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Remote Claims Processing Jobs in Tennessee (NOW HIRING)

Hybrid - 3 days in office, 2 days remote after training. PAY: T h e expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...

Hybrid - 3 days in office, 2 days remote after training. PAY: The expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...

Medical Billing Specialist

Brentwood, TN ยท On-site +1

$17.25 - $22.25/hr

We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments ... Eligible to Work Remote * Quarterly Bonus Program * Health Insurance * Dental amp; Vision Insurance

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Remote Claims Processing information

See Tennessee salary details

$10

$17

$23

How much do remote claims processing jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote claims processing in Tennessee is $17.39, according to ZipRecruiter salary data. Most workers in this role earn between $14.86 and $18.75 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a remote claims processor?

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 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 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 cities in Tennessee are hiring for Remote Claims Processing jobs?

Cities in Tennessee with the most Remote Claims Processing job openings:

Infographic showing various Remote Claims Processing job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $36,181 per year, or $17.4 per hour.

Claims Adjuster

Maryville, TN โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

This job post hasย expired 5 days ago.ย Applications are no longer accepted.


Job description

POSITION TITLE: Claims Adjuster I

JOB STATUS:Full-time/Hourly

DEPARTMENT: Claims

REPORTS TO:Claims Team Lead

TRAVEL REQUIRED:Asneeded

WORK SCHEDULE: Hybrid - 3 days in office, 2 days remote after training.

PAY: The expected hiring range for this position is from $21.69 to $27.11 plus additional bonus opportunity. The stated hiring range is based on experience, qualifications, and other relevant factors. Final compensation decisions will take into account a variety of considerations, including individual skills, internal equity, and organizational needs.

HomeFirst Agency is a leading insurance agency offering a wide range of insurance products from nationally-known insurance companies to protect your home, property and life. We strive to help customers find the right insurance products to fit their needs at competitive rates. Located in Maryville, Tennessee, we offer homeowners insurance to customers nationwide, and insurance to protect your other property and life in select states. For over 20 years, we have helped customers with their insurance needs. Today, we have more than 180,000 customers.

JOB SUMMARY

The Claims Adjuster Ireviewsclaims related to property damage or loss.This position reports to the Claims Team Lead andworks with various experts during the claims process to obtain accurate assessments and supportinclaims decisions.The Claims Adjuster Ipartners withClaims Trainer and Claims Team Leadtointerpret the terms and conditions ofinsurance policiesto determine coverage and exclusions applicable to each claim.This position also engages with policyholders to gather information, provide updates on the status of claims, and explain the claims process and decisions.

JOBFUNCTIONS:

ClaimsHandlingandInvestigating

  • Maintainsaccurate and detailed notes regarding interactions, decisions, and actions taken throughout a claim.

  • Partners with Claims Team Lead and Trainers to review, evaluate, and investigate photos, estimates, forms, receipts, inspection reports, and official reports presented on a claim.

  • Reviews, partners,and processesproperty damage claims submitted by policyholders.

  • Reviews insurance policies to determine coverageby working with Claims Trainers and leadershiptointerpret and apply policy provisions to claimsunder considerationbased on coverage and investigation findings.

  • Conducts,records, andinterviews withthoseinsuredtosecure information regardingpersonalloss.

  • Workswith claimants orrepresentativesofclaimants(contractors, public adjusters,attorneys, or other legal representatives)to gather necessary information regarding the claim andto negotiate fair and equitable settlements, overseen by Claims Team Lead.

  • Collaborateswith other insurancecarriers as needed regarding duplicate claims and coverage.

  • Selects and assignsclaims for inspections.

  • Requests and issues settlement checkswithexplanation lettersbased on policy terms and investigation findings,withlimitedauthority.

  • Preparesand issuesdenial letters toclaimants, clearly outlining the reasons for denial based on policy terms and investigation findings.

  • Identifiespotential fraudulent claims and refersfor additional investigation as warranted.

  • Ensures claimshandling complies with company and regulatory policies.

  • Escalates complex insurance claims tomanagementand legal teamsincludingthose subject to complaints and litigation.

