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Remote Claims Processing Jobs in Minnesota (NOW HIRING)

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Remote Claims Processing information

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$11

$18

$25

How much do remote claims processing jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote claims processing in Minnesota is $18.77, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $20.24 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Minnesota? For Remote Claims Processing jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Minnesota look for? The top searched job categories for Remote Claims Processing jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Claims Processing jobs? Cities in Minnesota with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Minnesota as of June 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $39,043 per year, or $18.8 per hour.
Senior Manager, Claims Workforce Management, Meritain TPA

Senior Manager, Claims Workforce Management, Meritain TPA

CVS Health

Plymouth, MN • On-site, Remote

$67K - $199K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,245 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Provides strategic ownership of Claims workforce management by leveraging deep analytical expertise to forecast demand, develop capacity and staffing models, and optimize workforce utilization. Serves as the primary subject matter expert for Claims Workforce Management (WFM), partnering closely with senior leadership and crossfunctional stakeholders to support operational decision-making, performance outcomes, and scalability. Leads workforce planning initiatives, drives process improvements, and delivers actionable insights to ensure claims operations are staffed efficiently, consistently, and in alignment with business objectives.

*The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location

What you will do

  • Owns end-to-end workforce management for Claims operations, including forecasting, capacity planning, staffing models, and resource optimization across multiple work areas.

  • Analyzes and interprets complex operational, volume, and productivity data to develop actionable workforce strategies that support claims performance, service levels, and financial targets.

  • Develops demand forecasts and staffing models using historical data, trend analysis, and scenario modeling; provides insights and recommendations to senior leadership.

  • Serves as the primary owner of staffing assumptions, workforce modeling, and capacity planning for Claims, ensuring alignment with operational strategy and business priorities.

  • Leverages workforce management tools, statistical models, and analytics to evaluate demand variability, staffing risk, and operational scenarios.

  • Partners closely with Claims leadership, Finance, HR, and Operational Excellence teams to align workforce strategies with hiring plans, training timelines, and productivity assumptions.

  • Establishes and maintains standardized WFM processes, documentation, and governance to ensure consistency, accuracy, and transparency across Claims operations.

  • Identifies opportunities for automation, process improvement, and efficiency initiatives to improve forecasting accuracy and workforce utilization.

  • Monitors performance metrics and operational outcomes to proactively identify risks, gaps, and opportunities related to staffing and capacity.

  • Provides guidance and subject matter expertise to leaders and stakeholders on workforce-related decisions, tradeoffs, and operational impacts.

  • Owns ongoing monitoring of claims performance against performance guarantees and operational commitments; proactively identifies risk and drives workforce reprioritization or resource reallocation to protect SLA, compliance, and financial outcomes.

  • Supports future scalability of the Claims WFM function, including the potential design and transition to a team-based model as business needs evolve.

Required Qualifications

  • Minimum 7 years of experience in workforce management, operational analytics, or related roles within healthcare, insurance, or complex operational environments

  • Demonstrated expertise in forecasting, capacity planning, and workforce modeling

  • Strong analytical and problem-solving skills with the ability to translate data into executive-level insights and recommendations

  • Proven ability to operate independently with a high level of ownership and accountability

  • Strong communication skills and experience influencing leaders without direct authority

  • Advanced proficiency with workforce management tools, reporting platforms, and data analysis techniques

  • Experience partnering with senior leadership on staffing strategy and operational planning

  • Experience designing or evolving workforce management operating models

  • Strong business acumen with the ability to balance service, quality, cost, and compliance considerations

Education

  • Bachelor's degree preferred or equivalent combination of relevant experience, training, and professional development

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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