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At Home Claims Processing Jobs (NOW HIRING)

Peyton Resource Group

Claims Examiner

San Antonio, TX · On-site

Key Responsibilities Claims Processing & Review Review healthcare claim submissions for completeness, accuracy, and compliance with established guidelines. Verify claim information and support ...

Sanford Health

Manager, Claims

Marshfield, WI · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Start at 8 AM EST and work until "clean desk" meaning your day ends when the work is complete ... You will be processing Flexible Spending Account Claims (FSA) and Health Savings Account Claims ...

Sanford Health

Manager, Claims

North Sioux City, SD · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Start at 8 AM EST and work until "clean desk" meaning your day ends when the work is complete ... You will be processing Flexible Spending Account Claims (FSA) and Health Savings Account Claims ...

Sanford Health

Manager, Claims

Fargo, ND · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... at each calendar year. 12. Other duties as assigned. Education: High School Graduate (Required). BA/BS degree (Preferred). Experience: Experience in accounts payables and/or claims processing ...

Moda Health

Inpatient Claims Processor I

Milwaukie, OR · On-site

This is a FT WFH role. Pay Range $21.30 - $23.96 hourly (depending on experience) *Actual pay is ... High School diploma or equivalent. * 1-2 years medical claims processing experience. * 10-key ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Understanding of health claims processing/adjudication * Ability to ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Understanding of health claims processing/adjudication * Ability to ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Understanding of health claims processing/adjudication * Ability to ...

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All JobsAt Home Claims Processing Jobs

At Home Claims Processing information

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$12

$19

$26

How much do at home claims processing jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for at home claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What are at home claims processing jobs?

At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.

What is the difference between At Home Claims Processing vs Customer Service Representative?

AspectAt Home Claims ProcessingCustomer Service Representative
CredentialsInsurance knowledge, claims processing certificationsCommunication skills, customer service training
Work EnvironmentRemote, home-basedRemote or in-office, customer-facing
Industry UsageInsurance companies, claims departmentsVarious industries including retail, telecom
Job FocusReviewing and processing insurance claimsAssisting customers, resolving inquiries

At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

What are some common challenges faced by remote claims processors, and how can they be effectively managed?

Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.

What are the key skills and qualifications needed to thrive as an At Home Claims Processor, and why are they important?

To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.
What cities are hiring for At Home Claims Processing jobs? Cities with the most At Home Claims Processing job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
What states have the most At Home Claims Processing jobs? States with the most job openings for At Home Claims Processing jobs include:
At Home Claims Processing jobs near you
Infographic showing various At Home Claims Processing job openings in the United States as of June 2026, with employment types broken down into 6% As Needed, 78% Full Time, and 16% Part Time. Highlights an 77% Physical, 1% Hybrid, and 22% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Claims Examiner

Claims Examiner

Peyton Resource Group

San Antonio, TX • On-site

Other

Posted 4 days ago

Job description

Job Description Position Summary We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and administrative support. This role is responsible for reviewing and adjudicating delegated claims, resolving inquiries, maintaining documentation, and supporting efficient claims workflows while delivering a high level of customer service. Key Responsibilities Claims Processing & Review Review healthcare claim submissions for completeness, accuracy, and compliance with established guidelines.

Verify claim information and support delegated claims adjudication processes. Process claims accurately and within required service timelines. Maintain awareness of payer policies, procedures, and regulatory requirements.

Provider Support & Communication Handle inbound calls from healthcare providers and stakeholders regarding claims inquiries. Provide timely and professional support related to claim status, processing questions, and issue resolution. Document all interactions and maintain accurate communication records.

Escalate or resolve claim concerns as appropriate. Administrative & Operational Support Perform data entry and maintain claims documentation and records. Log disputes and assist with claim follow-up and resolution activities.

Process incoming claims correspondence and support department workflow. Complete additional administrative duties and special projects as assigned. Qualifications High School Diploma or GED required.

Minimum 1 year of call center or customer service experience preferred. Previous healthcare claims or claims adjudication experience preferred. Experience in healthcare administration or claims operations is a plus.

Required Skills & Experience Basic understanding of healthcare terminology, coding, and claims processing practices. Strong attention to detail and data accuracy. Excellent verbal and written communication skills.

Ability to adapt to changing procedures and priorities. Proficiency with Microsoft Office (Outlook, Word, Excel, Teams). Comfortable working with claims processing systems and performing high-volume data entry.

Typing proficiency of approximately 50 WPM preferred. Strong customer service and relationship-building skills. Ability to manage multiple priorities in a fast-paced environment.

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