ZipRecruiter

Log In

2

Remote Claims Adjudicator Jobs (NOW HIRING)

Harris

Claims Examiner

New York, NY · Remote

Follow established guidelines for claims adjudication and payment authorization. Quality Assurance ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Harris

Claims Examiner

New York, NY · Remote

Follow established guidelines for claims adjudication and payment authorization. Quality Assurance ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Link Up Overseas

Customer Service Representative (Remote)

$16.50 - $22.25/hr

Customer Service Representative (Remote) Indianapolis, IN, United States Or refer someone Job ... Submit claims for adjudication, correction, payment, or review as appropriate. * Educate providers ...

previous page

Showing results 41-60

All JobsClaims Adjudicator JobsRemote Claims Adjudicator Jobs

Remote Claims Adjudicator information

See salary details

$15

$26

$34

How much do remote claims adjudicator jobs pay per hour?

As of Aug 8, 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.

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?

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 is a remote claims adjudicator?

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.
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 August 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $55,623 per year, or $26.7 per hour.

Medical Claims Examiner Remote

NTT DATA Services

Plano, TX • Remote

Other

Medical

Re-posted 8 days ago

NTT Data rating

7.4

Company rating: 7.4 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

117th of 223 rated it services

Job description

NTT Data is Hiring!

Medical Claims Examiner - Remote

  • Processing of Professional claim forms files by provider
  • Reviewing the policies and benefits
  • Comply with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:
  • 1-3 year(s) hands-on experience in Healthcare Claims Processing, Claims Adjustments.
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED.
  • Previously performing - in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity -
    • Toggling back and forth between screens/can you navigate multiple systems.
    • Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
  • Must be able to work 8 am - 4:30 pm EST online/remote (training is required on-camera).
  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a complex, changing environment
  • Ability to communicate (oral/written) effectively in a professional office setting
  • High School Diploma

Preferred Skills & Experiences:
  • Amisys or Xcelys preferred.

What NTT Data employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

NTT DATA logo

About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

View All NTT DATA Jobs

Apply