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Remote Claim Processor Jobs in Dallas, TX (NOW HIRING)

Senior Claims Adjuster

Dallas, TX ยท Remote

$60K - $78K/yr

Interact extensively with various parties involved in the claim process to ensure effective ... Bachelor's Degree #LI-NZ1 #LI-REMOTE Compensation and benefits We offer a competitive and ...

This role demands a strong command of technical processes and policy interpretation, as well as the ... You'll leverage your expertise and problem-solving skills to navigate complex claim scenarios ...

Auto Claims Trainee - Remote

Plano, TX ยท Remote

$38K - $70K/yr

This role demands a strong command of technical processes and policy interpretation, as well as the ... You'll leverage your expertise and problem-solving skills to navigate complex claim scenarios ...

This role demands a strong command of technical processes and policy interpretation, as well as the ... You'll leverage your expertise and problem-solving skills to navigate complex claim scenarios ...

Remote Duration: 03+ Months Manager's notes: Mandatory: Work comp claims handling experience is ... Communicates claim activity and processing with the claimant and the client; maintains professional ...

Claims Examiner - Workers Compensation

Prosper, TX ยท Remote

$30 - $40.75/hr

Remote Duration: 03+ Months Manager\'s notes: Mandatory: Work comp claims handling experience is ... Communicates claim activity and processing with the claimant and the client; maintains professional ...

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Remote Claim Processor information

See Dallas, TX salary details

$11

$18

$26

How much do remote claim processor jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote claim processor in Dallas, TX is $18.96, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.43 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 are the key skills and qualifications needed to thrive as a Remote Claim Processor, and why are they important?

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 some common challenges faced by remote claim processors, and how can they be managed effectively?

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 cities near Dallas, TX are hiring for Remote Claim Processor jobs? Cities near Dallas, TX with the most Remote Claim Processor job openings:
Pharmacy Claims Representative 2 - Remote

Pharmacy Claims Representative 2 - Remote

StateServ Medical

Arlington, TX โ€ข Remote

$22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

This position is working in a remote call center environment

Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation

Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked

Dragonfly Health - A great place to landย 

Dragonfly Health is the leading care-at-home data, technology and service platform, and the industryโ€™s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states.

Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most.

We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development.

Dragonfly Health is our name for a reason.

The dragonfly is symbolic of the transformational impact weโ€™re making on the industry, our people, and the lives we touch. We are a guiding force for whatโ€™s ahead, delivering more than equipment and medications, but also comfort and peace of mind.ย We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises.ย 

Whatever it takes. Wherever it takes us.ย What we offer
  • Competitive Pay starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
  • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.)ย 
  • Growth Opportunity and Career Advancement
  • Agile and Adaptable team culture
  • Innovative and revolutionary technology solutions
  • A higher calling to provide quality patient care

See how Dragonfly Health is transforming the world of hospice and post-acute care.

What you will do
  • In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards.
  • Identify discrepancies, investigate claim issues, and determine appropriate resolutions.
  • Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors.
  • Support audits and quality reviews by maintaining detailed, accurate claim documentation.
  • Identify trends and share insights that can improve claim accuracy and efficiency.
  • Uphold confidentiality and compliance with HIPAA and corporate policy standards.
What we look for
  • 1โ€“2 years of pharmacy claims or healthcare operations experience.
  • Working knowledge of pharmacy billing procedures, insurance verification, and third-party payer systems.
  • Strong analytical, organizational, and data-entry skills.
  • Proficiency in claims processing platforms and Microsoft Office tools.
  • ย Ability to communicate professionally with providers and team members.
  • High attention to detail and a commitment to getting it right the first time.
Why Pharmacy Claims Representatives are important

Each claim you touch impacts a patientโ€™s access to care. By ensuring claims are processed correctly and efficiently, you help protect both patient satisfaction and business integrity. Your accuracy and dedication directly support our mission to deliver exceptional patient care and strengthen trust with every transaction.

Let's soar togetherย