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

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

Associate Business Analyst

OR · On-site +1

... the insurance industry. • Learning and following internal processes, standards, and best ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Senior Business Analyst

OR · On-site +1

$86K - $112K/yr

... processes, including evaluating risk against insurance product characteristics * Analyze and ... 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;

Sapiens

Renewal Operations Manager

OR · On-site +1

You will own a defined segment of the NA renewal book, managing the commercial renewal process end ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Vice President of Sales, North America Life

OR · On-site +1

... processes, tools, and talent required to exceed them. * Lead, mentor, and develop senior sales and ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Senior Project Manager

OR · On-site +1

... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ... Each country has a local flavor, but here's what you can expect during our recruitment process:

Sapiens

Sales Development Representative

OR · On-site +1

... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ... Each country has a local flavor, but here's what you can expect during our recruitment process:

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Showing results 21-40

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 Aug 16, 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 in insurance or related fields. Relevant skills include attention to detail, communication, and familiarity with claims processing software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require certification such as the Certified Claims Professional (CCP).

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 eligibility and the amount payable. They verify information, process documentation, and communicate decisions to policyholders, 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, 72% Full Time, 20% Part Time, and 7% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $46,416 per year, or $22.3 per hour.

Health Information Management (HIM)/Compliance Manager

Waterfall Community Health Center

North Bend, OR • On-site

$33.46 - $45.77/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Job Title: Health Information Management (HIM) / Compliance Manager
Job Category: Administrative Management
Wage Classification: Hourly/Non-exempt
Location: North Bend
Position Type/Status: Full-time, benefitted
Travel: Minimal
Salary Range: $33.46 to $45.77/hour
Reports to: Interim Leadership Team
Manages Direct Reports: No
HR Review & Approval: 9/3/25
Job Description
Job Purpose: Functions as a Health Information (HIM)/Compliance Manager (CM) in a team and mission-based setting to provide oversight, management, and coordination of electronic and paper medical records, compliance, HIPPA compliance, and risk management. HIM/CM is responsible for ensuring the privacy, safety, and security of medical records. Under the direction of the Interim Leadership Team, establishes and maintains departmental policies and procedures to ensure quality and effectiveness of workflow. May spearhead projects dealing with the implementation/enhancement of electronic medical records; identify, compile, and abstract information as requested from the electronic system for quality assurance/compliance reporting purposes. Processes and prepares related business and/or governmental forms. HIM/CM has primary responsibility as a front-line resource to respond to requests for records from internal and external sources, compliance, HIPAA, and risk management. This position may be asked to work at other clinic sites as needed.
Duties:
  • Adhere to the spirit of Waterfall Community Health Center to remove barriers to care and our mission statement while performing assigned duties.
  • Demonstrate the core values of Integrity, Respect, Accountability, Compassion, Partnership and Collaborative Communication.
  • Serve as medical records department subject matter expert; oversee and manage all aspects pertaining to medical records, including but not limited to updated policies and procedures, requests for release of information, death certificates, POLST submissions, digital faxes, and requests for medical records in accordance with state law and HIPPA.
  • Maintains working knowledge of HIPPA rules and regulations and disseminates information as appropriate; applies to day-to-day operations.
  • Independently reviews and evaluates compliance issues and ensures appropriate departmental collaboration in investigation and resolution, including consultation with General Council to resolve complex legal compliance issues.
  • Identifies potential areas of compliance vulnerability and risk, implements action plans for resolution, provides guidance on how to avoid similar situations in the future.
  • Performs Compliance and Risk Management investigations, providing recommended course of action to mitigate risk; provides regular compliance and risk management reports to Executive Leadership and the Board.
  • Ensure integrity of project data by auditing results and providing to applicable managers for appropriate action.
  • Participate and/or facilitate internal committees as directed, including the QA Committee, QI Committee and Health and Safety Committee.
  • Provides required documentation to support FTCA redeeming application submission.
  • Facilitates WCHC Privileging process; refers to Board adopted policy.
  • Acts as a point of contact for patient complaints and grievances, including FTCA complaints.
  • Preservation of all heath center documentation related to any actual or potential claim or complaint (for example, medical records and associated laboratory and x-ray results, billing records, employment records of all involved clinical providers, and clinic operating procedures.
  • Reporting claims and potentially compensable events (PCEs) to the appropriate entity, including medical malpractice insurance providers or U.S. Department of Health and Human Services Federal Tort Claims Act (FTCA) claims (as appropriate) and other insurers in accordance with the requirements of the insurance policy/contract and FTCA
  • Performs other duties as needed to help drive our Vision, fulfill our Mission, and abide by our Organization’s Values.

Education and/or Experience and Qualifications:
  • High School Diploma or GED equivalent required and/or associate degree in health information management.
  • 10-15 years healthcare experience preferred.
  • Demonstrates required customer service and phone etiquette competencies.
  • Experience with electronic medical/health records (EHR/EMR) required, with experience in OCHIN Epic preferred.
  • Experience managing the lifecycle of electronic and paper medical records, health care industry - preferred.
  • Maintain confidentiality – in accordance with WCHC policies and HIPAA regulations

Licensures/Certifications Requirement:
  • RHIT and/or CHPC/CPOC, current ability to achieve within 6 months of hire and recertify prior to expiration date.
  • Non-violent Crisis Intervention Comprehensive training class completed within 6 months of hire and recertify prior to expiration date.
  • Current American Health Association (AHA) Basic Life Support Card (BLS) within 6 months of hire and recertify prior to expiration date.
  • Mandatory Trainings for Organization and Advanced Health compliance completed within 3 months of hire, no later than 6 months, and recertified prior to expiration date.
  • Valid Oregon Diver License.

Immunizations Required:
  • TB test (upon hire).

Physical Requirements:
  • Prolonged periods of sitting at a desk working at a computer.
  • Able to lift up to 20 pounds occasionally.

Benefits:
  • Competitive PTO Accrual (up to 193 hours of PTO accrual each year to start).
  • 7 Paid Holidays *you must be scheduled to work the holiday to qualify for holiday pay*
  • Medical/Dental/Vision 100% employer paid.
  • 401K Retirement Plan 6% match.
  • Options for long-term disability.
  • $50,000 Life Insurance Policy- options for additional voluntary life.
  • Additional voluntary Critical Illness, Accident, and Hospital Indemnity coverage is available.
  • Employee Assistance Program (EAP).
  • Downtown Health and Fitness gym membership discount.
  • Headspace care employer-paid membership.