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Remote Claims Adjudicator Jobs (NOW HIRING)

Diverse Lynx

Claims Adjudicator

$19/hr

Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview:- Key Responsibilities * Claims Adjudication: Review, verify, and process medical claims ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Ensuring claims are adjudicated as per clients defined workflows, guidelines * Sustaining and ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Ensure claims are adjudicated as per clients defined workflows, guidelines * Sustaining and meeting ...

Imagenet

Claims Adjudication Manager

Saint Louis, MO · Remote

Remote Reports To: SVP Operations Direct Oversight: Philippines-based claims adjudication team (examiners, auditors, team leads) Hours: Pacific Time Zone: Core overlap with Philippines business hours ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Experience with other claim adjudication platforms and provider systems. * Familiarity with DHCS ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Experience with other claim adjudication platforms and provider systems. * Familiarity with DHCS ...

ImageNetLLC

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Experience with other claim adjudication platforms and provider systems. * Familiarity with DHCS ...

Aon Corporation

Claims Specialist II

NY · Remote

$55K - $60K/yr

This position has 4 weeks of virtual training followed by a hybrid or 100% remote work schedule ... Prior claims adjudication experience. * Active General Adjustor license for home state or ...

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Remote Claims Adjudicator information

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$15

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$34

How much do remote claims adjudicator jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote claims adjudicator in the United States is $26.74, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $30.29 per hour, depending on experience, location, and employer.

How much does a claim adjudicator make?

A remote claims adjudicator typically earns between $40,000 and $60,000 annually, depending on experience, certification, and the employer. Some positions may offer additional benefits or bonuses, and the role often requires knowledge of claims processing systems and insurance policies.

What is the difference between Remote Claims Adjudicator vs Remote Claims Processor?

AspectRemote Claims AdjudicatorRemote Claims Processor
CredentialsTypically requires insurance or healthcare certifications, such as CPC or AHIPOften requires basic insurance knowledge, sometimes certifications but less specialized
Work EnvironmentRemote, independent review of claims, decision-making roleRemote, data entry and processing of claims
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare payers, claims processing centers

While both roles work remotely within the insurance industry, Remote Claims Adjudicators focus on reviewing and making decisions on claims, requiring specialized certifications. Remote Claims Processors handle data entry and processing tasks, often with less certification requirements. The roles differ mainly in decision-making responsibility and required credentials.

What are the key skills and qualifications needed to thrive as a Remote Claims Adjudicator, and why are they important?

To thrive as a Remote Claims Adjudicator, you need attention to detail, strong analytical abilities, and a solid understanding of insurance policies or healthcare claims, often backed by relevant experience or industry certification. Familiarity with claims processing software, document management systems, and secure communication tools is typically required. Exceptional written communication, time management, and problem-solving skills allow you to effectively resolve claims and collaborate remotely. These competencies ensure accurate, timely claims decisions and maintain compliance and customer satisfaction in a virtual work environment.

How does working remotely as a Claims Adjudicator impact daily collaboration and communication with the rest of the team?

As a Remote Claims Adjudicator, you'll typically collaborate with team members, supervisors, and related departments through digital platforms like email, instant messaging, and virtual meetings. While you may have fewer in-person interactions, most organizations provide structured check-ins and shared workflow tools to ensure smooth communication and continuous support. This setup allows you to ask questions, share updates, and resolve complex claims collaboratively, even from a distance. Proactive communication and staying organized are key to maintaining productivity and team cohesion in this virtual environment.

What are Remote Claims Adjudicators?

Remote Claims Adjudicators are professionals who review and process insurance claims from a remote location, such as their home or another off-site environment. Their main responsibilities include verifying claim information, ensuring policy compliance, determining claim validity, and calculating payment amounts. They communicate with policyholders, healthcare providers, or other relevant parties as needed, often using digital platforms and secure databases. Working remotely allows them flexibility while maintaining the accuracy and efficiency required in the claims adjudication process.

How can I make 2000 a week working from home?

A Remote Claims Adjudicator can potentially earn $2,000 or more weekly by handling a high volume of claims, gaining experience, and working full-time hours. Increasing income may involve developing strong analytical skills, obtaining relevant certifications, and working for companies that offer competitive pay rates for remote claims processing roles.

What companies hire remote claims adjusters?

Remote claims adjusters are hired by insurance companies, third-party claims organizations, and independent adjusting firms. Major insurers like State Farm, Allstate, and Progressive often employ remote adjusters, and many companies use digital claims management tools to facilitate remote work. Job seekers should look for roles requiring knowledge of claims processing, insurance policies, and relevant certifications such as the AIC or CPCU.

What does a claim adjudicator do?

A claim adjudicator reviews insurance claims to determine their validity and whether they meet policy requirements. They analyze documentation, apply relevant policies, and make decisions on claim approval, denial, or settlement, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
More about Remote Claims Adjudicator jobs
What cities are hiring for Remote Claims Adjudicator jobs? Cities with the most Remote Claims Adjudicator job openings:
What are the most commonly searched types of Claims Adjudicator jobs? The most popular types of Claims Adjudicator jobs are:
What states have the most Remote Claims Adjudicator jobs? States with the most job openings for Remote Claims Adjudicator jobs include:
What job categories do people searching Remote Claims Adjudicator jobs look for? The top searched job categories for Remote Claims Adjudicator jobs are:
Remote Claims Adjudicator jobs near you
Infographic showing various Remote Claims Adjudicator job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 13% Internship, 40% As Needed, 23% Full Time, 2% Part Time, and 16% Nights. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $55,623 per year, or $26.7 per hour.
Claims Adjudicator

Claims Adjudicator

Diverse Lynx

Remote

$19/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Job title: Claim Adjudicator
Location: Tampa, FL (Remote after 8 Week Onsite Training)
Duration: Full Time
Salary: $19/Hr. + Benefits
Job Overview:-
Key Responsibilities
  • Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance with company policies and benefit guidelines.
  • Documentation Analysis: Evaluate claim documents, medical records, and benefit summaries to determine eligibility.
  • Communication: Interact with members, providers, and internal teams to resolve issues and gather missing information.
  • Data Management: Enter claim details accurately into the claims system and maintain complete records.
  • Problem Resolution: Investigate discrepancies and resolve disputes promptly.
  • djustments: Handle rework and adjustments based on provider requests and internal requirements.
Required Skills & Experience
  • djudication Expertise: Must have hands-on experience processing claims end-to-end.
  • Technical Skills: ICD-9 & ICD-10 coding; proficiency in Outlook, Word, and Excel.
  • Healthcare Knowledge: Familiarity with copay, coinsurance, deductible, and out-of-pocket terms.
  • Government Programs: Understanding of Medicare and Medicaid eligibility and claims processing.
  • Preferred: Experience with CMS 1500 & UB forms; M\&R/Medicaid rework and adjustment claims.
  • Soft Skills: Excellent verbal and written communication; strong customer service orientation.

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
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About Diverse Lynx

Sourced by ZipRecruiter

Diverse Lynx, based in Princeton, NJ, US, is a reputable company in the Information Technology sector. The firm, as reflected through its website diverselynx.com, specializes in delivering comprehensive IT solutions. These solutions range from IT consulting to robust digital transformation strategies, IT staffing, and full-time placements services. The company was established in 2008, and it prides itself on providing simplified, efficient technology solutions designed to meet the unique needs of each client.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Princeton, NJ, US

Year founded

2002

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