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Remote Claim Reviewer Jobs (NOW HIRING)

This role requires research and content development for all aspects of claim review, including ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

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Addison Group is partnering with our client to identify a skilled Forensic Medical Coder for a fully remote opportunity. This position supports insurance-related claim reviews through detailed ...

This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do: * Perform medical claim reviews for one or more of the following: claims for medically complex ...

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This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do: * Perform medical claim reviews for one or more of the following: claims for medically complex ...

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Multi-Line Claim Supervisor

Dallas, TX · Remote

$85K - $100K/yr

Remote Schedule: Full-Time Build Your Career With Purpose at CCMSI At CCMSI, we partner with global ... Review, assign, and supervise multi-line claim activity to ensure compliance with Corporate Claim ...

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims ... Reviews claim data for process improvements related to all aspects of claims payment. * Ensures ...

Data Entry Clerk - Remote Work

$17.50 - $23.25/hr

About the job Data Entry Clerk - Remote Work The Customer Service / Data Entry Representative will ... claim. Review invoices to ensure accuracy. Compile reports from systems with claims information.

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Remote Claim Reviewer information

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$30.5K

$64.6K

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How much do remote claim reviewer jobs pay per year?

As of Jul 12, 2026, the average yearly pay for remote claim reviewer in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

How can I get a legitimate remote job?

To secure a legitimate remote claim reviewer position, focus on building relevant skills such as claims processing, attention to detail, and familiarity with insurance software. Search for remote job listings on reputable job boards, verify the company's legitimacy, and be cautious of scams. Having a reliable internet connection and a suitable home workspace also supports remote work success.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they meet policy requirements. They review documentation, verify information, and decide whether to approve, deny, or request additional details, often using specialized software and adhering to company policies and industry regulations.

How can I make 2000 a week working from home?

A remote claim reviewer can potentially earn $2,000 a week by handling a high volume of claims, gaining experience, and working full-time hours. Increasing efficiency, developing specialized knowledge, and working for companies that pay competitive rates can help achieve higher earnings. Certifications in claims processing or insurance can also improve earning potential.

What is the difference between Remote Claim Reviewer vs Remote Claims Processor?

AspectRemote Claim ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance or data entry skills
Work EnvironmentHome-based, independent review settingHome-based, processing claims and data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search IntentComparing roles involving claim review and evaluationRoles focused on processing and data entry of claims

The main difference is that Remote Claim Reviewers evaluate and assess insurance claims for accuracy and validity, often requiring insurance knowledge. Remote Claims Processors handle the entry and processing of claims, focusing on data entry and administrative tasks. Both roles are remote and industry-specific but differ in responsibilities and skill requirements.

What companies hire remote claims adjusters?

Remote claims adjusters are hired by insurance companies, third-party claims organizations, and independent adjusting firms. Major insurers and specialized claims companies often offer remote positions that require knowledge of claims processing, insurance policies, and relevant certifications. These roles typically involve reviewing claims, assessing damages, and working with digital tools from home.
More about Remote Claim Reviewer jobs
What cities are hiring for Remote Claim Reviewer jobs? Cities with the most Remote Claim Reviewer job openings:
What are the most commonly searched types of Claim Reviewer jobs? The most popular types of Claim Reviewer jobs are:
What states have the most Remote Claim Reviewer jobs? States with the most job openings for Remote Claim Reviewer jobs include:
Multi-Line Claim Supervisor- General Liability & Bodily Injury

Multi-Line Claim Supervisor- General Liability & Bodily Injury

CCMSI

Dallas, TX • Remote

$75K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

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Job description

Multi-Line Claim Supervisor – National Liability Accounts

Location: Dallas, TX (Remote or Hybrid) 
Salary Range: $75,000 – $100,000 

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Multi-Line Claim Supervisor is responsible for providing technical leadership, claim oversight, and direct supervision for a team of approximately 2–5 adjusters handling general liability, premises liability, and bodily injury claims within a national account environment.

This role combines hands-on claim handling with people leadership responsibilities. The Supervisor maintains a personal caseload of complex and litigated claims while ensuring quality claim handling, compliance with Corporate Claim Standards, client-specific requirements, and jurisdictional regulations across the team.

This position supports a highly engaged national client with significant liability exposure and elevated service expectations. Success requires a leader who is technically strong, highly responsive, comfortable managing litigation, and committed to coaching and developing others.

The ideal candidate brings extensive liability claim expertise, strong litigation management experience, and a proven ability to lead adjusters while balancing client expectations, operational priorities, and claim outcomes.

Approximately 30% of claims involve litigation exposure, making defense counsel management and strategic claim resolution essential components of the role.

This is not simply a supervisory role. It is a working leadership position responsible for driving claim quality, mentoring staff, supporting hiring and development efforts, and serving as a trusted resource for both clients and claim professionals.


