ZipRecruiter

Log In

2

Claims Adjudication Remote Jobs (NOW HIRING)

Harris

Claims Examiner

New York, NY · Remote

Follow established guidelines for claims adjudication and payment authorization. Quality Assurance ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Harris

Claims Examiner

New York, NY · Remote

Follow established guidelines for claims adjudication and payment authorization. Quality Assurance ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Insperity

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position oversees all aspects of claims administration, including claims adjudication, payment ... Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ...

HJ Staffing

QNXT Program Manager

Long Beach, CA · Remote

Long Beach, CA (100% Remote) Schedule: Monday - Friday, 8:00 AM - 5:00 PM (PST) Start Date: 08/10 ... claims adjudication, and operational readiness for go-live. Key Responsibilities * Program ...

HJ Staffing

QNXT Program Manager

Long Beach, CA · On-site +1

Long Beach, CA (100% Remote) Schedule: Monday - Friday, 8:00 AM - 5:00 PM (PST) Start Date: 08/10 ... claims adjudication, and operational readiness for go-live. Key Responsibilities * Program ...

Centivo

Claims Auditor

Buffalo, NY · Remote

$55K - $60K/yr

... payment, and claims adjudication audits across multiple employer groups and product lines ... All other applicants will be considered for remote positions. Centivo Values: * Resilient - This is ...

Lincoln Financial

LTD Claims Team Lead

Papillion, NE · Remote

  • Medical

  • Retirement

  • PTO

Remote : Work at home employee residing outside of a commutable distance to an office location ... You will provide technical guidance to claim team members on claims adjudication for assigned area ...

previous page

Showing results 41-60

All JobsClaims Adjudication JobsClaims Adjudication Remote Jobs

Claims Adjudication Remote information

See salary details

$15

$29

$45

How much do claims adjudication remote jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for claims adjudication remote in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims adjudication remote specialist, and why are they important?

To thrive as a Claims Adjudication Remote specialist, you need a solid understanding of insurance policies, medical terminology, and claims processing, often supported by a high school diploma or relevant experience. Familiarity with claims management software, electronic data interchange (EDI) systems, and occasionally industry certifications like AAPC or AHIMA is beneficial. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with team members and clients. These skills are essential for timely and accurate claims processing, minimizing errors, and maintaining regulatory compliance in a remote work environment.

What is claims adjudication in a remote job setting?

Claims adjudication is the process of reviewing and processing insurance claims to determine their validity and the amount payable to policyholders. In a remote setting, claims adjudicators use specialized software and secure access to company databases to evaluate claims from home or another remote location. They verify the details of each claim, check compliance with policy terms, and communicate with clients or healthcare providers as needed. Remote claims adjudicators must be detail-oriented, have strong analytical skills, and maintain confidentiality while handling sensitive information.

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

Remote claims adjudicators often encounter challenges such as maintaining clear communication with team members, staying updated with frequently changing policies, and managing a high volume of complex cases independently. To manage these effectively, it's important to leverage collaboration tools, participate in regular virtual team meetings, and stay proactive in seeking clarification on policies or procedures. Additionally, strong organizational skills and self-discipline are crucial for meeting deadlines and maintaining accuracy in remote settings.
More about Claims Adjudication Remote jobs

What cities are hiring for Claims Adjudication Remote jobs?

Cities with the most Claims Adjudication Remote job openings:

What are the most commonly searched types of Claims Adjudication jobs?

The most popular types of Claims Adjudication jobs are:

What states have the most Claims Adjudication Remote jobs?

States with the most job openings for Claims Adjudication Remote jobs include:

What job categories do people searching Claims Adjudication Remote jobs look for?

The top searched job categories for Claims Adjudication Remote jobs are:

Claims Adjudication Remote jobs near you
Infographic showing various Claims Adjudication Remote job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Supervisor

Samaritan Health Services

Corvallis, OR • Remote

Full-time

Re-posted 7 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

233rd of 887 rated healthcare providers

Job description

  • Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

    As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

    This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin

  • JOB SUMMARY/PURPOSE

    • Responsible for the organization and supervision of the Claims Processing Department and mail room for Samaritan Health Plans (SHP). Provides leadership in setting and maintaining standards for the management of the department, ensuring compliance to the operational benchmarks established by department leadership.

  • EXPERIENCE/EDUCATION/QUALIFICATIONS

    • High School Diploma or equivalent required.

    • Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis, coordination of benefits and/or third-party payer liability required.

    • Two (2) years leadership experience required.

  • KNOWLEDGE/SKILLS/ABILITIES
    • Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
    • Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
  • PHYSICAL DEMANDS

    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 – 100% of the time)

      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)

      STAND

      WALK – LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)

      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

What Samaritan Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply