How to hire a senior claims processor

How to hire a senior claims processor, step by step

Here's a step-by-step senior claims 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 senior claims processor job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new senior claims processor
• Step 8: Go through the hiring process checklist

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1. Identify your hiring needs

   First, determine the employments status of the senior claims processor you need to hire. Certain senior claims 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

   You should also consider the ideal background you'd like them a senior claims processor to have before you start to hire. For example, what industry or field would you like them to have experience in, what level of seniority or education does the job require, and how much it'll cost to hire a senior claims processor that fits the bill.

   Here's a comparison of senior claims processor salaries for various roles:

   Type of Senior Claims Processor	Description	Hourly rate
   Senior Claims Processor	Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.	$14-31
   Liability Claims Examiner	A Liability Claims Examiner or also known as an Insurance investigator, is a person who monitors and reviews settled insurances. They will determine if the paid amount is in accordance with the corporation or company's procedure... Show more	$16-40
   Claims Analyst	A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure... Show more	$13-37

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Customer Service
   • Process Claims
   • SR
   • Medical Terminology
   • Appeals
   • CMS
   • Medical Claims
   • ICD-9
   • CPT-4
   • COB
   • HIPAA
   • Medicaid
   • HCPCS
   • Electronic Claims

   Check all skills

   Responsibilities:

   • Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
   • Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
   • Process CalPERS HMO facility claims.
   • Experience with HMO's, IPA's and insurance authorizations.
   • Handle confidential information according to new laws (HIPPA).
   • Review ICD-9 diagnosis codes against CPT codes for claim payment guidelines.

3. Make a budget

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

   • Location. For example, senior claims processors' average salary in south carolina is 44% less than in nevada.
   • Seniority. Entry-level senior claims processors earn 54% less than senior-level senior claims processors.
   • Certifications. A senior claims 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 senior claims processor's salary.

   Average senior claims processor salary

   $44,873yearly

   $21.57 hourly rate

   ---

   Entry-level senior claims processor salary

   $30,000 yearly salary

   Updated December 18, 2025

4. Writing a senior claims processor job description

   A job description for a senior claims processor role includes a summary of the job's main responsibilities, required skills, and preferred background experience. Including a salary range can also go a long way in attracting more candidates to apply, and showing the first name of the hiring manager can also make applicants more comfortable. As an example, here's a senior claims processor job description:

   Senior claims processor job description example

   Primary City/State:
   
   Tucson, Arizona
   
   Department Name:
   
   Claims Processing
   
   Work Shift:
   
   Day
   
   Job Category:
   
   Finance
   
   Help move health care into the future. At Banner Health we are changing health care to make the experience the best it can be. If that sounds like something you want to be part of, apply today.
   
   This remote position has a flexible schedule between 6 am - 6 PM Arizona time.
   
   This is processing position is mainly for UB (Institutional claims) but could be required to work CMS (Medical Claims) from time to time. This role is also for Arizona Long Term Care AHCCCS plan.
   
   Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.
   
   Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.
   
   POSITION SUMMARY
   
   This position, under general direction, will provide support to the claims department leadership team, trainer/auditors and systems team to ensure the department's compliance goals are met.
   
   CORE FUNCTIONS
   
   1. Data-enters and adjudicates internal and external claims on a timely basis in accordance with departmental policies, procedures and standards. Reviews and determines appropriate coding guidelines.
   
   2. Researches resubmitted or corrected claims and pend appropriately. Adheres to governmental guidelines for processing claims.
   
   3. Coordinates with supervisor to resolve high profile claims issues. Enters Siebel requests for provider updates, medical review, enrollment review, and coding review. Trouble shoots, identifies, and resolves special handling requirements related to pricing, contracting, and system issues. Processes CMS 1500 and/or UB04 claims.
   
   4. Assists Claims Systems team and HPIS with testing claims in IDX for system updates and enhancements. Collaborates with Claims Trainer to provide supporting documentation to answer processor's questions as related to CMS and UB04 claim processing and assist with creating desktop procedures. Participates in joint operation committee meetings as needed.
   
   5. Handles high level projects as assigned by management. Coordinates and submits projects to the Claims Systems team that can be reprocessed by auto adjudicating the claims through an electronic process in IDX. Monitors and reports status of special projects to the Supervisor, Manager, or Director. Serves as liaison between departments such as Network Development, Medical Management, Finance and IS to research and rework projects submitted.
   
   6. Reviews and reprocess claims disputes as assigned as well as collaborate with Grievance and Appeals department. Collaborates with high-profile providers to work through and resolve claims issues. Researches and/or reprocesses special, high profile, expedited projects from Grievance and Appeals, finance and Network Development.
   
   7. Participates in iCES review meetings to provide claims processing input needed to enhance the claims adjudication process. Works in conjunction with Encounters and Reinsurance to reprocess claims and identify claims processing issues to assist in providing additional front-end training.
   
   8. Acts as a preceptor for techniques to enhance efficiencies
   
   9. This position works under supervision, prioritizing data from multiple sources to provide quality care and support. Incumbents work in a fast-paced, sometimes stressful environment with a strong focus on customer service. Interacts with staff at all levels throughout the organization.
   
   MINIMUM QUALIFICATIONS
   
   Knowledge, skills and abilities typically obtained through two years of medical billing or claims processing experience or proven ability to be successful in this position. Knowledge of CPT-4, ICD-9, and HCPCS codes, and CMS 1500 and/or UB04 forms. Good interpersonal skills, strong decision making skills. Knowledge of Health Plan policies and/or AHCCCS regulations and IDX system. Ability to meet minimum production standards, research and process complex claims.
   
   Ability to assist with high-level claims projects. Demonstrates willingness and initiative in learning new processes and techniques to ensure daily tasks and goals are met, and possesses leadership qualities.
   
   Knowledge of AHCCCS, Commercial and Medicare rules and regulations required. Working knowledge of all claim form types to include 1500 professional forms and UB facility forms. Demonstrates willingness and initiative in learning new processes and techniques to ensure daily tasks and goals are met.
   
   PREFERRED QUALIFICATIONS
   
   Two years of IDX claims system experience preferred.
   
   Additional related education and/or experience preferred.
   
   EOE/Female/Minority/Disability/Veterans
   
   Our organization supports a drug-free work environment.
   
   Privacy Policy

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5. Post your job

   To find the right senior claims processor for your business, consider trying out a few different recruiting strategies:

   • Consider internal talent. One of the most important sources of talent for any company is its existing workforce.
   • Ask for referrals. Reach out to friends, family members, and current employees and ask if they know or have worked with senior claims processors they would recommend.
   • Recruit at local colleges. Attend job fairs at local colleges to recruit senior claims processors who meet your education requirements.
   • Social media platforms. LinkedIn, Facebook and Twitter now have more than 3.5 billion users, and you can use social media to reach potential job candidates.

   Post your job online:

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

6. Interview candidates

   To successfully recruit senior claims processors, your first interview needs to engage with candidates to learn about their interest in the role and experience in the field. You can go into more detail about the company, the role, and the responsibilities during follow-up interviews.

   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 senior claims processor

   Once you've selected the best senior claims 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 also important to follow up with applicants who do not get the job with an email letting them know that the position is filled.

   After that, you can create an onboarding schedule for a new senior claims processor. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

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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