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Remote Claim Processor Jobs in Detroit, MI (NOW HIRING)

G-TECH Services, Inc.

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SR. Workers Compensation Claims Specialist (REMOTE)

Detroit, MI · Remote

$75K - $90K/yr

The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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Lifeworks

Disability Assistant

Detroit, MI · Remote

... claim documents are processed when received and to send out all documentation for claims in a ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

USAA

Sr. TLE Auto Appraiser

Ann Arbor, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

USAA

Sr. TLE Auto Appraiser

Detroit, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

Deloitte

Epic Denials Management Operator

Detroit, MI · Remote

$17.75 - $23.75/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 ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... claim. * Identify claims with subrogation potential and support the applicable subrogation process.

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Detroit, MI

Remote Claim Processor information

See Detroit, MI salary details

$11

$18

$26

How much do remote claim processor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote claim processor in Detroit, MI is $18.97, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.48 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 Detroit, MI?

For Remote Claim Processor jobs in Detroit, MI, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Detroit, MI look for?

The top searched job categories for Remote Claim Processor jobs in Detroit, MI are:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Detroit, MI as of August 2026, with employment types broken down into 81% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $39,463 per year, or $19 per hour.

Specialty Claims Analyst (Troy, MI)

BeneSys, Inc.

Troy, MI • Remote

$21 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

BeneSys rating

7.8

Company rating: 7.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

151st of 491 rated business services

Job description

Specialty Claims Analyst (Troy, MI)
Summary - The Specialty Claims Analyst will process Disability, SUB, Flex, and Death claims. Provide support for WEX health card users and receive documentation from members through e-mail, fax or by hard copy mail to correctly process submitted claims. Assists with customer service.
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Oregon, Pennsylvania, Wisconsin.
Essential Duties and Responsibilities include but not limited to
  • Process Flex claims in the appropriate amount of time to ensure that member receives payment in a timely manner according to the rules of the plan.
  • Coordinate with Eligibility by informing them of payouts of SUB and Disability benefits to update disability credit hours.
  • Work with the Local Halls to determine benefits for weekly SUB payments.
  • Prepare and send Disability and SUB Reports to the Local Halls on a weekly basis.
  • Determine benefits for multiple groups to process claims correctly, and retrieve documentation required by each group for payments to go out; outcome is either the issuing of a check or sending letters of rejection with proper appeal procedures.
  • Work with Pension to coordinate retirement dates, to avoid overlapping payments of both Pension and Disability simultaneously.
  • Document Disability and SUB dates to avoid overpayments; request refunds from members when overpayments are made.
  • Run checks on assigned days weekly, for SUB, Disability, Flex and Death Benefits, advise Operations of these check runs, and coordinate with accounting on the release of checks.
  • Process stops payments, voids and refunds for all benefit types.
  • Provide back-up for Customer Service and Eligibility; take calls in assigned queue for SUB, Disability, Flex and Death Claims.
  • Research payments according to plan rules to respond to members requests for payment of claim; call back members with result. Ensure the member that claim was processed correctly, and the maximum benefit was received.
  • Process death applications and gather information needed for different life insurance carriers for processing of death benefits.
  • Maintain claims processing quality standards of at least 98%.
  • Maintain claims turnaround times as defined by Specialty Claims Management based on type of claim assigned (claim TAT varies based on SUB, MRA, disability or death)
  • Support Plan Manager/Associates as needed.
  • Regular and predictable attendance is an essential function of this job.
Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a related field, required. Good reasoning and phone skills. Proficient in Microsoft office.
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Oregon, Pennsylvania, Wisconsin.
Education and/or Experience - High School diploma or GED equivalent. Prior claims experience preferred.
Language Skills - Ability to read and interpret the plan rules as outlined in the SPD (Summary Plan Description), user manuals and department rules amp; procedures. Ability to communicate with members, union officials and co-workers the plan rules and procedures to process amp; issue Disability and SUB payments.
Mathematical Skills - Ability to calculate hours and SUB Credits to properly process claims for payment. Ability to determine tax amounts on payments.
Reasoning Ability - Ability to calculate and determine eligibility amp; benefits available according to multiple plan rules to process claims for payment.
Work Schedule - Full time. Monday - Friday, 7:30am - 4:00 pm. Permanent Remote position (No in-office days).
Competitive Benefits and Compensation Package
  • 12 paid holidays
  • Paid Time Off (PTO)
    • Pro-rated during first year of employment
    • 15 days of PTO provided in the next calendar year!
  • 3 days paid bereavement
  • Up to 20 days paid jury leave
  • Medical, dental, and vision insurance, with option for dependent coverage
  • Company-paid basic life, short-term disability, long-term disability, and AD amp;D insurance
  • 401k with employer match
  • Tuition reimbursement program
  • Career development opportunities
  • Referral bonus for all successful full-time referrals
  • Annual opportunities for increases
Pay
The pay range for this position is $21.00 - $24.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
  • Collaboration: working together across 31 locations to achieve the best for the company and our clients
  • Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
  • Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA amp; EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

What BeneSys employees say

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About BeneSys

Sourced by ZipRecruiter

Industry

Insurance and employee benefit funds

Company size

501 - 1,000 Employees

Headquarters location

Troy, MI, US

Year founded

1979

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