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Remote Claims Examiner Jobs (NOW HIRING)

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 ...

ImagenetLLC

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.

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.

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.

Allcat Claims Service

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

New York, NY · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Los Angeles, CA · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

OR · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Minto, AK · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

North East, PA · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Florida, NY · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$20 - $25/hr

General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID 21986 City Chatsworth (Local Remote) Published date 07-Jul-2026 State California Country United ...

Insperity

Medical Claims Examiner

CA · On-site +1

$20 - $25/hr

Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services ...

Imagenet

Claims Examiner Team Leader | Remote

Tampa, FL · Remote

$22/hr

Claims Examiner Team Leader Job Type: Full-time Work Set-up: Remote Pay: up to $22.00 per hour (based on location and experience) Work Schedule: Pacific Time Zone Position Summary The Claims Examiner ...

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Remote Claims Examiner information

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How much do remote claims examiner jobs pay per hour?

As of Jul 24, 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 July 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Claims Examiner - Remote

Claims Examiner - Remote

ImageNetLLC

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Salary:

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

Wed love to meet you! ClickApply Nowand tell us why youd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.