2

Remote Claims Associate Jobs in New York (NOW HIRING)

This includes keeping records of all processed claims and invoices to ensure compliance with ... PTO and Remote First Environment * Regular team events, including Wellness Workshops and Team ...

This is a remote role working EST. In the journey of life, your career should make a difference. At ... claims, and coordinating with project teams) * Maintain electronic job folders based on established ...

Showing results 21-40

Remote Claims Associate information

What is a remote claims associate?

A Remote Claims Associate is a professional who reviews, processes, and manages insurance claims from a remote location, typically working from home. They evaluate claim details, verify information, and communicate with policyholders, service providers, and other stakeholders to ensure claims are handled accurately and efficiently. This role often requires strong attention to detail, good communication skills, and proficiency with digital tools and claims management software. Remote Claims Associates may work for insurance companies, third-party administrators, or other organizations handling claims. The position allows for flexibility in work location while maintaining high standards of customer service and accuracy.

What skills and qualifications are needed to be a remote claims associate?

To excel as a Remote Claims Associate, you typically need knowledge of insurance processes, attention to detail, and a high school diploma or relevant experience. Familiarity with claims management software, CRM systems, and sometimes specific certifications like AIC (Associate in Claims) are highly beneficial. Strong organizational skills, effective communication, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, customer satisfaction, and efficient remote workflow management.

How does a remote claims associate collaborate with other team members while working from home?

As a Remote Claims Associate, you'll regularly communicate with team members, supervisors, and other departments through digital channels like email, instant messaging, and video conferencing. Collaboration often involves sharing updates on claim statuses, seeking guidance on complex cases, and participating in virtual team meetings. Many organizations use workflow management platforms and secure document-sharing tools to ensure seamless coordination and maintain data security. Building strong virtual communication skills is important to stay connected and contribute effectively to team goals.

What are the most commonly searched types of Remote Claims jobs in New York?

The most popular types of Remote Claims jobs in New York are:

What cities in New York are hiring for Remote Claims Associate jobs?

Cities in New York with the most Remote Claims Associate job openings:

Infographic showing various Remote Claims Associate job openings in New York as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.

Clm Resltion Rep III, Hosp/Prv

University of Rochester

New York, NY • On-site, Remote

$20.30 - $27.41/hr

Full-time

Re-posted 2 days ago


University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

127th of 631 rated colleges and universities


Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
Remote Work - New York, Albany, New York, United States of America, 12224
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910402 United Business Office
Work Shift:
UR - Day (United States of America)
Range:
UR URCA 205 H
Compensation Range:
$20.30 - $27.41
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
GENERAL PURPOSE:
Performs follow-up activities designed to bring all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Resolves complex claims. Acts as a resource for lower level staff.
ESSENTIAL FUNCTIONS
  • Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid accounts working claims. Reviews reasons for claim denial. Reviews payer website or contacts payer representatives to determine why claims are not paid. Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks. Researches and calculates under or overpaid claims; determines final resolution. Contacts payers on incorrectly paid claims completing resolution and adjudication. Adjusts accounts or processes insurance refund credits. Reviews and advises leadership on incorrectly paid claims from specific payers. Works with leadership on communication to payer representatives regarding payment trends and issues.
  • Bills primary and secondary claims to insurance.
  • Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists department leadership with credit balances account reviews/resolutions and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works all insurance credits in electronic health record. Enters electronic health record notes, documenting actions taken.
  • Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations. Assists with patient related questions. Communicates and coordinates with other departments to resolve claim issues. Assists with all audits as needed.

Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
  • Associate's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

What University Of Rochester employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom