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Remote Claims Examiner Jobs (NOW HIRING)

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 ...

Markel International

Claims Examiner

Milwaukee, WI · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12% incentive. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20 ...

Firstsource

Claims Examiner

$17 - $20/hr

  • Medical

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location ... United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ...

Firstsource

Claims Examiner

$17 - $20/hr

  • Medical

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location ... United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ...

Markel International

Claims Examiner

Omaha, NE · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12% incentive. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20 ...

Markel International

Claims Examiner

Richmond, VA · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12% incentive. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20 ...

Markel International

Claims Examiner

Tampa, FL · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12% incentive. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20 ...

Markel International

Claims Examiner

Plano, TX · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12% incentive. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20 ...

Ameritas Life Insurance Corp.

Claims Examiner

Lincoln, NE · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is remote (within Nebraska) and does not require regular in-office presence. The Claims Examiner processes dental claims by using claims knowledge in accordance with the specific policy ...

LIO Insurance

Claims Examiner (Casualty)

Conshohocken, PA · On-site +1

$68K - $123K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Claims Examiner - Casualty is accountable for managing a portfolio of moderate complexity general liability claims across admitted and E amp;S products, including exposure to construction-related ...

Athens Administrators

Senior Claims Examiner - 4850

Orange, CA · On-site +1

$50.29 - $55.87/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Senior Claims Examiner Department: Workers' Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead ...

Tmhcc

Senior Claims Examiner, Cyber

New York, NY · On-site +1

  • Retirement

  • PTO

... Remote if the selected candidate does not reside near an office listed locations Job Summary ... As a Senior Claims Examiner, provides guidance and first-level claims examination and processing ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · Remote

  • Medical

Review and process insurance claims. Validate Member, Provider and other Claim's information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.

LIO Insurance

Claims Examiner (Casualty)

Richmond, VA · On-site +1

$68K - $123K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Claims Examiner - Casualty is accountable for managing a portfolio of moderate complexity general liability claims across admitted and E amp;S products, including exposure to construction-related ...

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Remote Claims Examiner information

See salary details

$15

$29

$45

How much do remote claims examiner jobs pay per hour?

As of Aug 14, 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.
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What are the most commonly searched types of Claims Examiner jobs?

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Remote Claims Examiner jobs near you
Infographic showing various Remote Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 64% Full Time, 9% Part Time, and 27% Contract. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Workers Compensation Claims Examiner

Imagine Staffing Technology

Long Beach, CA • Remote

$70/hr

Full-time

Re-posted 4 days ago

Job description

Job Profile
Job Title: Claims Examiner
Location: Long Beach, CA -must live in CA
Hire Type: Contingent
Pay Range: $70/hr.
Work Model: Remote in CA
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 Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. This role is responsible for investigating claims, determining benefits, managing litigation, negotiating settlements, and ensuring timely adjudication in accordance with client requirements, industry regulations, and best practices. MUST HAVE SIP cert.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
  • Develop and manage strategic action plans to bring claims to timely and appropriate resolution.
  • Negotiate settlements within established authority limits.
  • Establish, monitor, and adjust claim reserves throughout the life of the claim.
  • Determine benefits due and authorize claim payments and adjustments.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage litigated claims and coordinate with defense counsel, medical providers, investigators, and other vendors.
  • Utilize cost-containment strategies and vendor partnerships to achieve efficient claim outcomes.
  • Identify and pursue subrogation opportunities, Second Injury Fund recoveries, and Social Security/Medicare offsets.
  • Report claims to excess carriers and respond to requests for information promptly and professionally.
  • Maintain clear communication with claimants, clients, attorneys, and internal stakeholders regarding claim status and activity.
  • Ensure claim files are thoroughly documented and accurately coded in the claims management system.
  • Refer complex issues and claims to management as appropriate.
  • Support quality initiatives and perform additional duties as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
  • Current or recent California workers’ compensation indemnity claims handling experience.
  • Experience managing litigated workers’ compensation claims.
  • Self-Insured Plans (SIP) certification required.
  • Minimum of five (5) years of claims management experience or an equivalent combination of education and experience.
  • Strong knowledge of California workers’ compensation laws, regulations, and claims handling practices.
Preferred Qualifications
  • Bachelor’s degree from an accredited college or university.
  • Professional certification related to workers’ compensation claims handling.
  • Ability to attend occasional onsite meetings in Long Beach or Roseville, California.
  • Excellent analytical, investigative, and problem-solving abilities.
  • Strong negotiation and settlement management skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office and claims management systems.
  • Strong organizational and time-management skills.
  • Ability to work independently and collaboratively in a remote environment.
  • Commitment to delivering exceptional service and maintaining professional client relationships.