How to Become an Insurance Claims Processor

July 1, 2024

Are you considering a career in insurance claims processing? The Pennsylvania Institute of Technology is here to help you every step of the way. Our comprehensive programs are designed to give you the knowledge and skills needed to excel in your new career. Discover the essential steps to become an insurance claims processor and find answers to your most frequently asked questions as you embark on this exciting journey. 

What Does an Insurance Claims Processing Career Entail?

An insurance claim processor is someone who is responsible for handling and processing claims that are filed by policyholders. In this role, you will work for insurance companies and ensure that all claims are valid and processed accurately and efficiently. This is crucial in the insurance industry, as you will oversee the financial information of filed claims and help policy holders receive the benefits they are entitled to.

If this role interests you, you may be wondering what the next steps are on how to become an insurance claims processor. Read on to learn more!

Steps to Become an Insurance Claims Processor

Whether you’re just starting out or looking to make a career change, understanding the steps for becoming an insurance claim provider is essential. Here is a helpful guide.

Conduct Research

You’ll want to start by thoroughly researching the role of an insurance claims provider. This will help you to understand the responsibilities, required skills, and outlook on the career. Be sure to investigate varied job descriptions, industry trends, and potential future employers to gain a comprehensive understanding of an insurance claims processing career.

Acquire Skills and a Degree

It’s vital to seek out different educational opportunities to begin your career as an office employee in the medical space. One of the best ways that you can begin a career in the field is by obtaining a CMA (Clinical Medical Assistant) associate degree.

Some benefits of obtaining your CMA associate degree from P.I.T. in preparation for your career include gaining:

• Medical skills – Our program will provide a strong foundation of medical terminology, anatomy, and procedures, allowing you to accurately interpret medical records

• An understanding of the healthcare system – Our courses offer insights into how the healthcare system works, including patient care processes and medical billing procedures, enabling you to efficiently handle insurance claims

• Knowledge of regulatory compliance – You will be educated on healthcare laws and regulations, ensuring that claims are processed in compliance with relevant laws, which reduces the risk of legal issues and penalties

Gain Work Experience

To succeed in your insurance claims processing career, you will need to develop strong communication, analytical, and customer service skills. Following your education, it’s recommended to look for entry-level positions in the insurance industry to further develop key skills needed for this field. You can do this while pursuing your degree by taking part-time jobs and internships, and engaging in hands-on experience within your coursework.

Apply for Insurance Claims Processing Jobs

Once you gain the necessary education, key skills, and hands-on experience, it’s time to begin applying for insurance claims processor positions. You will want to gather important documentation such as your resume, cover letters, letters of recommendations, certificates, diplomas, and more. Also, be sure to prepare yourself for interviews by researching the different companies you are applying to and practicing common interview questions.

Continue Your Professional Development

The insurance industry is always evolving and changing, so it’s necessary to stay up to date with trends in the field and updated regulations. You can do this by obtaining additional certifications, attending workshops, and joining professional organizations. Furthermore, regularly reading industry publications and participating in certain webinars can also help you stay informed on the latest developments in the insurance industry.

FAQs About an Insurance Claims Processing Career

What are some day-to-day tasks I will be performing as an insurance claims processor?

Along with reviewing and processing the claims that are filed by policy holders, insurance claim processors perform a variety of tasks. Some of these include:

• Communicating with policyholders, healthcare providers, and more
• Coordinating with investigators
• Ensuring all claims are processed in compliance with company policies, industry regulations, and legal requirements
• Documenting detailed records of the claims process, any correspondence, and any actions taken

I’m looking into how to become an insurance claims processor. Do I need a college degree?

While it is not strictly necessary, taking part in an associate program can significantly enhance your abilities. Graduating with a degree helps to make you a more competitive candidate, gives you better job opportunities, provides career advancement opportunities, and allows you to develop a deeper understanding of the industry.

Where are some places I can work as part of an insurance claims processing career?

As an insurance claims processor, you can find employment in various settings. Some of these include:

• Insurance companies
• Third-party administration organizations
• Healthcare organizations
• Government agencies
• Law firms
• Educational institutions

What are the benefits of pursuing an insurance claims processing career via an education from P.I.T.?

Some benefits of pursuing a CMA associate degree at P.I.T. for your career as an insurance claims processor include:

• Ability to learn in both an in-person and online format
• A low, 15:1 student-to-faculty ratio
• Extensive support services

Additionally, as a student, you will be able to apply for financial aid, grants, and scholarships to assist in your journey. 

Will P.I.T. provide me any support in finding an insurance claims processing job after graduation?

Along with the wide range of support services we offer during your time here, we are also committed to helping you in your career journey after graduation. Our job placement services provide each student with job search coaching, resume and cover letter help, and extensive interview preparation, including mock interviews.

What are some other jobs you can get with a clinical medical assistant associate degree?

There are many jobs you can embark on with a medical assistant degree. Along with a career in insurance claims processing, some other roles you can pursue include:

• Medical biller
• Medical office manager
• Health unit coordinator
• Sterile processing technician

Begin Your Insurance Claims Processing Career with a CMA Degree at P.I.T.

Our Clinical Medical Assistant associate degree program from our accredited college provides both classroom instruction and hands-on education in the field.

Along with developing critical communication skills, you will develop your abilities in a variety of areas. Some of the courses you can expect to take during your CMA degree include:

• Biology
• Chemistry
• Mathematics
• Computer applications
• Humanities
• Social sciences

If you’re interested in familiarizing yourself with our school and getting to know our campus in the Philadelphia area, schedule a visit! In no time at all you’ll be able to begin your journey in becoming an insurance claims processor.

Apply to P.I.T Today!

Ready to pursue a career in insurance claims processing? Consider applying to the Clinical Medical Assistant Associate Degree at P.I.T.!

Should you have any questions about the program, please contact our team, as we look forward to helping you begin your professional journey.