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Remote Claim Processor Jobs in Buffalo, NY (NOW HIRING)

Fee Schedule Specialist

Grand Island, NY ยท Remote

$23 - $28/hr

Fee Schedule Specialist (Remote) Location (city, state): Remote (NYC) Industry: Managed Care ... Ensure timely and accurate claim processing. Qualifications: * Experience in medical billing.

... claim processing and identify and implement opportunity areas to remediate issues and improve ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

New

Forensic Medical Coder

Niagara Falls, NY ยท Remote

$25 - $30/hr

... remote opportunity. This position supports insurance-related claim reviews through detailed ... Streamlined interview and onboarding process. * Opportunity to develop expertise within a ...

Claims Adjustor

Buffalo, NY ยท Remote

$19 - $23/hr

Claim Adjustors review and assess the claims, adjudicating payment to the provider on behalf of the ... Processes claims in accordance with established policies and procedures, contacting providers as ...

Ensures that claims are processed and paid in accordance with benefit plans, pricing agreements ... Provides reports to department leaders on claim inventory, production, turn-around lag, and quality ...

Sales Intern

Buffalo, NY ยท Remote

$19 - $21/hr

Investigate and resolve trade spend discrepancies, pricing issues, claim processing concerns, and ... Serve as a key liaison between remote Corporate Accounts sales teams and headquarters to ensure ...

Epic Denials Management Operator

Williamsville, NY ยท Remote

$16.50 - $22/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Experience analyzing billing workflows, claim issues, or operational data The wage range for this ...

... the claim have been handled correctly and according to both standard process and the client ... All other applicants will be considered for remote positions. Centivo Values: * Resilient - This is ...

Senior Underwriting Consultant

Alabama, NY ยท On-site +1

$88K - $105K/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 ...

Remote Claim Processor information

See Buffalo, NY salary details

$11

$18

$25

How much do remote claim processor jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote claim processor in Buffalo, NY is $18.56, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.05 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 Buffalo, NY are hiring for Remote Claim Processor jobs?

Cities near Buffalo, NY with the most Remote Claim Processor job openings:

Infographic showing various Remote Claim Processor job openings in Buffalo, NY as of August 2026, with employment types broken down into 78% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $38,614 per year, or $18.6 per hour.

Fee Schedule Specialist

Grand Island, NY โ€ข Remote

$23 - $28/hr

Contractor

Medical, Dental, Vision, Retirement

Re-posted 11 days ago


Job description

Job Title: Fee Schedule Specialist (Remote)

Location (city, state): Remote (NYC)

Industry: Managed Care / Insurance Services

Pay: $23-28/HR

Benefits: This position is eligible for medical, dental, vision, and 401(k).

Job Description: The Fee Schedule Specialist will review, analyze, and process complex medical bills to ensure compliance with applicable fee schedules and insurance requirements.

Key Responsibilities:

  • Review and analyze medical bills and documentation for accuracy and adherence to fee schedules (Medicare, state workers’ comp, PPO contracts).
  • Process medical billing claims for NYS Workers’ Compensation and Auto Insurance.
  • Utilize Strataware and Conduent systems to manage billing workflows.
  • Ensure timely and accurate claim processing.

Qualifications:

  • Experience in medical billing.
  • Knowledge of NYS Workers’ Compensation and Auto Insurance billing.
  • Proficiency with Strataware and Conduent systems (required).