Health Insurance Specialist Jobs
Health Insurance Specialist jobs are open across insurance carriers, healthcare systems, managed care organizations, and third-party administrators, at every level from entry-level claims processor to senior benefits coordinator, with specializations in claims analysis, enrollment management, and policy administration. See the openings below and apply to the ones that match your experience.
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Showing 5 of 20+ Health Insurance Specialist jobs
About the Position
Cecy Insurance Services is looking for a licensed insurance professional to join our team.
We’re looking for someone with insurance-industry experience who is very comfortable with computers, enjoys helping clients, and is willing to learn and cross-train.
This position may support Medicare, Individual & Family Plans (IFP), Employee Benefits/Group, and general client service depending on training and agency needs.
Responsibilities
- Assist clients with insurance questions and service needs
- Support enrollments, renewals, applications, and follow-up
- Communicate with clients, insurance carriers, and general agencies
- Maintain accurate client records and electronic files
- Work efficiently in agency systems and carrier portals
- Follow up on pending items and deadlines
- Cross-train in different areas of the agency
- Provide backup and support where needed
Required Qualifications
- Active California Accident & Health or Sickness license
- Prior insurance-industry experience
- Strong computer and technology skills
- Proficient with Microsoft Outlook, Word, Excel, Teams, PDFs, and web-based systems
- Comfortable learning and working in multiple agency systems and carrier portals
- Strong attention to detail, accuracy, and follow-through
- Good written and verbal communication skills
- Organized and able to manage multiple priorities and deadlines
- Comfortable communicating directly with clients, carriers, and general agencies
- Dependable, flexible, and willing to learn and cross-train
- Able to appropriately handle confidential client and employee information
Preferred Experience
Experience in any of the following is a plus, but not required:
- Medicare
- Individual & Family Plans (IFP)
- Covered California
- Employee Benefits/Group
- AgencyBloc
- Employee Navigator
- Carrier and general agency portals
- Bilingual English/Spanish preferred, but not required
We’re willing to train the right licensed person on our systems, procedures, and different areas of health insurance.
Pay: $26.00 - $32.00 per hour
Expected hours: 37.5 per week
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Are you comfortable working throughout the day with Microsoft Outlook, Word, Excel, Teams, PDFs, web-based insurance systems, and multiple carrier portals?
Experience:
- insurance industry: 1 year (Required)
Language:
- English/Spanish bilingual (Preferred)
License/Certification:
- California Accident & Health or Sickness insurance license (Required)
Work Location: In person
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Find JobsHealth Insurance Specialist Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in health insurance specialist jobs.
- Knowledge of ICD-10 and CPT medical coding systems
- Experience with health insurance claims processing and adjudication
- Familiarity with HIPAA privacy and security regulations
- Proficiency in benefits administration and enrollment platforms
- Associate or bachelor's degree in health administration or a related field
- Strong written communication skills for member correspondence and documentation
Tips for Your Health Insurance Specialist Job Search
Tailor your resume to claims systems
Many health insurance specialist postings screen for familiarity with specific claims platforms. Name the exact systems you've worked in, whether that's a clearinghouse tool, a payer-side adjudication platform, or an employer benefits portal. Generic mentions of 'claims software' get overlooked.
Highlight your coding accuracy rate
Employers in this field care about accuracy above almost everything else. If you can point to a documented claims accuracy rate or audit score from a previous role, include it on your resume. Quantified accuracy signals lower risk to hiring managers reviewing high-volume applicants.
Apply early to roles that fit
Migrate Mate lists health insurance specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by payer versus provider side
The day-to-day work differs significantly between insurance carriers and hospital billing departments. Decide which side fits your background, then target postings accordingly. Cross-applying to both without adjusting your resume can make your experience read as unfocused to screeners.
Prepare for scenario-based interview questions
Interviewers for this role routinely ask how you'd handle a denied claim, a coordination-of-benefits dispute, or a member eligibility discrepancy. Walk through a real example from your experience, including the resolution and what you'd do differently. Generic process answers don't hold up well in these rounds.
Negotiate your starting exam support early
Some employers offer reimbursement for certifications like the AHIP or CPC exam but only if you request it during the offer stage. Ask about professional development benefits before you accept, since most companies won't volunteer this detail unless prompted.
Health Insurance Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most health insurance specialists?
Duty First Consulting, Oak Street Health, part of CVS Health, and Gi are hiring the most health insurance specialists right now, with openings concentrated in Virginia, California, and Utah, based on current listings on Migrate Mate as of November 2026. Demand is strongest at large regional health plans, national carriers, and integrated hospital systems with in-house billing teams.
How many health insurance specialist jobs are remote?
About 20% of health insurance specialist openings are fully remote or hybrid as of November 2026, reflecting the shift toward distributed claims and enrollment teams. Sub-areas like individual enrollment support and phone-based member services tend to have the highest share of fully remote roles, while provider relations and on-site billing positions remain more location-dependent.
How do you become a health insurance specialist?
Start by earning an associate or bachelor's degree in health information management, business administration, or a related field. Build foundational knowledge in medical coding, claims workflows, and insurance regulations through coursework or an entry-level role in a billing or customer service department. Earning a recognized certification, such as the AHIP designation or a medical billing credential, strengthens your candidacy. Practical experience with payer systems and HIPAA compliance is what most employers weight most heavily when reviewing applications.
Can you get hired as a health insurance specialist with little experience?
Yes, entry-level health insurance specialist roles are a realistic starting point with limited direct experience. Employers in high-volume call center or enrollment environments often hire candidates who demonstrate strong attention to detail, comfort with data entry, and a working knowledge of insurance terminology. Completing an AHIP or medical billing course before applying signals genuine interest and closes some of the experience gap. Targeting third-party administrators and large carriers, which process the most volume, tends to yield more entry-level openings than smaller regional plans.
What does the health insurance specialist interview process look like?
Most hiring processes for this role include an initial phone or video screen focused on your familiarity with claims processes and insurance regulations, followed by one or two rounds with the hiring manager and sometimes a team lead. Expect at least one scenario-based question asking how you'd resolve a claim denial, a coverage dispute, or a member eligibility issue. Some employers add a short written or systems exercise to assess accuracy and documentation skills before extending an offer.
Where can I find and apply to health insurance specialist jobs?
You can find and apply to health insurance specialist jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background and apply directly to each one that fits.
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