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Remote Claims Examiner Jobs (NOW HIRING)

Athens Administrators

Assistant Claims Examiner

Orange, 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 ...

WebTPA

Claims Examiner I

San Antonio, TX · Remote

Claims Examiner I San Antonio, TX, United States and 1 more (Remote) What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include ...

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 ...

Firstsource

Claims Examiner

$14/hr

Claims Examiner Pay Rate - $14/hr & Matrix pay (claims per processed) post training Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H2 Function/Department: Health Plan and Healthcare ...

Diedre Moire Corp.

Claims Examiner MedMal

Providence, RI · On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Providence, RI Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME ...

Diedre Moire Corp.

Claims Examiner MedMal

Chicago, IL · On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Diedre Moire Corp.

Claims Examiner MedMal

Shorewood, IL · On-site +1

$100K - $140K/yr

Medical Malpractice Liability Claims Examiner - Joliet, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM ...

New

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement ...

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Remote Claims Examiner information

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$15

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How much do remote claims examiner jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for remote claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Claims Examiner, you need a solid understanding of insurance policies, analytical skills, and attention to detail, typically supported by a degree in business or a related field and relevant claims experience. Familiarity with claims management software, document management systems, and sometimes certifications like AIC (Associate in Claims) are often required. Strong communication, time management, and problem-solving abilities help you effectively assess claims and collaborate remotely. These skills are crucial for accurate, efficient claims processing and maintaining trust with clients and insurers in a remote environment.

What are some common challenges Remote Claims Examiners face, and how can they overcome them?

Remote Claims Examiners often encounter challenges such as maintaining clear communication with team members and accessing required documentation efficiently. Since the role is remote, staying organized and disciplined is essential to meet deadlines and manage caseloads effectively. Utilizing secure digital platforms, setting regular check-in meetings, and proactively seeking clarification on complex claims can help overcome these challenges. Additionally, embracing ongoing training on claims software and staying updated with industry regulations ensures accurate and timely claim processing.

What Does a Remote Claims Examiner Do?

Remote claims examiners review insurance claims to ensure they are accurate and completed properly. Instead of working in the office, remote claims examiners work from home or another location outside of the office. As a remote claims examiner, your job duties include researching the claim and gathering supportive documentation, such as medical records, invoices with services rendered, and policy guidelines. Once you have all the necessary information, you may make adjustments to the claim and determine payments or denial of service. You may also be responsible for contacting all parties involved. Complicated claims may require collaboration with a claims adjuster or investigator. Claims examiners work in healthcare, real estate, automotive, government agencies, and other insurance-related industries.

What is a Remote Claims Examiner?

A Remote Claims Examiner is a professional who reviews insurance claims from home or another remote location. Their primary job is to investigate, evaluate, and process claims to determine their validity and the amount that should be paid out. They work for insurance companies, healthcare providers, or third-party administrators, handling documentation, communicating with claimants, and ensuring compliance with regulations. By working remotely, they use digital tools to manage claims and collaborate with other team members online.
More about Remote Claims Examiner jobs
What cities are hiring for Remote Claims Examiner jobs? Cities with the most Remote Claims Examiner job openings:
What are the most commonly searched types of Claims Examiner jobs? The most popular types of Claims Examiner jobs are:
What states have the most Remote Claims Examiner jobs? States with the most job openings for Remote Claims Examiner jobs include:
What job categories do people searching Remote Claims Examiner jobs look for? The top searched job categories for Remote Claims Examiner jobs are:
Remote Claims Examiner jobs near you
Infographic showing various Remote Claims Examiner job openings in the United States as of June 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Medical Claims Examiner, Remote

Medical Claims Examiner, Remote

NTT DATA Services

Plano, TX • Remote

Temporary

Posted 15 days ago

NTT Data rating

7.3

Company rating: 7.3 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

108th of 204 rated it services

Job description

Job Title: Medical Claims Examiner, Remote Date: Feb 26, 2026 Location: Plano, TX, US Company: NTT DATA Services NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: - Processing of Professional claim forms files by provider - Reviewing the policies and benefits - Comply with company regulations regarding HIPAA, confidentiality, and PHI - Abide with the timelines to complete compliance training of NTT Data/Client - Work independently to research, review and act on the claims - Prioritize work and adjudicate claims as per turnaround time/SLAs - Ensure claims are adjudicated as per clients defined workflows, guidelines - Sustaining and meeting the client productivity/quality targets to avoid penalties - Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. - Timely response and resolution of claims received via emails as priority work - Correctly calculate claims payable amount using applicable methodology/ fee schedule Requirements: - 3 year(s) hands-on experience in Healthcare Claims Processing - 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools - High school diploma or GED.

- Previously performing – in P&Q work environment; work from queue; remotely - Key board skills and computer familiarity – - Toggling back and forth between screens/can you navigate multiple systems. - Working knowledge of MS office products – Outlook, MS Word and MS-Excel. Preferred Skills & Experiences: - Amisys - Ability to communicate (oral/written) effectively in a professional office setting - Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities - Time management with the ability to cope in a complex, changing environment

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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