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Part Time Remote Medical Claims Examiner Jobs (NOW HIRING)

Defined.ai

Psychiatrists (Part-Time, Remote)

We are looking for experienced Psychiatrists to join an exciting, remote, part-time pilot project ... S. medical license (MD or DO) * Board certification in Psychiatry or a clinically relevant ...

Veteran Jobs - 2023 Mar 01 - Veterans Resources

$18/hr

This role is listed by the employer as being part time.*** Remote Team Members (RTMs) will process ... Handles inquiries involving group life, disability, and absence, including claims, medical ...

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LIBERTY DENTAL

$74 - $82/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Review dental claims, referrals, and prior authorization requests across multiple lines of business ... Make coverage determinations based on benefit plans, clinical guidelines, medical necessity ...

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Part Time Remote Medical Claims Examiner information

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$15

$29

$45

How much do part time remote medical claims examiner jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for part time remote medical claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What does a part time remote medical claims examiner do?

A part time remote medical claims examiner reviews and processes insurance claims submitted by healthcare providers or patients. Their job involves verifying the accuracy and completeness of claims, ensuring they comply with policy guidelines, and determining the appropriate payment or denial of claims. Working remotely, they utilize digital systems to analyze medical records, billing codes, and supporting documentation. This role typically requires knowledge of medical terminology, insurance policies, and attention to detail, while offering flexible hours for part-time work.

What are the key skills and qualifications needed to thrive as a part time remote medical claims examiner?

To excel as a Part Time Remote Medical Claims Examiner, you need a solid understanding of medical terminology, insurance policies, and claims processing, typically backed by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR) systems, and sometimes certifications like AAPC or AHIMA are commonly required. Strong attention to detail, analytical thinking, and effective written communication are crucial soft skills for this role. These abilities ensure accurate claim evaluations, minimize errors, and contribute to efficient, compliant processing in a remote work environment.

What are some common challenges faced by part time remote medical claims examiners, and how can they be managed?

Part-time remote medical claims examiners often face challenges such as maintaining productivity while working independently, staying updated with frequently changing insurance policies, and ensuring data security when handling sensitive patient information. To manage these challenges, it's important to establish a structured work routine, participate in regular training sessions provided by employers, and use secure, company-approved platforms for all work-related communications and data processing. Effective communication with supervisors and colleagues via virtual meetings can also help resolve questions quickly and foster a sense of teamwork.

What is the difference between Part Time Remote Medical Claims Examiner vs Part Time Remote Medical Claims Processor?

AspectPart Time Remote Medical Claims ExaminerPart Time Remote Medical Claims Processor
CredentialsTypically requires a healthcare-related certification or licensing, such as nursing or medical billingUsually requires basic knowledge of claims processing; certifications are less common
Work EnvironmentRemote, with access to medical records and claims dataRemote, focusing on data entry and claims review
Employer & Industry UsageInsurance companies, third-party administrators, healthcare providers
Common Search & ComparisonOften compared due to similar roles in claims review and processing

The Part Time Remote Medical Claims Examiner reviews complex medical claims to determine coverage and validity, often requiring healthcare credentials. In contrast, the Part Time Remote Medical Claims Processor handles claims data entry and basic processing, typically with less specialized certification. Both roles are remote and serve insurance and healthcare industries, but the Claims Examiner focuses on detailed medical review, while the Claims Processor manages routine claims data.

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What are the most commonly searched types of Remote Medical Claims Examiner jobs?

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The top searched job categories for Part Time Remote Medical Claims Examiner jobs are:

Part Time Remote Medical Claims Examiner jobs near you

Claims Examiner- Individual Life Death Claims (experience required)

American United Life Ins Co

Indianapolis, IN • On-site, Remote

$21.63 - $36.06/hr

Full-time, Part-time

Re-posted 6 days ago

Job description

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!

The Individual Life Claims Examiner is responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards.

Job Summary

Responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards.

Individual Life Claims Associate is responsible for:

  • Reviewing and processing Individual Life Death Claims
  • Clearing outstanding accounting
  • Clearing up eligibility issues
  • Performing adjustments
  • Level II Associates may train, mentor, and audit less experienced associates.
  • Level II Associates may work with escalating claim issues with minimal leadership consultation including taking on escalated calls

Primary duties may include, but are not limited to:

  • Customer Experience and support 40%
    • Effectively, accurately and timely communicate/collaborate with internal and external customers in accordance customer service protocols.
    • Independently investigate, collect, examine information to determine claim direction to make accurate, impartial claim determinations based on facts, policies, regulations, and department procedures, for claims including those of a complex nature.
    • Appropriately and independently use problem solving measures and discretion to investigate claims by utilizing appropriate investigative tools.
    • Correctly calculates and processes claim benefit payments due within authority level.
    • Prepares quality communication to agents, policy owners, insureds, beneficiaries, policyholders, medical providers, or other customer and business relationship parties.
    • Identify, understand, and appropriately refer matters to legal counsel or escalates claim issues with minimal leadership consultation.
  • Performance and Service expectations: 50%
    • Maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. Completes correct accounting transactions and clearing according to departmental procedures.
  • Process Improvement 10%
    • Demonstrate EWA and support of the OneAmerica Ways.

Required Work Experience:

  • Minimum 3-5 years experience managing life death claims required
  • Experience interpreting policy language; training experience helpful
  • Strong written and verbal communication skills
  • Experience working with Microsoft Office applications

Required Education and/or Certifications:

  • High School Diploma or GED. Bachelor's Degree preferred in Business Management, Operations Management, Statistics, or Insurance.

Recommended Education and/or Certifications

  • LOMA

    We are currently seeking Level I & II Representative experience.

        #LI-SC1

        Salary Band: 3B

        This selected candidate will be expected to work hybrid in Indianapolis, IN but we may consider remote associates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team building and collaboration.

        Consistent with applicable pay transparency laws, we disclose the compensation range for this position: $21.63 - 36.06 hourly. Actual compensation will be determined by factors such as education, experience, geographical location, and other job-related factors permitted by law. In addition to base pay, this role is eligible for an annual incentive program.

        We offer a comprehensive total rewards package designed to support you both at work and at home. Full‑time and part‑time associates working 30 or more hours per week are generally eligible for benefits, including but not limited to:

        • Medical & prescription, dental, vision insurance
        • Health Savings Account & Flexible Spending Accounts
        • Paid Time Off
        • 10 weeks 100% paid parental leave (after completing 12 months of employment)
        • 401(k) Plan with company match
        • Pension Plan
        • Company paid life & disability insurance
        • Wellness Program & Company paid employee assistance program
        • Clinic access subject to location* (*Indianapolis, Charlotte, Cincinnati)

        If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

        Selected employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

        Disclaimer: American United Life Insurance Company (“OneAmerica Financial”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, gender identity), age, physical or mental disability, veteran or military status, genetic information, citizenship, or any other legally recognized protected basis under federal, state, or local law.

        For all positions:

        Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

        To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.