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Remote Claims Assistant Jobs (NOW HIRING)

Athens Administrators

Assistant Claims Examiner

Concord, CA · On-site +1

$28.32 - $31.49/hr

Assistant Claims Examiner Department: Workers' Compensation Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 6 Career Ladder: Next step in progression could include Future Medical ...

JGS Insurance

Claims Representative

Holmdel, NJ · Remote

Position Summary Assist brokers with claims handling. Report all claims received from brokers to appropriate carrier. Assist with providing information to and from the carrier in order to expedite ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours:Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Salary: Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours:Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours: Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

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How much do remote claims assistant jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote claims assistant in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What are Remote Claims Assistants?

Remote Claims Assistants are professionals who help process insurance claims from a remote location, often working from home. Their main duties include reviewing claim documents, verifying information, communicating with clients or claimants, and assisting claims adjusters in resolving cases. Using digital tools and secure platforms, they ensure claims are handled efficiently and in compliance with company policies. This role requires strong organizational skills, attention to detail, and the ability to communicate clearly with both customers and colleagues.

What are the key skills and qualifications needed to thrive as a Remote Claims Assistant, and why are they important?

To thrive as a Remote Claims Assistant, you need strong organizational abilities, attention to detail, and a background in administrative support or insurance claims processing. Familiarity with claims management software, basic data entry tools, and secure document handling systems is typically required. Outstanding communication, time management, and problem-solving skills help you excel in a virtual team environment. These competencies are crucial for ensuring efficient, accurate claims handling and superior customer service from a remote setting.

What are some common challenges faced by Remote Claims Assistants and how can they be managed effectively?

Remote Claims Assistants often face challenges such as staying organized while handling multiple claims, maintaining clear communication with claimants and team members across different time zones, and adapting to various claims management systems. To manage these effectively, it's important to develop strong time management skills, utilize digital tools for tracking tasks, and establish regular check-ins with supervisors or peers. Proactive communication and ongoing training on the company's claims process can also help ensure accuracy and efficiency in claim handling.
More about Remote Claims Assistant jobs
What cities are hiring for Remote Claims Assistant jobs? Cities with the most Remote Claims Assistant job openings:
What are the most commonly searched types of Remote Claims jobs? The most popular types of Remote Claims jobs are:
What states have the most Remote Claims Assistant jobs? States with the most job openings for Remote Claims Assistant jobs include:
What job categories do people searching Remote Claims Assistant jobs look for? The top searched job categories for Remote Claims Assistant jobs are:
Remote Claims Assistant jobs near you
Infographic showing various Remote Claims Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.
Assistant Claims Examiner

Assistant Claims Examiner

Athens Administrators

Concord, CA • On-site, Remote

$28.32 - $31.49/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 13 days ago

Job description

ATHENS POSITION DETAILS
Position Title:
Assistant Claims Examiner
Department:
Workers’ Compensation
Reports To:
Claims Supervisor
FLSA Status:
Non-Exempt
Job Grade:
6
Career Ladder:
Next step in progression could include Future Medical Examiner or Claims Examiner Trainee
ATHENS ADMINISTRATORS
Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property amp; Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today!
POSITION SUMMARY
Athens Administrators has an immediate need for an experienced Assistant Claims Examiner to support our Workers’ Compensation department and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule. The Assistant Claims Examiner will provide clerical and technical assistance to Senior Claims Examiners and administer Medical Only claims, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, and setting reserves.
PRIMARY RESPONSIBILITIES
Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:
  • Process new claims in compliance with client’s Service Agreement
  • Issue all indemnity payments and awards on time
  • Process all approved provider bills timely
  • Prepare objection letters to providers for medical bills; delayed, denied, lacking reports.
  • Answer questions over the phone from medical providers regarding bills
  • Contact treating physician for disability status
  • Contact employer for return-to-work status or availability of modified work.
  • Contact injured worker at initial set up
  • Send DWC notices timely
  • Issue SJDB Notices timely
  • Request Job Description from Employer
  • Handle Medical Only claim files
  • Calculate wage statements and adjust disability rates as required
  • Keep diary for all delay dates and indemnity payments
  • Documents file activity on computer
  • Update information on computer, i.e., address changes, etc.
  • Schedule appointments for AME, QME evaluations
  • Send appointment letters, issue TD/mileage, send medical file
  • Schedule interpreter for appointments, depositions, etc.
  • Request Employer’s Report, DWC-1, Doctor’s First Report if needed
  • Verify mileage and dates of treatment for reimbursement to claimant
  • Subpoena records
  • File and serve documents on attorneys, WCAB, doctors
  • Serve PTP’s with medical file and Duties of Treating Physician (9785)
  • Request PD ratings from DEU
  • Draft Stipulated Awards and C amp;R’s
  • Submit C amp;R, Stipulated Awards to WCAB for approval with documentation
  • Process checks – stop payment, cancellations, void, journal payments
  • Handle telephone calls for examiner as needed
  • Complete penalty calculations and prepare penalty worksheets
  • Complete MPN, HCO and/or EDI coding
  • Complete referrals to investigators
  • Complete preparation of documents for overnight delivery
  • Work collaboratively with Senior Claims Examiners, Nurse Case Managers, and other Assistant Claims Examiners
  • Contact with clients, injured workers, attorneys, doctors, vendors, and other parties
  • Provide updates of claims status to Senior Claims Examiners and Athens management
  • Prepare professional, well written correspondence and other communications
ESSENTIAL POSITION REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
  • High School Diploma or equivalent (GED) required for all positions
    • AA/AS or BA/BS preferred but not required
  • 2+ years’ Claims Assistant experience supporting a workers compensation examiner or team preferred
  • Medical Only Adjuster designation required
  • Continuing hours must be current
  • Mathematical calculating skills
  • Completion of IEA or equivalent courses
  • Administrators Certificate from Self-Insurance Plans preferred
  • Knowledge of workers compensation laws, policies, and procedures
  • Understanding of medical and legal terminology
  • Must demonstrate accuracy and thoroughness in work product
  • Ability to sit for prolonged periods of time
  • Well-developed verbal and written communication skills with strong attention to detail
  • Excellent organizational skills and ability to multi-task
  • Ability to type quickly, accurately and for prolonged periods
  • Proficient in Microsoft Office Suite
  • Ability to learn additional computer programs
  • Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
  • Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
  • Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
  • Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
  • Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
  • Athens’ operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
  • Must be able to reliably commute to meetings and events as required by this position
APPLY WITH US
We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings Feel free to include a cover letter if you’d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf
This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
THANK YOU!
We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don’t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages!
Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses amp; certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD amp;D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA amp; FSA options, 401k (and Roth), Company-Paid STD amp; LTD and more! Further information about our comprehensive benefits package may be found on our website at https://www.athensadmin.com/careers/why-work-here

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