Insight Global is looking for Medical Claims Processor in Portland, OR. This local job opportunity with ID 3692487284 is live since 2026-05-28 13:50:38.

Job Title: Claims Processor

Location: Portland, OR - Onsite

Employment Type: 9 Month Temp-to-Hire

Pay Rate: $24-26/hour (based on experience)

Start Date: ASAP / TBD

Job Description:

Our client is seeking a Claims Processor to support a long-standing benefits organization. This role supports U.S. Benefits, a small, experienced claims processing team within a multi-employer trust environment. This position is open due to upcoming retirements of senior claims processors and will play a key role in claims processing, auditing, adjudication logic, and knowledge transfer. The ideal candidate has strong medical and/or dental claims experience and is comfortable working in a lower-volume, high-accuracy environment.

Responsibilities:

Process medical and/or dental claims across the full lifecycle:

• Intake and review
• Data entry and validation
• Claims adjudication
• Follow-ups and issue resolution
• Appeals processing
• Final claims resolution
• Audit claims processed by other team members
• Apply adjudication logic and benefit plan rules accurately
• Support claims system configuration and processing logic
• Assist with reporting, data needs, and coding requirements
• Respond to member and provider inquiries via phone and email (moderate volume)
• Collaborate with internal teams to ensure compliance and accuracy
• Maintain detailed documentation and adhere to regulatory requirements

Must-Have Qualifications:

• 2+ years of medical and/or dental claims processing experience*
• Minimal experience with claims adjudication logic and appeals*
• Minimal experience auditing claims and ensuring compliance
• Familiarity with claims processing systems and configuration tools
• Experience handling customer inquiries via phone and email
• High attention to detail and ability to work independently
• Comfortable working in a small team environment

Nice-to-Have / Pluses:

• Experience with reporting and data analysis related to claims
• Coding or system configuration experience
• Background in multi-employer trusts or benefits administration
• Experience supporting process improvement initiatives