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Remote Claim Reviewer Jobs (NOW HIRING)

Machinify

Nurse Itemized Bill Reviewer (IBR Analyst)

$80K - $90K/yr

Recommend system enhancements and edits to improve claim review efficiency. * Comply with company ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

Corvel

Claim Specialist Floater

Overland Park, KS · Remote

$25.48 - $41.09/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms policy ... Adheres to client and carrier guidelines and participates in claims review as needed * Assists ...

A-G Specialty Insurance, LLC

Claim Examiner

Berwyn, PA · Remote

$50K/yr

Establish proof of loss by reviewing medical documentation; assembling additional information as ... The role is open to candidates who are in a fully remote, hybrid, or on-site role. One full week of ...

FCCI Insurance Group

Surety Claim Specialist

Sarasota, FL · On-site +1

$102K - $157K/yr

... reviews applicable statutes, and analyzes claim submissions involving commercial and contract ... regional offices or remote within our territory. In exchange for your talents, FCCI offers ...

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Remote Claim Reviewer information

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$30.5K

$64.6K

$90K

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:
What job categories do people searching Remote Claim Reviewer jobs look for? The top searched job categories for Remote Claim Reviewer jobs are:
Remote Claim Reviewer jobs near you

Claim Specialist - Large Loss

Church Mutual Insurance, S.I.

Remote

Full-time

Posted 28 days ago

Job description

BASIC PURPOSE:
In accordance with application of state and federal laws and company best practices, handle higher exposure, complex claims within an assigned line of coverage including multi-jurisdictional and litigated matters. Gather and review claim information, determine coverage, and conduct investigation. Initiate and maintain customer contact to provide updates and resolve any issues with the claim. Update information in the claim system to document claim handling activities. Determine/set reserves and make payments within level of authority. Investigate and refer identified claims to Loss Recovery Services as applicable. This role requires knowledge of coverage forms and claims handling for General Liability (GL), Auto Liability, Professional Liability (PL), Employment Practices Liability (EPL), and Directors & Officers (D&O) lines of business.
PRIMARY JOB RESPONSIBILITIES:
  • Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws.
  • Make complex coverage decisions by gathering information necessary to make an informed decision in a fair, equitable, and ethical manner. Provide detailed explanation, citing facts, and relevant policy language. Evaluate subrogation potential based on the applicability of policy language and/or governing state laws and statutes as appropriate.
  • Perform a thorough investigation based upon the type, complexity, and severity of the claim. Upon completion of the investigation, analyze and evaluate the potential exposure and damages, including potential full or partial liability, compensability denials, and subrogation potential as applicable. Formulate and document an action plan based on the covered damages and injuries.
  • Determine and set reserves based upon a risk-neutral evaluation of the most likely outcome within authority level. Evaluate and negotiate directly with insured, claimant, or claimant's attorney on all cases within authority level. Review claim facts and exposure with claims management as appropriate, to guide claim strategy. Make complete, accurate, and timely loss and/or expense payments within authority for covered losses. Refer claims above authority to appropriate team member for review and potential reassignment.
  • Maintain a professional, courteous, and helpful approach when communicating in person, on the phone, or through email and other correspondence with internal and external customers, business partners and brokers
  • Recognize when vendor partners are required on a claim, including experts, independent adjustors, nurses, defense attorneys, etc. Assign and direct vendors, as needed, to aid in the investigation and evaluation of the claim. Manage claim expense by reviewing attorney/firm performance, results and the value of services provided.
  • Investigate and refer identified claims to Loss Recovery Services as applicable.
  • Attend mediations and other litigation-related activities as needed
  • Collaborate with defense counsel and direct litigation strategy.

QUALIFICATIONS:
  • Bachelor's degree preferred. A combination of equivalent education and/or experience may be considered in lieu of a degree.
  • Additional training in insurance, medical, and/or legal environments is desirable.
  • Completion of INS, AIC, or CPCU is preferred.
  • Minimum of five years of claim handling and/or other insurance-related experience is required.
  • General Liability and/or Professional Liability experience preferred
  • Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
  • Evidence of ability to think independently.
  • Strong listening, verbal, and written communication skills.
  • Ability to handle multi-jurisdictional and litigated claims.
  • Proficient knowledge of policy terminology and legal principles involving at least one or more of the following: insurance, automobile, medical and litigated claims.

WORK ENVIRONMENT:
  • Professional office environment.

NOTE: This job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position.
The CM Group is made up of Church Mutual Insurance Company, S.I., CM Regent Insurance Company, CM Vantage Specialty Insurance Company and CM Select Insurance Company.
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