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Insurance Customer Service Representative Remote Jobs in Philadelphia, PA

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Location: Fully Remote- Open only to residents of New Jersey Contract: 6-month assignment with ... As a Customer Service Representative, you will be responsible for answering inquiries from ...

Familiarity with CRM or customer service software Work Environment * 100% Remote * Fast-paced call ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

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Insurance Customer Service Representative Remote information

See Philadelphia, PA salary details

$26.2K

$48.8K

$73.7K

How much do insurance customer service representative remote jobs pay per year?

As of Aug 3, 2026, the average yearly pay for insurance customer service representative remote in Philadelphia, PA is $48,849.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,400.00 and $55,500.00 per year, depending on experience, location, and employer.

What does an insurance customer service representative do when working remotely?

An Insurance Customer Service Representative working remotely assists customers with their insurance policies by answering questions, processing claims, updating account information, and resolving issues via phone, email, or chat. They provide support for billing inquiries, policy changes, and general information about insurance products. Remote representatives use secure digital platforms and communication tools to interact with customers and maintain records, ensuring compliance with company and regulatory standards. This role requires strong communication skills, attention to detail, and the ability to work independently from a home office.

What is the difference between Insurance Customer Service Representative Remote vs Insurance Claims Specialist?

AspectInsurance Customer Service Representative RemoteInsurance Claims Specialist
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; certifications like CPCU or AIC beneficial
Work EnvironmentRemote, customer service-focusedOffice or remote, claims processing environment
Industry UsageCustomer support for policyholdersHandling and investigating insurance claims
Search IntentCustomer service roles in insuranceClaims processing and investigation roles

Insurance Customer Service Representatives Remote primarily focus on assisting policyholders with inquiries, policy updates, and support via phone or online. Insurance Claims Specialists handle the processing and investigation of insurance claims, often requiring more detailed knowledge of claims procedures. While both roles may be remote and require similar certifications, their core responsibilities differ, catering to different stages of the insurance process.

What are the typical challenges faced by remote insurance customer service representatives, and how can they be managed?

Remote Insurance Customer Service Representatives often encounter challenges such as maintaining clear communication with clients and colleagues without face-to-face interaction, handling sensitive customer information securely, and staying motivated while working independently. To manage these, it's important to establish a dedicated, distraction-free workspace, use secure communication tools, and participate in regular virtual team meetings for support and feedback. Successful representatives also develop strong time management skills to balance multiple inquiries and prioritize customer needs efficiently.

What are the key skills and qualifications needed to thrive as an insurance customer service representative remote?

To thrive as a remote Insurance Customer Service Representative, you typically need a high school diploma or equivalent, strong communication skills, and a solid understanding of insurance products and processes. Familiarity with CRM software, call center systems, and sometimes a state insurance license are common technical requirements. Outstanding interpersonal skills, active listening, and the ability to resolve conflicts efficiently are vital soft skills for this role. These abilities are essential to provide excellent customer support, ensure regulatory compliance, and build trust with clients in a virtual environment.
What are popular job titles related to Insurance Customer Service Representative Remote jobs in Philadelphia, PA? For Insurance Customer Service Representative Remote jobs in Philadelphia, PA, the most frequently searched job titles are:
What job categories do people searching Insurance Customer Service Representative Remote jobs in Philadelphia, PA look for? The top searched job categories for Insurance Customer Service Representative Remote jobs in Philadelphia, PA are:
Infographic showing various Insurance Customer Service Representative Remote job openings in Philadelphia, PA as of July 2026, with employment types broken down into 77% Full Time, 20% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $48,849 per year, or $23.5 per hour.

REMOTE: Customer Service Representative - CSR

Sourcedge Solutions

Chester Springs, PA • Remote

$15.25 - $20.75/hr

Contractor

Posted 20 days ago


Job description

Customer Service Representative Job Description
Job Summary:
We are searching for a patient and attentive Health Care Customer Service Representative to join our Call Center. You will be required to provide outstanding service to our customers. You will be required to answer queries, handle complaints, and troubleshoot problems in a professional and polite manner to ensure effective resolution and customer satisfaction.
You will be expected to resolve queries from customers and provide information regarding: pre-authorization for medical treatment, claim status, benefit information, provider information, etc.  
To ensure success as a Health Care Customer Service Representative, you should be able to process and disseminate vast amounts of information. An outstanding Health Care Customer Service Representative will possess an aptitude for learning and continual development.
The ideal Customer Service Representative will be customer-focused, detail orientated, and target driven. You should be polite, accurate, knowledgeable, and able to work well within a team.
 
Responsibilities:
  • Analyzes and answers requests by telephone from all customers including policyholders, beneficiaries and providers concerning insurance or self- funded policies.  
  • Uses systems for tracking, information gathering, or troubleshooting.
  • Completes documentation and call tracking via computer system for all calls.
  • Familiarizing yourself with and remaining up-to-date with changes in our plans.
  • Greeting customers in a friendly, professional manner using the suggested script.
  • Answering telephonic and e-mail inquiries in a timely manner.
  • Deferring queries to your manager if you are unable to answer them.
  • Furnishing members and health care practitioners with details regarding members' benefits.
  • Advising if pre-authorizations for medical treatment is covered.
  • Advising members of patient responsibility.
  • Providing members with the details of provider network status.

Complexity of Work:
  • Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.
 
Personal Protective Equipment:
  •       Follows Standard Precautions using personal protective equipment as required. 
 
Minimum Qualifications (Skills):
  • Familiarity with Medical terminology, CPT codes, HCPCS, Diagnosis Codes required.  ADA codes preferred.
  • Prior experience as a Customer Service Specialist or equivalent required.
  • Computer literate with an above-average typing speed.
  • Good mathematical skills.
  • Superb verbal and written communication skills.
  • Thorough, with excellent listening skills.
  • Ability to calm irate, anxious, or grieving customers.
  • Capacity to navigate stressful situations with ease.
  • Available to work shifts, which may include work during evenings, weekends, and public holidays.
 
Education:
  • Associate Degree preferred.  In lieu of an Associate Degree, 1-2 years of Health Insurance Customer Service experience in Call Center is acceptable.
 
Work Experience:
  • Prior experience as a Customer Service Specialist or equivalent, ideally within a similar setting.
  • Healthcare experience.

Populations Served:
  •       No Responsibility to treat or care for patients.