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Claim Processor Jobs in Remote, OR (NOW HIRING)

Primus Software Corporation

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Claims QA/BA (Healthcare- Contract to hire)

OR · Remote

$45 - $68/hr

Drive the test strategy and process, domain knowledge, perform analysis of business requirements ... Claim Formats: - EDI X12 formats like 837P/I/D - X12 formats 835, 834, 270/271, 276/277 12. Claim ...

Team8

Bluespine-Sr. FWA Analyst

OR · On-site +1

Bluespine can offer personalized precision by tailoring assessments to each unique medical claim ... processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations ...

CTCLUSI

Certified Pharmacy Technician

Coos Bay, OR · On-site

$17 - $20.75/hr

Processes insurance claims and assists in resolving claim rejections or billing issues. * Maintains and updates patient profiles, including insurance and medication history. * Provides customer ...

New

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

This position is responsible for prompt, accurate, and effective medical insurance claim submission ... Identify accounts which may require a refund and process appropriately. * Manage claims through ...

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

This position is responsible for prompt, accurate, and effective medical insurance claim submission ... Identify accounts which may require a refund and process appropriately. * Manage claims through ...

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

This position is responsible for prompt, accurate, and effective medical insurance claim submission ... Identify accounts which may require a refund and process appropriately. * Manage claims through ...

Bekaert

Application Engineer Crane&Industrial

OR · Remote

Strong understanding of T&I processes, machinery operation, and production technologies. * Problem ... Faster quality claim resolution (85% within 30 days) * Min. 20 field inspections per quarter * 25 ...

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All JobsClaim Processor JobsClaim Processor Jobs in Remote, OR

Claim Processor information

See Remote, OR salary details

$12

$19

$26

How much do claim processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for claim processor in Remote, OR is $19.15, 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 is a claim processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What are some typical challenges a claim processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

What are the key skills and qualifications needed to thrive as a claim processor, and why are they important?

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

Is claim processing hard?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with insurance policies and claims systems. While it can involve repetitive tasks, many claim processors find it manageable with proper training and experience. The difficulty level varies depending on the complexity of claims and the work environment.

What do you need to be a claim processor?

To be a claim processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with claims processing software and basic knowledge of insurance policies are also important. Some positions may require prior experience in customer service or administrative roles.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. Claim processors use specialized software and follow company policies to ensure accurate and timely processing of claims, often requiring attention to detail and knowledge of insurance policies.
Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Remote, OR as of August 2026, with employment types broken down into 80% Full Time, 17% Part Time, and 3% Contract. Highlights an 69% Physical, 5% Hybrid, and 26% Remote job distribution, with an average salary of $39,824 per year, or $19.1 per hour.

Claims QA/BA (Healthcare- Contract to hire)

Primus Software Corporation

OR • Remote

$45 - $68/hr

Full-time

Posted 10 days ago

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Job description

Job description

Job Title: Healthcare Claims EDI BA/QA

Duration: 06 Months (Contract to Hire) – W2 Only

Location: Remote


Description:

Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.

1.            Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.

2.            Candidate should have hands-on experience on claims processing and Adjudication processes.

3.            Must have good experience in Reference code/data sets required in Claims adjudication.

4.            Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.

5.            Should be able to run queries and perform basic system analysis, RCA etc.,

6.            Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos

7.            Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks

8.            Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.

9.            In depth understanding of Claims and Claims lifecycle     

10.         Claim Types

11.         Claim Formats:

-              EDI X12 formats like 837P/I/D

-              X12 formats 835, 834, 270/271, 276/277

12.         Claim System:

-              Familiarity with systems like CMdS, GHS, Facets and etc

Testing knowledge and E2E Testing

Company Description

Primus Software Corporation. Primus Software Corporation is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. We have excellent domain expertise in all verticals. We provide long term solutions with quality as our main focus. To learn more about Primus Software Corporation, please visit our website www.primussoftcom. I recently came across your resume on job boards, and I wanted to reach out to you regarding an exciting job opportunity that I believe aligns perfectly with your skills and experience.