Associate Claims Processor

Highmark Health

Claims Processor responsible for screening and evaluating claims for Highmark Health. Evaluating online entries, correcting errors, and ensuring adherence to organizational policies.

Posted 5/14/2026full-timeRemote • Louisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United StatesJuniorMid-Level💰 $18 - $22 per hourWebsite

About the role

Key responsibilities & impact

Receives and processes claims including entering/verifying claims data
Resolves claim edits and determines benefit eligibility
Reviews payment levels and elevates issues to supervision as necessary
Meets production and quality standards, ensuring timely and accurate work
Maintains accurate records including timekeeping
Attends all required training classes

Requirements

What you’ll need

High School Diploma/GED
1 year of related experience preferred
Ability to take direction and navigate through multiple systems
Knowledge of administrative and clerical procedures
Ability to use mathematics for claim adjudication
Ability to solve problems within predefined methods and guidelines
Knowledge of operating systems specific to claim processing
Ability to thoroughly read guidelines and ensure claim accuracy

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingdata entrybenefit eligibility determinationclaim adjudicationmathematics

Soft Skills

problem solvingattention to detailability to take directionnavigating multiple systems

Certifications

High School DiplomaGED