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Remote Claims Administrator Jobs (NOW HIRING)

Warranty Processing Company

Warranty Administrator

$22.50 - $27/hr

Warranty Administrator Location: Remote Company: Warranty Processing Company, Inc. (WPC) About WPC ... claims and exceptional customer service skills. This remote position requires strong technical ...

Ledgebrook

Claims Manager (West Coast)

You'll play a key role in ensuring that our Third-Party Administrators (TPAs) deliver timely ... An eagerness to connect and collaborate across remote teams * Transparent, honest communication * A ...

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How much do remote claims administrator jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote claims administrator in the United States is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $29.81 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 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 does a typical day look like for a Remote Claims Administrator, and how is work prioritized in a remote setting?

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, and why are they important?

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.
More about Remote Claims Administrator jobs
What cities are hiring for Remote Claims Administrator jobs? Cities with the most Remote Claims Administrator job openings:
What states have the most Remote Claims Administrator jobs? States with the most job openings for Remote Claims Administrator jobs include:
What job categories do people searching Remote Claims Administrator jobs look for? The top searched job categories for Remote Claims Administrator jobs are:
Remote Claims Administrator jobs near you
Infographic showing various Remote Claims Administrator job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Processor Self-Funded

Marpai Administrators LLC

Cary, NC • Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
ABOUT THE POSITION:
The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.  
WHAT YOU WILL BE DOING: 
  • Data entry of claims into system. 
  • Review, analyze adjudicate claims 
  • Validate the information on all claims to ensure there is no missing or incomplete information
  • Ability to understand and apply benefits as outlined in plan document
  • Maintain/manage all claim inventories in accordance with health plan and regulatory policies
  • Display maturity, composure and ability to operate under stressful conditions.
  • Complete daily assignments and update required spreadsheet
  • Complete end of day summary
  • Flexibility to change work direction as determined by management
  • Meet departmental standards for quality, production and attendance. 
  • Analyst is flexible and able to commit to overtime based on business needs 
  • Other duties as required
 
WHAT DO YOU NEED 
  • Associates degree preferred
  • 2+ yrs claims processing self-funded claims
  • Strong analytical, research, and communication skills.
  • Expansive knowledge of medical terminology.
  • Excellent verbal and written communication skills as well as exemplary organizational skills.
  • Work closely with leadership to assist in mitigating trends as necessary.
  • Independent judgment in decision-making and problem solving.
  • Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.
  • Ability to multi-task & anticipate potential needs/problems.
  • Strong attention to detail.
  • Ability to understand and apply on-line documentation policies and procedures.
  • Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.
  • Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
  • HIPAA Compliance
 
WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • Travel minimal
 
WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.