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Remote Claims Analyst Jobs in Spring, TX (NOW HIRING)

Professional Healthcare Solutions, LLC

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RN/Medical Claims Analyst

Houston, TX · Remote

$32.50 - $34/hr

Responsibilities may include additional research on medical claims data and other sources of information to identify problems and utilize a variety of tools to detect situations of potential fraud ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Excellent verbal and written communication, presentation, interpersonal, and analytical skills.

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Excellent verbal and written communication, presentation, interpersonal, and analytical skills.

Iatinsurancegroup

Claims Major Case Director

Houston, TX · On-site +1

$92K - $130K/yr

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...

Markel International

Claims Specialist - Marine

Houston, TX · On-site +1

$62K - $85K/yr

The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The ...

North American Risk Services, Inc. (NARS)

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Auto PD Claims Adjusters

Houston, TX · Remote

$55K - $75K/yr

... analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations ...

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX · On-site +1

$63K - $81K/yr

Analytical skills. * Excellent written and verbal communication skills, including ability to convey ... Ability to independently and effectively manage very complex claims. Other Qualifications: * Texas ...

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Remote Claims Analyst information

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$46

How much do remote claims analyst jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claims analyst in Spring, TX is $24.38, according to ZipRecruiter salary data. Most workers in this role earn between $17.98 and $28.03 per hour, depending on experience, location, and employer.

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

Excelling as a Remote Claims Analyst requires strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, typically supported by a relevant bachelor's degree or work experience in insurance or finance. Familiarity with claims management software (such as Guidewire or Xactimate), proficiency in Microsoft Office Suite, and knowledge of data security protocols are highly valuable, while certifications like AIC (Associate in Claims) can be advantageous. Outstanding organizational abilities, time management, strong written and verbal communication, and problem-solving skills help set top performers apart in this remote role. These competencies ensure accurate claim assessments, efficient remote collaboration, and high levels of customer satisfaction.

What are some common challenges faced by remote claims analysts, and how can they be overcome?

Remote Claims Analysts often encounter challenges such as managing a high volume of claims, communicating complex case details virtually, and staying organized without on-site supervision. To overcome these, successful analysts use robust task tracking systems, maintain proactive communication with colleagues and clients through digital channels, and regularly update their knowledge of industry practices. Time management and self-motivation are key to meeting deadlines in a remote work environment. Many employers also provide online training and resources to help analysts adapt and grow in their roles.

What is a remote claims analyst?

A Remote Claims Analyst reviews and processes insurance claims from a remote location, ensuring accuracy, compliance, and adherence to company policies. They analyze claim details, verify documentation, and determine coverage eligibility. The role may also involve communicating with policyholders, healthcare providers, or other parties to gather necessary information. Strong analytical skills and knowledge of insurance regulations are essential for success in this position.

What are popular job titles related to Remote Claims Analyst jobs in Spring, TX? For Remote Claims Analyst jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Claims Analyst jobs in Spring, TX look for? The top searched job categories for Remote Claims Analyst jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Claims Analyst jobs? Cities near Spring, TX with the most Remote Claims Analyst job openings:
Remote Claims Analyst jobs near you
Infographic showing various Remote Claims Analyst job openings in Spring, TX as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 81% Physical, 7% Hybrid, and 12% Remote job distribution, with an average salary of $50,701 per year, or $24.4 per hour.

RN/Medical Claims Analyst

Professional Healthcare Solutions, LLC

Houston, TX • Remote

$32.50 - $34/hr

Full-time

Medical, Dental, PTO

Posted 17 days ago

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Job description

The position requires the Registered Nurse to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions. Responsibilities may include additional research on medical claims data and other sources of information to identify problems and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information. The Registered Nurse will work with PHS leadership, in concert with our clients, to review cases and produce a concise and accurate summary of determinations. The Registered Nurse will comply with the PHS policies related to Conflict of Interest and Compliance and will abide by the PHS Code of Conduct.

Prerequisite:

  • Current Oklahoma Registered Nursing license and not listed on the OIG Excluded Individual database
  • Two years of experience in the medical field as a Registered Nurse. May substitute one year of clinical experience for experience in review of medical claims for coverage and medical necessity
  • Demonstrated history of professional conduct and success in working independently and as a member of a team
  • Strong interpersonal skills
  • Strong critical thinking and investigative skills
  • Strong verbal and written communication and organization skills
  • Strong computer knowledge and skills, including Microsoft Word and Excel programs

Essential Functions:

  • Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government·
  • Ability to gather information systematically in order to establish facts
  • Ability to research regulations and cite violations
  • Ability to conduct self-directed research to uncover problems in Medicare payments made to institutional and non-institutional providers
  • Ability to make claim payment decisions based on clinical knowledge
  • Ability to compose medical review summary reports and correspondence concisely and accurately
  • Ability to communicate effectively, internally and externally
  • Ability to handle PHI and ePHI in a secure and confidential manner
  • Ability to report work activity on a timely basis
  • Ability to work independently and as a member of a team to deliver high quality work
  • Ability to attend meetings and education offerings.
  • Ability to manage time effectively, prioritizing tasks and able to meet deadlines