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Remote Claim Processor Jobs in Baltimore, MD (NOW HIRING)

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Research and troubleshoot denied claims , claim status problems, EOB vs. billing discrepancies, and ...

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Research and troubleshoot denied claims , claim status problems, EOB vs. billing discrepancies, and ...

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Research and troubleshoot denied claims , claim status problems, EOB vs. billing discrepancies, and ...

Showing results 41-47

Remote Claim Processor information

See Baltimore, MD salary details

$11

$19

$26

How much do remote claim processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claim processor in Baltimore, MD is $19.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.53 per hour, depending on experience, location, and employer.

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 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 cities near Baltimore, MD are hiring for Remote Claim Processor jobs?

Cities near Baltimore, MD with the most Remote Claim Processor job openings:

Infographic showing various Remote Claim Processor job openings in Baltimore, MD as of August 2026, with employment types broken down into 79% Full Time, 18% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $39,610 per year, or $19 per hour.

Client Relationship Manager

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago


Job description

Job Title: Client Relations Manager Location: Baltimore, Maryland Type: Contract To Hire Contractor Work Model: Hybrid – onsite and remote

We’re looking for a Client Relationship Manager who thrives in a fast-paced, high-touch customer service environment. In this role, you’ll manage escalated service issues and serve as a key point of contact for members and brokers—especially when situations are complex, urgent, or sensitive.

Most requests come in via email, with occasional outbound calls needed to clarify details and drive resolution. Your success will come from strong claims knowledge, calm de-escalation, and end-to-end ownership.

What You’ll Be Doing

  • Resolve escalated issues related to medical claims, billing, benefits, and pharmacy (Rx)
  • Research and troubleshoot denied claims, claim status problems, EOB vs. billing discrepancies, and Rx concerns
  • Communicate clearly and professionally (email-first), and make outbound calls when needed
  • Coordinate across internal teams/partners to get answers and close issues quickly
  • Track, document, and manage issues from initial inquiry through final resolution
  • Prioritize effectively as issue types and volume fluctuate daily

What We’re Looking For (Must-Haves)

  • 3+ years of medical claims experience (claims processing, denials, investigations, or claims issue resolution)
  • Strong, polished customer service experience—comfortable handling escalations and demanding stakeholders
  • Proven ability to de-escalate, problem-solve, and stay composed under pressure
  • Strong multitasking, time management, and attention to detail
  • Ability to take ownership and drive a problem through to a clear outcome (not just hand-offs)

Nice to Have

  • Medicare experience
  • Experience supporting benefits administration (eligibility, enrollment, billing questions, plan basics)
  • Prior experience interacting with brokers/consultants and HR contacts

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-

Ref: #851-Rockville-S1


System One logo

About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US