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Remote Claims Examiner Jobs (NOW HIRING)

Auxiant

Claims Examiner

Madison, WI · On-site +1

REAL Results R espect E mpowerment A gility L eadership Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

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 ...

TEEMA Group

Claims Examiner III

Irving, TX · Remote

$76K - $85K/yr

Claims Examiner III - Workers' Compensation Role Summary The Claims Examiner III is responsible for independently managing the full lifecycle of Workers' Compensation indemnity claims, from initial ...

WoodmenLife

Claims Examiner I or II

Omaha, NE · On-site +1

$17 - $25/hr

Claims Examiner I or II This position could be hybrid or possibly fully remote depending on level of experience. WoodmenLife is looking to hire Claims Examiner I or II to join our team! In this role ...

Firstsource

Claims Examiner

$17 - $20/hr

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

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 ...

LIO Insurance

Claims Examiner (Casualty)

Conshohocken, PA · On-site +1

$68K - $123K/yr

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 ...

Tmhcc

Senior Claims Examiner, Cyber

New York, NY · On-site +1

... 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 ...

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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 Sep 4, 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 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.

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 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.
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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 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Examiner

Auxiant

Madison, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Job Type
Full-time
Description
https://www.auxiant.com/
Auxiant's Mission Statement and Core Values
Mission:
An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.
Core Values: Independent Solutions. REAL Results
Respect
Empowerment
Agility
Leadership
Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package.
Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients.
Essential Functions:
  • Process claims in a timely manner with acceptable accuracy
  • Answer inbound phone calls from members and providers.
  • Handle correspondence from members and providers in a timely manner.
  • Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written.
  • Interpret plan design and language to analyze claim edits.
  • Point of contact for clients and members.
  • Work Customer Service Tickets.

Nonessential Functions:
  • Other duties as assigned or appropriate

Education/Qualifications:
  • Familiarity with ICD-10 and CPT coding
  • Understanding of medical claims processing guidelines
  • Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key
  • QicLink experience
  • Medical Terminology
  • High school diploma and 1-2 years related experience; or equivalent combination of education and experience

*Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more
Job Type: Full-time
Schedule:
  • 8 hour shift
  • Day shift
  • Monday to Friday

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