When We Hire Leaders

At CCMSI, we look for leaders who understand that every claim represents a real person and every coaching opportunity helps shape the future of our organization. Successful supervisors lead by example, develop talent, promote accountability, and create an environment where both employees and clients can succeed.

Key Responsibilities
  • Supervise and provide technical guidance to a team of approximately 2–5 multi-line adjusters
  • Review, assign, and oversee claim activity to ensure compliance with Corporate Claim Standards and client-directed handling instructions
  • Manage a personal inventory of complex, high-exposure, and litigated liability claims
  • Investigate, evaluate, and adjust assigned claims from inception through resolution
  • Establish and oversee reserve strategies for assigned files and supervised claim inventories
  • Review and monitor medical, legal, investigative, and vendor expenses
  • Negotiate settlements within authority levels and assist staff with complex settlement strategies
  • Partner with defense counsel on litigated matters and provide guidance regarding litigation strategy
  • Conduct file reviews, audits, coaching sessions, and performance discussions
  • Assist with interviewing, onboarding, mentoring, and developing claim professionals
  • Support employee performance management, goal setting, and career development
  • Ensure timely and accurate claim documentation, diary management, reserving, and financial controls
  • Participate in client meetings, stewardship reviews, and claim review discussions
  • Help identify workflow improvements and best practices to support organizational success
  • Maintain compliance with client handling instructions, state regulations, and corporate standards

Required Qualifications

 
  • 10+ years of multi-line claim handling experience, including significant experience managing complex, attorney-represented, litigated, and high-exposure liability claims from investigation through resolution.

  • Strong experience handling general liability, premises liability, and bodily injury claims, with exposure to industries such as transportation, hospitality, entertainment, recreation, tourism, amusement, and other guest-facing operations.

  • Demonstrated experience managing claims involving significant injury exposures, including:

    • Fractures
    • Surgical claims
    • Traumatic brain injuries (TBI)
    • Spinal injuries
    • Permanent impairment claims
    • Other serious bodily injury allegations
  • Proven ability to provide technical claim leadership, including litigation oversight, reserve management, settlement authority support, claim strategy development, and mentoring of claim professionals handling complex claim inventories.

  • Extensive experience working directly with defense counsel, experts, clients, and internal stakeholders to develop effective litigation strategies and achieve favorable claim outcomes.

  • Strong understanding of:

    • Liability investigations
    • Coverage analysis
    • Reserving practices
    • Negotiation strategies
    • Litigation management
    • Claim resolution planning
  • Experience identifying and managing large-loss exposures, reserve adequacy concerns, and emerging claim trends within a national account environment.

  • Demonstrated experience supervising, coaching, mentoring, or leading claims professionals, with the ability to successfully balance supervisory responsibilities while maintaining an active inventory of complex claims.

  • Experience handling claims across multiple jurisdictions and navigating varying state-specific requirements.

  • Active adjuster license required, including an active license in one or more of the following jurisdictions:

    • Missouri (MO)
    • Pennsylvania (PA)
    • Kentucky (KY)
    • Tennessee (TN)
  • Strong organizational, analytical, decision-making, and problem-solving skills.

  • Excellent written and verbal communication skills with a commitment to responsive, client-focused service.

  • Ability to thrive in a fast-paced, high-touch national account environment where responsiveness, attention to detail, and quality execution are critical.

  • Proficiency with Microsoft Office applications.

  • Reliable, predictable attendance during established business hours.

Preferred Qualifications
  • Three or more years of formal supervisory experience
  • Prior Third Party Administrator (TPA) experience
  • Active licenses in multiple states, particularly MO, PA, KY, and TN
  • Experience supporting high-touch national account programs
  • AIC, CPCU, ARM, or similar industry designation
  • Experience conducting file reviews, audits, and staff training
  • Experience with coverage evaluations and tender analysis
  • NY Adjusters license is a huge plus
Why You’ll Love Working Here
  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Opportunities to advance into senior claims leadership positions
  • Culture: A collaborative, employee-owned environment where leaders are empowered to make an impact
How We Measure Success

At CCMSI, great supervisors create results through leadership, consistency, and service. We measure success by:

  • Quality claim handling and technical excellence
  • Effective litigation management and claim outcomes
  • Development and engagement of team members
  • Compliance with client requirements and Corporate Claim Standards
  • Reserve accuracy and financial stewardship
  • Client responsiveness and partnership
  • Timely claim resolution and operational efficiency
  • Positive team culture and employee growth
Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsLeadership #ClaimSupervisor #GeneralLiabilityClaims #PremisesLiability #BodilyInjuryClaims #LitigationManagement #RemoteJobs #NationalAccounts #IND123 #LI-Remote