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Remote Claim Processor Jobs in Oregon (NOW HIRING)

Manulife

Senior Underwriting Consultant

OR · Remote

$98K - $116K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Pinnacle Fertility Inc.

Financial Counselor

Portland, OR · Remote

$20 - $23/hr

This is a full-time , remote position working Monday through Friday from 8:00 AM-5:00 PM Pacific ... Monitor and manage billing and coding processes, ensuring accurate claim submissions, and ...

Corvel

Claims Supervisor

Portland, OR · On-site +1

$73K - $113K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Participate in customer claim reviews and presentations * Ability to travel overnight and attend ...

Corvel

Claims Supervisor

$73K - $113K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Participate in customer claim reviews and presentations * Ability to travel overnight and attend ...

AIS Healthcare

Healthcare Collections Specialist

$18.25 - $22.75/hr

Process account adjustments, write-offs, and refund requests in accordance with company policies ... Ability to work independently in a remote environment * Proficiency in Microsoft Outlook, Word, and ...

Corvel

Claims Supervisor

Portland, OR · Remote

$73K - $113K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Participate in customer claim reviews and presentations * Ability to travel overnight and attend ...

Corvel

CareIQ Service Coordinator I

$15.61 - $23.82/hr

This is a remote position requiring a wired connection to your modem from a broadband internet ... Administrative review of claim referral orders, authorization, appointment notes and reports ...

Cambia Health Solutions

Payment Integrity Nurse I

Bend, OR · Remote

$66K - $106K/yr

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Microsoft Word, Excel, and PowerPoint); learn new processes and systems quickly. * Strong verbal ...

New York Life

National Account Client Liaison

$60K - $85K/yr

Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Identify, manage, and resolve claim issues, including delays, discrepancies, and complex cases.

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Oregon

Remote Claim Processor information

See Oregon salary details

$12

$20

$27

How much do remote claim processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claim processor in Oregon is $20.26, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.88 per hour, depending on experience, location, and employer.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What is a remote claim processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What skills and qualifications are needed to thrive as a remote claim processor?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are common challenges faced by remote claim processors, and how can they be managed?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.
What are popular job titles related to Remote Claim Processor jobs in Oregon? For Remote Claim Processor jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Claim Processor jobs in Oregon look for? The top searched job categories for Remote Claim Processor jobs in Oregon are:
What cities in Oregon are hiring for Remote Claim Processor jobs? Cities in Oregon with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Oregon as of August 2026, with employment types broken down into 73% Full Time, 9% Part Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,147 per year, or $20.3 per hour.

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Sedgwick

Portland, OR • Remote

Full-time

Medical, Dental, Vision, Retirement

Posted 16 days ago

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 320 frontline employees who took The Breakroom Quiz

207th of 301 rated insurance

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Are you lookingfor an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply yourClaims Representative, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE?We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.

PRIMARY PURPOSE OF THE ROLEToanalyze low level workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

  • Negotiating settlement of claims within designated authority.

  • Communicating claim activity and processing with the claimant and the client.

  • Reporting claims to the excess carrier and responding to requestsofdirections in a professional and timely manner.

QUALIFICATIONS

Education & Licensing:High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.

Experience:2years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge: WA

TAKING CARE OF YOU

  • Flexible work schedule.

  • Referral incentive program.

  • Opportunity to work in an agile environment.

  • Career development and promotional growth opportunities.

  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding,travel as required

Auditory/Visual: Hearing, vision and talking

#claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland #oregon

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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