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Medicaid Claims Processing Remote Jobs in Indiana

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Sr. Examiner, Homeowner Claims Multi-State - Remote Requisition Number R7899 Sr. Examiner ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior ...

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Medicaid Claims Processing Remote information

What is Medicaid claims processing remote?

Medicaid Claims Processing Remote refers to the job of reviewing, analyzing, and processing Medicaid insurance claims from a location outside of a traditional office, often from home. Professionals in this role ensure that claims are accurate, complete, and comply with Medicaid regulations before approving or denying payment. Remote workers use specialized software to access claim information securely and may communicate with healthcare providers and patients to gather additional details. This job requires attention to detail, knowledge of Medicaid policies, and the ability to work independently. Remote claims processors play a crucial role in ensuring the timely and accurate reimbursement of healthcare services for Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Medicaid claims processing remote professional?

To thrive in a Medicaid Claims Processing Remote role, you need a solid understanding of medical billing, coding, and Medicaid regulations, typically supported by experience in healthcare administration or claims processing. Familiarity with claims management software, medical coding systems (such as ICD-10 or CPT), and electronic data interchange (EDI) platforms is essential. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accuracy and collaboration. These skills ensure timely and accurate processing of claims, compliance with regulations, and effective resolution of claim issues in a remote environment.

What are some common challenges faced in a remote Medicaid claims processing position, and how can they be managed?

Working remotely as a Medicaid Claims Processor can present challenges such as staying up-to-date with changing regulations, maintaining attention to detail when reviewing large volumes of claims, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in team training sessions, utilize checklists or claim management software to minimize errors, and follow strict data security protocols. Open communication with supervisors and colleagues through virtual platforms also helps in resolving complex claims and staying connected with team goals.

What are the most commonly searched types of Medicaid Claims Processing jobs in Indiana?

The most popular types of Medicaid Claims Processing jobs in Indiana are:

What are popular job titles related to Medicaid Claims Processing Remote jobs in Indiana?

For Medicaid Claims Processing Remote jobs in Indiana, the most frequently searched job titles are:

What cities in Indiana are hiring for Medicaid Claims Processing Remote jobs?

Cities in Indiana with the most Medicaid Claims Processing Remote job openings:

Infographic showing various Medicaid Claims Processing Remote job openings in Indiana as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

$27 - $29/hr

Full-time

Posted 9 days ago


Job description

Job Title:

Life & DI Claims Examiner II

Number of Positions:

1

Location:

Indianapolis, IN

Location Specifics:

Fully Remote

Job Summary:

Renaissance Benefits is seeking an experienced Life and Disability Claims Examiner to join our growing team!

At Renaissance, the Life & DI Claims Examiner II is responsible for evaluating and processing group insurance claims for payment or denial according to the terms and conditions of each policy. In addition, the Life & DI Claims Examiner II is responsible for handling more complex processing issues such as long-term disability claims, provide backup and processing support for team members and assist with department projects as needed.

What will this role entail?

  • Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met. Contact group policyholders, beneficiaries or other third parties for missing information.

  • Consult with other professionals, such as management, senior team members, and other available resources, on complex claims.

  • Communicates with the claimants and employers to set expectations regarding return to work or claim status and next steps. Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.

  • Determines benefits due, makes timely claims determinations, payments/approvals and adjustments

  • Investigate claims. Search database to obtain background information and interview claimants and witnesses. Consult police, hospital records and policy files to verify information reported in a claim.

  • Calculate and authorize the appropriate payment for claim or refer to manager for additional review.

  • Focus predominantly on long-term disability claims processing.

  • Assist in handling claims with suspected fraudulent or criminal activity. Access personal information and past claims histories to establish whether a claimant has ever attempted insurance fraud.

  • Answer verbal and written inquires and customer service queued calls on Group claims from insureds, group policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff.

  • Respond to requests for information or return calls within established service guidelines.

  • Adheres to determined quality standards for the handling of calls and written inquiries.

  • Other duties and responsibilities as needed or assigned.

Minimum Requirements:

  • Associate's degree in business required, bachelor's degree preferred

  • 2-4 years of related industry experience preferred

  • Disability and/or life insurance claims administration experience strongly preferred

  • Knowledge of ERISA regulations, statutory disability claims administration, required offsets and deductions, disability duration and medical management practices and Social Security application procedures strongly preferred

  • Basic proficiency in Microsoft Word/Office Suite required

  • Intermediate proficiency in Microsoft Excel required

  • Experience with claims management systems and electronic/paperless claims processing strongly preferred.

  • Ability to perform work accurately and thoroughly

  • Ability to pay close attention to detail

  • Ability to prioritize and organize a heavy workload

Pay Range: $27.00-29.00/hour

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.