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Remote Claims Manager Jobs in Spring, TX (NOW HIRING)

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to ... This role will be a contract role with IQVIA managed by an external agency, with the opportunity to ...

Dane Street

Medical Toxicology Physician

Houston, TX · Remote

This is a fully remote opportunity offering flexible scheduling, allowing you to accept or decline ... Respond to clinical questions to support claims management * Deliver clear, well-supported written ...

Qcells

Warranty Manager, EPC

Houston, TX · On-site +1

Remote/Hybrid Warranty Manager - EPC Hanwha Qcells USA Corp (Qcells USA), headquartered in Irvine ... Manage the full lifecycle of warranty claims, including intake, validation, documentation, response ...

SlingShot Connections

Be Seen First

Call Center Collection Agent | Remote (Texas Residence Only)

Houston, TX · Remote

$14/hr

This position focuses on telephone-based collections for auto insurance claims. The ideal candidate ... Manages time effectively and maintains strong organizational habits • Can handle conflict and ...

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Remote Claims Manager information

See Spring, TX salary details

$31.1K

$78.2K

$123.7K

How much do remote claims manager jobs pay per year?

As of Jun 13, 2026, the average yearly pay for remote claims manager in Spring, TX is $78,187.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $93,400.00 per year, depending on experience, location, and employer.

What is a Remote Claims Manager job?

A Remote Claims Manager oversees the processing, evaluation, and resolution of insurance claims while working from a remote location. They ensure claims are handled efficiently, fairly, and in compliance with company policies and regulations. Responsibilities typically include supervising claims adjusters, reviewing complex cases, and improving claims handling processes. Strong analytical skills, attention to detail, and the ability to manage a remote team are essential for this role.

What are some common challenges faced by Remote Claims Managers, and how can they be addressed?

Remote Claims Managers often face challenges such as maintaining efficient communication with team members and clients, managing a high volume of claims, and ensuring compliance with regulatory guidelines across multiple jurisdictions. Overcoming these challenges requires strong organizational skills, use of collaborative digital tools, and a proactive approach to problem-solving. Staying up to date with industry best practices and participating in regular training can also help remote claims managers remain effective and adapt to changing requirements. By establishing clear workflows and leveraging technology, you can ensure successful outcomes and support your team's performance, even in a virtual environment.

What are the key skills and qualifications needed to thrive in the Remote Claims Manager position, and why are they important?

To excel as a Remote Claims Manager, you need strong analytical abilities, comprehensive knowledge of claims processes, and typically a relevant degree or substantial experience in insurance or claims management. Familiarity with claims management systems, CRM software, and relevant certifications like CPCU or AIC is valuable. Excellent communication, decision-making, and organizational skills help set outstanding candidates apart in this role. These qualifications ensure efficient claims handling, regulatory compliance, and effective remote team leadership.

What are the most commonly searched types of Remote Claims jobs in Spring, TX? The most popular types of Remote Claims jobs in Spring, TX are:
What are popular job titles related to Remote Claims Manager jobs in Spring, TX? For Remote Claims Manager jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Claims Manager jobs in Spring, TX look for? The top searched job categories for Remote Claims Manager jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Claims Manager jobs? Cities near Spring, TX with the most Remote Claims Manager job openings:
Remote Claims Manager jobs near you

Workers Compensation Claims Examiner (TEXAS Jurisdiction)

Elite

Houston, TX • Remote

$31.25 - $42.50/hr

Full-time

Medical

Posted 8 days ago

Job description

POSITION DETAILS
POSITION SUMMARY
COMPANY has an immediate need for a full-time Senior Claims Examiner to support our workers compensation department.  This position is offered as a fully remote work from home opportunity and the schedule for this position is Monday-Friday at 37.5 hours a week.  The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
PRIMARY RESPONSIBILITIES
Candidates should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation.  Additional duties may be assigned:
 
  • Process new claims in compliance with client’s Service Agreement
  • Establish contact with employer to review issues
  • Respond to inquiries from the employer, employee, doctors, and attorneys
  • Establish and maintain appropriate reserves
  • Review legal correspondence and medical reports
  • Evaluate and approve medical procedures and treatment
  • Administer benefits and ensure appropriateness of all payments
  • Investigate coverage, liability, and monetary value of claim
  • Review medical and legal bills for appropriateness
  • Discuss appropriateness of medical treatment with medical case manager
  • Determine compensability
  • Monitor and assist litigation
  • Negotiate settlement of claim, liens, rehabilitation plans, etc.
  • Prepare and present reports to clients
  • Appropriately close claims
  • Help resolve client billing and payment inquiries
  • Investigate complaints from injured workers
  • Document and code the claim files and claims system with all relevant information
  • Maintain and update action plans within specified time frames
  • Provide direction to Claims Assistants and Claims Technicians and assist with training, coaching, and mentoring as needed for them to support daily claims tasks
  • Contact with employers, employees, attorneys, doctors, vendors and other parties
  • Provide customer service and support to clients and claimants
  • Work collaboratively with attorneys to draft settlements and assist with litigation strategies
  • Negotiate settlements
  • Authorize and negotiate cost of medical treatment and supplies
  • Internal communication with staff
  • Prepare professional, well written correspondence and other communications

ESSENTIAL POSITION REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required.  While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
 
  • High School Diploma or equivalent (GED) required for all positions
    • AA/AS or BA/BS preferred but not required
  • The Texas 03 Workers’ Compensation license is required
    • The 08 All Lines License is preferred
  • 3+ years recent workers compensation claims handling experience required
  • At least 5 years of workers compensation claims experience preferred
  • Solid knowledge of workers compensation laws, policies, and procedures’
  • Completion of IEA or equivalent courses
  • Proficiency in determining case value and negotiating settlements
  • Understanding of medical and legal terminology
  • Mathematical calculating skills
  • Well-developed verbal and written communication skills with strong attention to detail
  • Excellent organizational skills and ability to multi-task
  • Ability to type quickly, accurately and for prolonged periods
  • Proficient in Microsoft Office Suite
    • Ability to learn additional computer programs
  • Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
  • Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
  • Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
  • Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
  • Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor.
  • COMPANYs’ operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
  • Must be able to reliably commute to meetings and events as required by this position

This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
COMPANY is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
COMPANY is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc.