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Remote Claim Processor Jobs (NOW HIRING)

Cortex

Remote RN Inbound Agent

$25/hr

... claim process. You will need to swiftly adapt to our platform and effectively communicate the ... Remote (within the US) Pay Rate: $25/hour Contract: Temporary Opportunity to contribute to disaster ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board ... Processing of professional claim forms files by provider * Reviewing the policies and benefits

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Remote Claim Processor information

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$12

$19

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How much do remote claim processor jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for remote claim processor in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

How can I make 2000 a week working from home?

A remote claim processor can potentially earn $2,000 a week by handling a high volume of claims efficiently, often requiring strong attention to detail and familiarity with claims processing software. Increasing earnings may involve working full-time hours, gaining relevant certifications, and improving productivity skills. Compensation varies based on experience, employer, and workload.

What is the highest paid remote job?

Remote claim processors typically earn between $40,000 and $70,000 annually, but high-level remote roles such as remote executive positions, software engineers, and data scientists tend to have higher salaries, often exceeding $100,000. Specialized skills, certifications, and experience can significantly increase earning potential in remote jobs across various industries.

How to become a claim processor?

To become a remote claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Some employers prefer prior experience in insurance or claims processing, and familiarity with claim management software can be beneficial. Certification is not usually required but can enhance job prospects.

What companies hire remote claims adjusters?

Many insurance companies and third-party claims adjusting firms hire remote claims adjusters, including large organizations like State Farm, Allstate, and Progressive. These companies often require knowledge of insurance policies, claims processing software, and relevant certifications such as the AIC or CPCU. Remote claims adjusters typically work from home and may need to pass background checks and demonstrate strong communication skills.

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.
More about Remote Claim Processor jobs
What cities are hiring for Remote Claim Processor jobs? Cities with the most Remote Claim Processor job openings:
What states have the most Remote Claim Processor jobs? States with the most job openings for Remote Claim Processor jobs include:
What job categories do people searching Remote Claim Processor jobs look for? The top searched job categories for Remote Claim Processor jobs are:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in the United States as of July 2026, with employment types broken down into 79% Full Time, 19% Part Time, 1% Temporary, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Senior Claim Benefit Specialist - Remote

Senior Claim Benefit Specialist - Remote

CVS Health

Homer, AK • Remote

$18.50 - $42.35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,285 frontline employees who took The Breakroom Quiz

81st of 104 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.
Additional Responsibilities

- Reviews prespecified claims and those that exceed specialist adjudication authority or processing expertise.

- Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements costcontainment measures to support accurate claim adjudication.

- Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.

- Identifies and reports potential overpayments, underpayments, and other claim irregularities.

- Performs claim rework calculations as needed.

- Trains and mentors as needed to enhance team performance and technical proficiency.

- Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

- Minimum of 18 months of medical claim processing experience with a health insurance payor or thirdparty administrator.

- Proven success working in a highvolume, productiondriven environment.

- Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.


Preferred Qualifications

- Self-Funding experience

- DG system knowledge


Education

- High School Diploma required

- Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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