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Remote Claims Administrator Jobs (NOW HIRING)

E-Solutions

FINEOS Claims

Longterm Contract Onsite or Remote both works here Role Overview The Senior Technical Lead - FINEOS ... Design and oversee integration between FINEOS Claims and other insurance systems (Policy Admin ...

TEEMA Group

Claims - Workers' Compensation

Philadelphia, PA · Remote

$85K - $90K/yr

Administer benefits and manage claims in accordance with statutory requirements and organizational ... Hybrid (combination of in-office and remote work) * Office Presence: Regular, timely attendance in ...

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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.
FINEOS Claims

FINEOS Claims

E-Solutions

Remote

Other

Posted 22 days ago

Job description

Senior Technical Lead – FINEOS Claims

Location: Windsor, CT Duration: Longterm Contract Onsite or Remote both works here

Role Overview

The Senior Technical Lead – FINEOS Claims is responsible for leading the design, development, customization, and integration of FINEOS Claims Management solutions for insurance enterprises. This role combines deep technical expertise in FINEOS, strong understanding of insurance claims domain, and hands-on leadership of onshore/offshore delivery teams. The role works closely with business stakeholders, architects, QA, and integration teams to deliver scalable, secure, and high-performance claims solutions while supporting modernization, automation, and regulatory compliance initiatives across the claim’s lifecycle.

Key Roles & Responsibilities

  • Serve as the technical lead and subject-matter expert for FINEOS Claims Management Software, including configuration, customization, and extension
  • Lead solution design and technical architecture for claims implementations, enhancements, and integrations with upstream/downstream systems
  • Review and approve technical designs, code, and configuration changes, ensuring alignment with enterprise architecture standards

FINEOS Claims Implementation & Customization

  • Lead development and configuration across core claims functions such as FNOL, adjudication, payments, subrogation, recoveries, and claim lifecycle management
  • Customize FINEOS using supported frameworks, rules, workflows, and UI components to meet business requirements
  • Support claims automation, straight-through processing (STP), and exception handling use cases aligned with modern claims platforms

Integration & Data Management

  • Design and oversee integration between FINEOS Claims and other insurance systems (Policy Admin, Billing, Payments, Document Management, Data Platforms)
  • Work with APIs, messaging, and batch interfaces to enable real-time and near-real-time data exchange
  • Ensure data quality, reconciliation, and auditability across claims and financial systems

Delivery & Team Leadership

  • Lead and mentor technical teams (developers, configurators, integration specialists) across onshore and offshore models
  • Coordinate with Product Owners, Business Analysts, QA, and DevOps teams to ensure on-time, high-quality delivery
  • Support Agile ceremonies, sprint planning, technical grooming, and release management activities

Quality, Performance & Support

  • Ensure solutions meet non-functional requirements including performance, scalability, availability, and security
  • Support production deployments, post-go-live stabilization, and L3 support for FINEOS Claims platforms
  • Troubleshoot complex production issues and lead root-cause analysis and permanent fixes

Compliance & Best Practices

  • Ensure adherence to insurance regulatory requirements, data privacy, and audit standards
  • Apply best practices for coding standards, documentation, DevOps, and CI/CD pipelines
  • Support modernization initiatives such as cloud adoption, automation, and AI-enabled claims processing where applicable

Required Skills & Experience Core FINEOS & Insurance Skills

  • Strong hands-on experience with FINEOS Claims Management Software
  • Deep understanding of insurance claims domain, including FNOL, adjudication, payments, recoveries, and claims financials
  • Experience delivering large-scale claims transformation or modernization programs

Technical Skills

  • Strong experience in FINEOS configuration, customization, and extension frameworks
  • Proficiency in Java/.

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