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Insurance Claims Associate Remote Jobs in Chelsea, MA

CareScout

Associate Claims Clinical/Care Advocacy

Waltham, MA · On-site +1

$19.25 - $26.25/hr

... remote applicants residing in states/locations under Eastern or Central Standard Time: Alabama ... Experience or understanding of Long-Term Care Insurance products * GCM or CCM certification ...

Liberty Mutual Insurance

Environmental Claims Officer

MA · On-site +1

$94K/yr

We will also consider highly qualified remote candidates who do not reside near a hub location ... Functional knowledge of law and insurance regulations in various jurisdictions * Demonstrated ...

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Insurance Claims Associate Remote information

See Chelsea, MA salary details

$14

$22

$33

How much do insurance claims associate remote jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for insurance claims associate remote in Chelsea, MA is $22.81, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $25.10 per hour, depending on experience, location, and employer.

What does an insurance claims associate do when working remotely?

An Insurance Claims Associate working remotely is responsible for processing and evaluating insurance claims submitted by policyholders. They review documentation, verify claim details, communicate with clients and other stakeholders, and ensure claims comply with company policies and regulations. Remote associates use digital tools to manage claims, handle customer inquiries, and keep accurate records, all while maintaining a high level of confidentiality and customer service. Their goal is to resolve claims efficiently and fairly, either approving payment or denying claims as appropriate.

What is the difference between Insurance Claims Associate Remote vs Insurance Claims Processor?

AspectInsurance Claims Associate RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance certifications beneficial
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageCommon in insurance companies, third-party administratorsUsed in insurance companies, claims departments
Job FocusHandling claims inquiries, customer service, initial claim reviewProcessing claims, data entry, verifying information

Both roles involve working with insurance claims, often requiring similar credentials and industry experience. The main difference is that Insurance Claims Associate Remote emphasizes customer interaction and initial claim handling in a remote setting, while Insurance Claims Processor focuses more on data processing and verification, which can be in-office or remote.

What are some of the main challenges faced by remote insurance claims associates, and how can they be overcome?

One of the key challenges for remote Insurance Claims Associates is maintaining effective communication with both clients and internal teams, especially when handling complex claims. Staying organized and using digital collaboration tools can help bridge the gap and ensure timely follow-ups. Additionally, remote associates may need to be proactive in seeking support or clarification on policy details and claim procedures. Regular check-ins with supervisors and participating in virtual training sessions can help address these challenges and foster professional growth in a remote setting.

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

To thrive as an Insurance Claims Associate (Remote), you need strong analytical skills, attention to detail, and a background in insurance or related fields, often supported by a high school diploma or relevant certifications. Familiarity with claims management software, document processing systems, and Microsoft Office Suite is typically required. Exceptional communication, problem-solving abilities, and time management are standout soft skills for remote collaboration and customer service. These skills are crucial to efficiently process claims, ensure accuracy, and deliver a positive experience for policyholders in a virtual work environment.
What are popular job titles related to Insurance Claims Associate Remote jobs in Chelsea, MA? For Insurance Claims Associate Remote jobs in Chelsea, MA, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Associate Remote jobs in Chelsea, MA look for? The top searched job categories for Insurance Claims Associate Remote jobs in Chelsea, MA are:
Insurance Claims Associate Remote jobs near you

ACO Medicaid Claims Review Specialist

Massgeneralbrigham

Somerville, MA • Remote

Full-time

Medical

Posted 25 days ago

Job description

Site: Mass General Brigham Health Plan Holding Company, Inc.


Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.


Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.
Job Description Summary
Review claims to ensure accurate coding, appropriate documentation, and compliance with applicable billing regulations and payer guidelines.
Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure.
Review and research assigned claims by navigating multiple systems and platforms, then accurately capturing the data/information necessary for processing (e.g., verify pricing/fee schedules, contracts, prior authorization, applicable member benefits).
Communicate and collaborate with external departments to resolve claims errors/issues, using clear and concise language to ensure understanding.
Review and adjudicate medical claims submitted by healthcare providers, insurance companies, and patients to identify discrepancies, errors, or potential fraud.
Analyze and validate the assigned diagnosis codes (ICD-10) and procedure codes (CPT) on medical claims to ensure accurate representation of services rendered and compliance with coding standards.
Keep up to date with Desktop Procedures and effectively apply this knowledge in the processing of claims and in providing customer service.
Identify and escalate system issues, configuration issues, pricing issues etc. in a timely manner.
Ensure that the medical claims include complete and accurate documentation supporting the services rendered, including physician notes, test results, and other relevant records.
Meet the performance goals established for the position in areas of productivity, accuracy, and attendance that drives member and provider satisfaction.


Qualifications

Education

  • High School Diploma or Equivalent required
  • Associate's Degree preferred


Licenses and Credentials

  • Professional Coder (CPC) license preferred
  • Pharmacy Technician certification and/or a degree in a pharmacy-related field preferred

Experience

  • At least 1-2 years of healthcare billing experience required
  • At least 2-4 years of experience in healthcare claims processing, billing, or the health insurance industry (e.g., hospital or physician billing) highly preferred
  • Experience in pharmacy claims processing or adjudication, with a strong working knowledge of pharmacy terminology and National Drug Code (NDC) standards.
  • Experience with core healthcare claims processing and billing system highly preferred
  • Strong working knowledge of managed care concepts and medical coding, including ICD-10, CPT, HCPCS, and Revenue Codes highly preferred


Knowledge, Skills, and Abilities

  • Knowledge of Medicaid/ACO claims processing
  • Knowledge of claim types including professional, facility, DME, outpatient, and inpatient
  • Ability to prioritize and manage aged claims (e.g., 30+ day inventory) to meet program guidelines and turnaround requirements
  • Strong attention to detail and accuracy in claim review, submissions, and documentation
  • Familiarity with insurance plans, government programs, and their billing requirements.
  • Strong attention to detail and accuracy in claim submissions and recordkeeping.
  • Excellent communication skills, both written and verbal, to interact effectively with insurance companies, patients, and colleagues.
  • Strong customer service orientation and ability to handle sensitive or difficult situations with empathy and professionalism.


Additional Job Details (if applicable)

Working Conditions

  • This is a full-time role with a Monday through Friday, 8:30-5 schedule

  • This is a remote role that can be done from most US states


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


Pay Range

$17.71 - $25.28/Hourly


Grade

2


At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.


EEO Statement:

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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