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Remote Claims Administrator Jobs in Michigan (NOW HIRING)

CSAA

$89K - $105K/yr

Directs cross-functional onboarding and go-live readiness across Underwriting, Actuarial, Claims ... Monitors program administrator financial condition, credit exposure, and stress indicators in ...

ASCENSUS

Call Center Representative

Detroit, MI · Remote

$19/hr

These positions are 100% fully remote**** Video Interview Process: As part of our Call Center ... Associates will handle requests from participants, financial advisors, and plan administrators ...

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All JobsClaims Administrator JobsRemote Claims Administrator JobsRemote Claims Administrator Jobs in Michigan

Remote Claims Administrator information

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$12

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$29

How much do remote claims administrator jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote claims administrator in Michigan is $20.25, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $24.04 per hour, depending on experience, location, and employer.

What is a remote claims administrator?

A Remote Claims Administrator is a professional who processes and manages insurance claims from a remote location, typically from home. They review claim submissions, verify coverage, gather necessary documentation, and communicate with policyholders, adjusters, and other stakeholders via phone, email, or online portals. Their primary goal is to ensure claims are handled efficiently, accurately, and in compliance with company policies and regulations. Working remotely, they rely on secure digital systems for data access and communication. This role requires attention to detail, strong organizational skills, and proficiency with virtual tools.

What does a remote claims administrator do?

As a Remote Claims Administrator, your day typically involves reviewing incoming claims, verifying documentation, communicating with policyholders, and coordinating with internal teams such as adjusters or underwriters. Work is often prioritized based on claim urgency and deadlines, with digital tools and workflow management systems helping to track progress and assignments. Remote work requires strong organizational skills and proactive communication to ensure timely resolution of claims and collaboration with your team. Regular virtual meetings and updates help maintain alignment and support within the remote structure.

What are the key skills and qualifications needed to thrive as a remote claims administrator?

To thrive as a Remote Claims Administrator, you need strong analytical skills, attention to detail, and experience with insurance or claims processing, often supported by a relevant degree or certification. Familiarity with claims management software, document management systems, and proficiency in Microsoft Office are typically required. Excellent written communication, time management, and problem-solving abilities distinguish top performers in this role. These skills ensure accurate, timely claims handling and effective customer service while maintaining compliance in a remote work environment.

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

AspectRemote Claims AdministratorRemote Claims Processor
CertificationsAdjuster licenses, insurance certificationsBasic insurance knowledge, sometimes certifications
Work EnvironmentOffice or remote, collaborative teamsPrimarily remote, individual tasks
Job ResponsibilitiesOversees claims, manages processes, communicates with clientsReviews and processes claims, data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers

Remote Claims Administrators typically oversee claims processes, requiring certifications and managing client communications, while Remote Claims Processors focus on reviewing and entering claim data. Both roles are common in insurance settings and often performed remotely, but the Administrator role involves more oversight and coordination.

What are popular job titles related to Remote Claims Administrator jobs in Michigan?

For Remote Claims Administrator jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Claims Administrator jobs in Michigan look for?

The top searched job categories for Remote Claims Administrator jobs in Michigan are:

What cities in Michigan are hiring for Remote Claims Administrator jobs?

Cities in Michigan with the most Remote Claims Administrator job openings:

Remote Claims Administrator jobs near you
Infographic showing various Remote Claims Administrator job openings in Michigan as of August 2026, with employment types broken down into 1% Internship, 81% Full Time, 12% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $42,110 per year, or $20.2 per hour.

Government Programs Professional Review Claims Specialist

Delta Dental of Michigan

Okemos, MI • Remote

Full-time

Medical, Dental

Posted 20 days ago

Job description

Job Title:

Government Programs Professional Review Claims Specialist

Number of Positions:

5

Location:

Okemos, MI

Location Specifics:

Fully Remote

Job Summary:

Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.


At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

To analyze and adjudicate dental claims with complicated treatment plans to ensure accurate benefits administration.

Primary Job Responsibilities:

  • Analyzes and processes dental claims so appropriate determinations can be finalized with correct procedures, policies, and bypasses; adjudicates claims, and maintains claim records.
  • Administers claim processing guidelines/standards, Delta USA processing policies, group contracts, provider agreements, and state laws applicable to claims adjudication.
  • Investigates difficult provider reconsideration requests, makes determinations, performs or coordinates adjustments; prepares claims for a second and/or third opinion when necessary and consults with contracted dentists on questionable treatment cases.
  • Pre and post-screens claims and/or inquiries for dental consultant(s); reviews and prepares claims for and coordinates external dental consultant activities.
  • Provides dental expertise and/or interpretation of dental policies, procedures codes, and processing guidelines to internal and external contacts.
  • Organizes, creates, and performs defined test cases on claims processing system, and documents/reports status of testing including recommendations for improvements. Analyzes and compiles information/data for reports to control and/or monitor claims inventory.
  • Researches, coordinates, and adjudicates Third Party Liability claims and recoveries; compares member information, prepares claims, and performs adjustments as necessary to ensure proper Third Party Liability (COB) adjudication.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Remote

Minimum Requirements:

Position requires an associate's degree, technical, vocational, or business school with coursework related to dentistry, two years of experience in chair side assisting, and a RDA or RDH licensure. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of dental terminology and dental procedures and the ability to read and interpret radiographs, electronic images and photos; experience working with word processing and spreadsheet software; effective verbal and written communication skills; ability to resolve complex problems and use independent judgment; experience with provider system; client contracts and Roosevelt is preferred.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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