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Remote Claim Processor Jobs in Mount Prospect, IL

Allied

Claims Repricing Specialist (Remote)

Chicago, IL · On-site +1

$20/hr

... price a claim. * Ability to key claims once repriced into the QicLink system. * Ability to ... and process. It is at the Company's discretion to determine what pay is provided to a candidate ...

The Hartford

Short-Term Disability Analyst

Naperville, IL · On-site +1

$46K - $67K/yr

Claim complexity may vary based on experience and business needs and may include working with ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...

Diamond Insurance

Be Seen First

Workers' Compensation Adjuster

Schaumburg, IL · Remote

$65K - $85K/yr

Analyze medical, legal, and financial information to determine claim exposure and appropriate ... process. * Effectively prioritize workload and manage deadlines in a remote work environment.

Corvel

Care Advocate Nurse

Downers Grove, IL · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Responsible for detailed documentation within the claim system focusing on medical condition ...

1 point system

Senior Data Scientist

Chicago, IL · Remote

Job Title Senior Data Scientist Location Remote Type of Hire 4 months contract They strictly want ... Apply NLP and text-processing techniques to claim and incident narratives to extract useful risk ...

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Remote Claim Processor information

See Mount Prospect, IL salary details

$11

$19

$26

How much do remote claim processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote claim processor in Mount Prospect, IL 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 are popular job titles related to Remote Claim Processor jobs in Mount Prospect, IL?

For Remote Claim Processor jobs in Mount Prospect, IL, the most frequently searched job titles are:

What cities near Mount Prospect, IL are hiring for Remote Claim Processor jobs?

Cities near Mount Prospect, IL with the most Remote Claim Processor job openings:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Mount Prospect, IL as of August 2026, with employment types broken down into 78% Full Time, 20% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $39,604 per year, or $19 per hour.

Stop Loss Claims Specialist II-Specific

Allied Benefit Systems

Chicago, IL • Remote

$24 - $26/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 13 days ago

Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

108th of 495 rated business services

Job description

POSITION SUMMARY

The Stop Loss Claim Specialist II (Specific) is responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (Specific)coverage. Additional duties include following up with the various carriers to ensure reimbursements are received timely and in full. Further responsibilities include the appeals of denied and reduced claim reimbursements, along with retaining the appropriate documentation needed to support the reimbursement request. The Stop Loss Claim Specialist II will be responsible for training team members. In addition, duties will include maintaining a relationship with priority carriers.

ESSENTIAL FUNCTIONS

  • Compile and submit claim reports and the necessary documentation to file a stop loss claim.
  • Monitor the status of claims assigned and follow up with stop loss carriers.
  • Answer questions and requests from stop loss carriers for additional information.
  • Communicate with other internal departments to resolve claim issues.
  • Appeal the denials or reduction of reimbursements by the stop loss carrier.
  • Filing Stop Loss Claims with priority carriers.
  • Coordinating with other Stop Loss Team Members regarding priority claims.
  • Filing high dollar claims.
  • Retain necessary documents required by carriers from providers.
  • Training team members regarding departmental process and workflows.
  • Other duties as assigned.

EDUCATION

  • High School Diploma or GED required.
  • College degree preferred.

EXPERIENCE AND SKILLS

  • Minimum 2 years of stop loss claim filing experience, required.
  • Medical claims experience required.
  • Accounting or Finance background a plus.
  • Proficient with Microsoft Office Suite or related software.
  • Strong analytical and problem solving skills.
  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.

POSITION COMPETENCIES

  • Accountability
  • Communication
  • Customer Service Orientation
  • Functional/Technical Skills
  • Quality Focus
  • Time and Task Management

PHYSICAL DEMANDS

  • This is a standard desk role requiring extended sitting and computer work.

WORK ENVIRONMENT

  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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