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Insurance Claims Processing Jobs in Remote, OR (NOW HIRING)

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 ...

CONFEDERATED TRIBES OF CLUSI

Pharmacy Biller

Coos Bay, OR · On-site

$17.25 - $22.25/hr

... and timely processing of pharmacy billing and reimbursement activities. This role reviews claims, resolves denials, and supports patients with billing and insurance inquiries. The position ...

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 ...

Sapiens

Sales Executive, L&A

OR · On-site +1

Utilize sales methodologies, processes, and best practices to increase the probability of success ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Pre-Sales Engineer, Workers' Comp

OR · On-site +1

Leading the benefits assessment process and developing customized ROI/ROR analysis * Architecting ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Project Sapiens

Sales Executive, L&A

OR · Remote

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Remote, OR

Insurance Claims Processing information

See Remote, OR salary details

$12

$22

$34

How much do insurance claims processing jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for insurance claims processing in Remote, OR is $22.32, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.43 per hour, depending on experience, location, and employer.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Remote, OR?

For Insurance Claims Processing jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Remote, OR look for?

The top searched job categories for Insurance Claims Processing jobs in Remote, OR are:

What cities near Remote, OR are hiring for Insurance Claims Processing jobs?

Cities near Remote, OR with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 75% Physical, 1% Hybrid, and 24% Remote job distribution, with an average salary of $46,416 per year, or $22.3 per hour.

Bluespine-Payment Accuracy and Concept Lead (AI-Driven)

Team8

OR • On-site, Remote

Full-time

Re-posted 8 days ago

Job description

Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Utilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing
Responsibilities
  • Leverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.
  • Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
  • Lead in-depth research of new ideas and concepts

Requirements
  • Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.
  • Previous auditing or consulting experience in a provider or payer environment is preferred

Advantages
  • Registered Nurse required; Bachelor's or Graduate degree
  • Previous auditing or consulting experience with self-insured companies

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