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Remote Claims Examiner Jobs (NOW HIRING)

Western Growers

Claims Examiner I

Fresno, CA · On-site +1

$40K - $52K/yr

Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as ...

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 ...

Imagenet

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 ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

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 ...

The Baldwin Group

Senior Claims Examiner - MSI

The Sr Claims Examiner is considered an expert in managing insurance claims for our policyholders ... State adjuster licenses preferred #LI-JW2 #LI-REMOTE Click here for some insight into our culture!

RENFROE (Roster)

Commercial Claims Examiner

The Commercial Claims Examiner is responsible for approving and settling commercial property claims from the field where an estimate of damage has been prepared, or for preparing and settling ...

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Remote Claims Examiner information

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$15

$29

$45

How much do remote claims examiner jobs pay per hour?

As of Jul 3, 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 94% Full Time, and 6% Part Time. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Claims Examiner

Claims Examiner

Imagine Staffing Technology

Bartlesville, OK • Remote

$32/hr

Full-time

Posted 14 days ago

Job description

Job Profile
Job Title: Claims Examiner
Location: Remote,
Hire Type: Contingent
Pay Range: $32/hr.
Work Model: Remote
Work Shift: Monday-Friday 8 am – 4:30 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
We are seeking an experienced Claims Examiner – Workers’ Compensation to manage complex and high-exposure workers’ compensation claims. This role is responsible for analyzing technically difficult claims, determining benefits due, managing litigated cases, and ensuring proper adjudication in alignment with service expectations, industry best practices, and client-specific requirements.
The Claims Examiner will also identify subrogation opportunities, negotiate settlements within designated authority, and ensure cost-effective claim resolution while maintaining compliance with statutory guidelines.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Analyze and process complex or technically challenging workers’ compensation claims by conducting thorough investigations to determine claim exposure.
  • Develop and execute strategic action plans to drive timely and appropriate claim resolution.
  • Negotiate settlements within designated authority levels.
  • Establish and maintain accurate and timely claim reserves; ensure reserve adequacy throughout the life of the claim.
  • Calculate and approve benefit payments, adjustments, and settlements within authority guidelines.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage the litigation process and coordinate with defense counsel to ensure cost-effective outcomes.
  • Coordinate vendor referrals for additional investigation, medical management, or litigation support.
  • Apply cost containment strategies, including use of strategic vendor partnerships.
  • Manage claim recoveries including subrogation, Second Injury Fund recoveries, and Social Security and Medicare offsets.
  • Report claims to excess carriers and respond promptly to requests for direction.
  • Communicate claim activity and updates with claimants and clients, maintaining strong professional relationships.
  • Ensure claim files are properly documented and coded accurately.
  • Escalate cases to supervisors or management as appropriate.
Skills & Experience
Qualifications That Will Help You Thrive
  • High School Diploma or GED required.
  • Bachelor’s degree preferred.
  • Professional certifications relevant to workers’ compensation claims handling preferred.
  • Minimum five (5) years of workers’ compensation claims management experience or equivalent combination of education and experience required.
  • Experience handling high-exposure and litigated claims strongly preferred.
  • Subject matter expertise in workers’ compensation insurance principles and applicable laws.
  • Knowledge of recoveries, offsets, deductions, disability duration, and cost containment practices.
  • Familiarity with medical management and Social Security/Medicare procedures related to workers’ compensation.
  • Strong analytical and interpretive skills.
  • Excellent verbal and written communication skills, including presentation ability.
  • Proficiency in Microsoft Office and claims management systems.
  • Strong organizational, interpersonal, and negotiation skills.
  • Ability to work effectively in a team environment.
  • Demonstrated ability to meet or exceed service expectations.