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Remote Claim Processor Jobs in Jacksonville, FL (NOW HIRING)

WarrCloud

Warranty Specialist

Jacksonville, FL · Remote

... warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a ... Claim Optimization: Conduct thorough analysis of claims by reviewing labor operations, warranty ...

WarrCloud

Warranty Specialist

Jacksonville, FL · Remote

... warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a ... Claim Optimization: Conduct thorough analysis of claims by reviewing labor operations, warranty ...

TEKsystems

Denials Specialist

Jacksonville, FL · Remote

$26/hr

... EOBs, claim adjudication, insurance follow-up, and appeals processes • High School Diploma or GED required • Ability to work independently in a fully remote environment Next Steps: • Apply ...

Davies

P&C Liability Supervisor

Jacksonville, FL · On-site +1

$82K - $92K/yr

Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... process improvement initiatives. * Escalate significant claim, personnel, or client concerns to ...

Davies

Liability Assoc. Claims Adjuster

Jacksonville, FL · On-site +1

$62K - $67K/yr

Remote, FL Reporting To: Cheri Sather Compensation: $62,000 - $67,000 / year Description Our Story ... Review accident reports, witness statements, repair estimates, and related claim materials.

Kemper

Guidewire Developer-ClaimCenter

Jacksonville, FL · On-site +1

$50.50 - $66.75/hr

... TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA ... claim domain. In this role, you will design and code scalable solutions, influence architecture ...

ARC Group

Medical Director

Jacksonville, FL · Remote

MEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This ... Provide support to the claim appeal process including assistance in the development of position ...

True Vet Solutions

Intake Specialist

Middleburg, FL · Remote

$18.25 - $24.25/hr

... in initiating the claim-building process. Your role will be crucial in ensuring our veterans ... Remote-first work, from anywhere in the USA * Employer-sponsored medical, dental, and vision ...

Deloitte

Epic Denials Management Operator

Jacksonville, FL · Remote

$16.75 - $22.25/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 ...

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Jacksonville, FL

Remote Claim Processor information

See Jacksonville, FL salary details

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How much do remote claim processor jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote claim processor in Jacksonville, FL is $17.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $19.13 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 are popular job titles related to Remote Claim Processor jobs in Jacksonville, FL?

For Remote Claim Processor jobs in Jacksonville, FL, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Jacksonville, FL look for?

The top searched job categories for Remote Claim Processor jobs in Jacksonville, FL are:

What cities near Jacksonville, FL are hiring for Remote Claim Processor jobs?

Cities near Jacksonville, FL with the most Remote Claim Processor job openings:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Jacksonville, FL as of August 2026, with employment types broken down into 77% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 84% Physical, 6% Hybrid, and 10% Remote job distribution, with an average salary of $36,936 per year, or $17.8 per hour.

P&C Liability Bodily Injury Adjuster

Davies

Jacksonville, FL • On-site, Remote

$65K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

P&C Liability Bodily Injury Adjuster
Department: Claims Administration & Adjusting
Employment Type: Permanent - Full Time
Location: Remote, FL
Reporting To: Chris Lewis
Compensation: $65,000 - $75,000 / year
Description
Our Story
Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
We're on the lookout for a Bodily Injury Adjuster to join our growing team! As a Bodily Injury Adjuster, you will adjust third party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims in which a claim exists for bodily injury, personal injury or wrongdoing. This role is a full-time, home-based position that may require travel at times to claims meetings at client locations, seminars for obtaining CEU credits, and scene investigations or inspections.
Key Responsibilities
  • Perform all duties as outlined in the Property Damage Adjuster Job Description
  • Daily review of workflow and claim system reminders with follow up and significant progress towards completion of any task set as a reminder, or received in workflow within 72 hours
  • Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action
  • Contact with the insured/claimant within 24 hours of assignment
  • Assign appraisers or coordinate the receipt of estimates of damage according to client guidelines or approval
  • Determine if estimates or appraisals are appropriate based upon reported damages and other evidence
  • Gather evidence of damages
  • Interview or obtain recorded statements from the claimant, the Insured and any witnesses
  • Request payment authorization according to client guidelines and Davies Claims North America policy and procedures
  • Follow client guidelines for any claim denial
  • Obtain internal investigation reports from the insured (client) when permitted by the client
  • Professional and timely communication with the client
  • Determine degree of attorney involvement, if any
  • Always act with the utmost good faith in handling of the claim from beginning to closure
  • Set reminders within the claim system for necessary follow up in an appropriate time frame
  • Accurately record any communication, or activity relevant to the claim; in the claim system notes
  • Follow procedures to image documents sent to you that are relevant to the claim file (including e-mail)
  • Meet the requirements of Continuing Education as required for licensure as an adjuster
  • Maintain a 95% claim closure ratio
  • Report to the Excess carrier on any claim that meets the requirements to do so (including status reports)
  • Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel
  • Obtain status reports from defense counsel at 90-day intervals
  • Read and Understand the Excess Carrier Insurance Policy
  • Run ISO ClaimSearch on injured claimants
  • Determine the injury status of all persons involved in a crash investigation
  • Interact with insurance adjusters from other companies to obtain information needed to process your claim
  • Respond to Reservation of Rights letters from Excess Carrier if necessary
  • Develop working knowledge of No Fault/PIP law
  • Enter necessary information into the claim system to ensure mandatory reporting to Medicare
  • Follow Davies Claims North America guidelines when settling claims involving a Medicare recipient
  • Check for the claimant's compliance with F.S. 768.28 Sovereign Immunity
  • Recommend/assign field adjuster as necessary
  • Review field adjuster reports for thoroughness and accuracy.

Skills, knowledge & expertise
  • College degree or equivalent experience
  • Possession of Adjuster license
  • Maintain CEU credits for Adjuster license
  • Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology
  • Previous experience with settling bodily injury claims
  • Proficiency with Microsoft Office Suite
  • Proactive, independent, dependable, and takes initiative with consistent follow through
  • Superb written and verbal communication skills conducted in a timely manner with diverse audiences
  • Superior time management skills with capability of working with and meeting deadlines
  • Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment
  • High level attention to detail with ability to utilize decision making and problem-solving skills
  • Capable of working collaboratively and independently with minimal supervision
  • Exhibit discretion with sensitive and confidential information

Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:
  • Medical, dental, and vision plans to support your health and that of your family
  • A 401(k) plan with employer matching
  • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
  • Paid holidays
  • Life insurance and short‑term and long‑term disability coverage

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee's primary work location.
Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
  • Maintain regular and dependable attendance.
  • Be available and able to perform job responsibilities during established work hours.

Background Check & Fair Chance Compliance
Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.
Massachusetts NoticeIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
AI PolicyAt Davies, we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect each individual's own experience, knowledge, and professional judgment.
We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at recruitment@davies-group.com

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