	$73,558	$35.36	5
   6	UST Global	$71,891	$34.56
   7	Cognizant	$69,944	$33.63
   8	AIG	$69,595	$33.46	26
   9	Strategic Systems International	$68,861	$33.11
   10	BERKLEY TECHNOLOGY SERVICES	$67,626	$32.51	31
   11	Wipro Limited	$64,063	$30.80	2
   12	OneAmerica	$61,419	$29.53
   13	Allianz Life	$59,886	$28.79	3
   14	Chubb	$58,694	$28.22	62
   15	Prudential Bank	$55,865	$26.86
   16	New York Life Insurance	$55,404	$26.64	2
   17	Great American Insurance	$55,039	$26.46	17
   18	Heritage Insurance Holdings	$54,535	$26.22	10
   19	IFG Companies	$54,407	$26.16
   20	Globe Life	$53,026	$25.49	3

4. Writing a claim processor job description

   A good claim processor job description should include a few things:

   • Summary of the role
   • List of responsibilities
   • Required skills and experience

   Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of a claim processor job description:

   Claim processor job description example

   Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
   Insurance Services and Placement - Claim Processor Job Description
   
   Title: Claims Processor
   
   FLSA Status : Non-Exempt
   
   Reports to: VP, Insurance Services and Placement
   
   Job Summary:
   
   The Claims Processor is responsible for claims processing of new and existing claims and all correspondence related to claims.
   
   Essential Functions:
   
   Complete timely review and entry of new losses. Determine if coverage is in place and send documentation to insurance carriers. Follow up with carriers to ensure proper documentation of acknowledgements, determinations and final settlements. Review all determinations and discuss with carrier adjustors or TPAs. Maintain SOPs for all claims processes. Applies understanding of insurance policies and policy interpretation in order to assist clients and carriers with claim settlement Assist Account Service Managers, Producers, and Clients with claims questions or issues. Escalate complex claim questions to VP Insurance Services and Placement Complete claims reporting to Account Service Managers, Producers, Clients and Loan Protector Leadership.
   
   Education and/or Experience:
   Prior claim or agency processing a plus. High School diploma required. Associate or Bachelor degree preferred.
   
   Knowledge, Skills and Competencies:
   Strong written and oral communication skills Experience with Insurance Agency Management System (Applied or AMS). Experience with Microsoft Office Suite Excellent time management skills. Detail oriented Technical learning with strong desire to learn and acquire new skills. Ability to adapt to a changing environment and handle multiple priorities to meet deadlines.
   
   Work Environment:
   
   This job operates in a professional office environment. This role routinely uses standard office equipment such as computers
   
   We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.

   Copy this example

   

5. Post your job

   There are a few common ways to find claim processors for your business:

   • Promoting internally or recruiting from your existing workforce.
   • Ask for referrals from friends, family members, and current employees.
   • Attend job fairs at local colleges to meet candidates with the right educational background.
   • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.

   Post your job online:

   • Post your claim processor job on Zippia to find and recruit claim processor candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   During your first interview to recruit claim processors, engage with candidates to learn about their interest in the role and experience in the field. During the following interview, you'll be able to go into more detail about the company, the position, and the responsibilities.

   It's also good to ask about candidates' unique skills and talents. You can move on to the technical interview if a candidate is good enough for the next step.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new claim processor

   Once you've selected the best claim processor candidate for the job, it's time to write an offer letter. In addition to salary, this letter should include details about the benefits and perks you offer the candidate. Ensuring that your offer is competitive is essential, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and you should be open to discussion. After you reach an agreement, the final step is formalizing the agreement with a contract.

   It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

   Once that's done, you can draft an onboarding schedule for the new claim processor. Human Resources should complete Employee Action Forms and ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc. They should also ensure that new employee files are created for internal recordkeeping.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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How much does it cost to hire a claim processor?