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Claims Processing 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 ... experience on claims processing and Adjudication processes. 3. Must have good experience in ...

Team8

Bluespine-Sr. FWA Analyst

OR · On-site +1

... claims adjudication processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations), and provider billing systems and practices. * Strong analytical skills and ...

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

Identify accounts which may require a refund and process appropriately. * Manage claims through various online tools and reporting systems. * Identify education needs for providers and medical staff ...

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

Identify accounts which may require a refund and process appropriately. * Manage claims through various online tools and reporting systems. * Identify education needs for providers and medical staff ...

Aviva Health

Billing Specialist

Roseburg, OR · On-site

$23.12 - $30.70/hr

Identify accounts which may require a refund and process appropriately. * Manage claims through various online tools and reporting systems. * Identify education needs for providers and medical staff ...

CONFEDERATED TRIBES OF CLUSI

Pharmacy Biller

Coos Bay, OR

$17.25 - $22.25/hr

Description The Pharmacy Biller is responsible for the accurate and timely processing of pharmacy billing and reimbursement activities. This role reviews claims, resolves denials, and supports ...

Bekaert

Application Engineer Crane&Industrial

OR · Remote

You bring application expertise directly to the field, resolving quality claims, conducting ... Strong understanding of T&I processes, machinery operation, and production technologies. * Problem ...

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Claims Processing information

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$12

$19

$26

How much do claims processing jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for claims processing 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 claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

How to get a job as a claims processing?

To get a job as a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Relevant experience in insurance, customer service, or data entry can be beneficial, and familiarity with claims processing software is often preferred. Certifications such as the Certified Claims Professional (CCP) can improve job prospects.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, ensure accuracy, and process claims efficiently using claims management software, often adhering to company policies and industry regulations.

What are the most commonly searched types of Claims Processing jobs in Remote, OR?

The most popular types of Claims Processing jobs in Remote, OR are:

Claims Processing jobs near you
Infographic showing various Claims Processing job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 75% Physical, 2% Hybrid, and 23% 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 15 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.