  • Consults withClaims TeamLeadstoresolve disagreements with a claim,utilizing alternative dispute resolutions(arbitration,appraisal, and mediation).

  • Collaborateswith management on arbitration, appraisal, and mediations.

  • Maintainsworkflow to ensure timely processing of claims.

  • Partners withClaimsleadershipon difficult or unusual situations that arise onclaims.

  • Prepares responselettersto complaints or legal issuesreceived.

Customer Service

  • Provides excellent customer service bymaintainingprofessional and constant dialogue with claimantsin addition tohandling claims promptly, efficiently, and with empathy.

  • Communicates regularlywith policyholders or other relevant partiesprovidingupdates on the status of claims and addressingany questions or concerns.

  • Provides supporttorelated teams during high work volumeto meet or exceed established service levels.

  • Educatespolicyholders on the claim process and coveragesby maintaining open communication throughout the claim duration.

  • Sorts and responds to incoming emails.

Training and Education

  • Assists with one-on-one training or job shadowing for new hires.

  • Completesrequired state continuing education requirements to maintainand renewadjuster license.

Other duties as assigned

This job description is not an exhaustive list of all the functions that a team memberperformsand other duties may be assigned.

QUALIFICATIONS:

  • Education:High School diploma or equivalentrequired, collegedegreepreferred.

  • Experience:0-2 years of related experiencepreferred.

  • Travel as needed.

  • Must have strong computer skills with ability to navigate Microsoft Office Suite.

  • Maintains excellent knowledge of state and federal laws and regulations.

  • Ability to communicate effectively and efficiently via phone, email, and person to person.

  • Capability of gathering facts accurately, analyzing causes, evaluating alternate solutions, and arriving at sound conclusions on action to be taken.

  • Ability to manage multiple and/or conflicting responsibilities.

  • Great attention to detail, organizational skills, and time management.

  • Good sense of urgency and follow up.

  • Ability to handle stressful situations.

  • Ability to work in a team environment.

  • Ability to makerelativelycomplex decisions.

Licenses/Certifications:A current Property & Casualty Adjuster license preferred but not required. Must obtain license within 90 days of hire if not currently licensedand maintain state licensing requirements through the completion of continuing education when required by the state.

Knowledge, Skills and Abilities (KSAs):

  • Must have strong computer skills with ability to navigate Microsoft Office Suite

  • Maintains excellent knowledge of state and federal laws and regulations

  • Claims experience helpful, working knowledge of AS/400 and basic understanding of insurance a plus

  • Ability to communicate effectively and efficiently via phone, email, and person to person

  • Capable of gathering facts accurately, analyze causes, evaluate alternate solutions, and arriving at sound conclusions on action to be taken

  • Ability to manage multiple and/or conflicting responsibilities

  • Great attention to detail, organizational skills, and time management

  • Good sense of urgency and follow up

  • Ability to handle stressful situations

  • Ability to work in a team environment

  • Capable of dealing with changes that can and will occur periodically

  • Ability to make complex decisions

PHYSICAL DEMANDS:

  • Must be able to remain in a stationary position 75% of the time.

  • Will be constantly operating a computer and other office productivity machinery, such as a telephone, calculator, copy machine, and computer printer.

  • Will be communicating via phone, Teams, andZoom.

  • Must be able to exchange accurate information at all times.

  • Must be able to identify and assess account status and determine appropriate process.

  • Willprimarilywork in a state-of-the-art indoor temperature controlled, sealed window office environment, while working a hybrid schedule.

Here are some more reasons to choose HomeFirst Agency!

  • Full-time team members have the flexibility to create their own health, dental, and vision benefits package. HomeFirst Agency provides competitive 401(k) programs, including investment options and company matching for full and part time team members after one year to help our team members achieve their financial goals. Additional benefits include paid parental leave, tuition reimbursement, Employee Assistance Programs, and more.

  • As part of HomeFirst's commitment to Opening Doors to a Better Life, HFA is now providing paid time for Team Members to volunteer to causes that are meaningful to them through the Clayton Impact program.

  • At HFA, we encourage holistic wellness with physical, nutritional, social, financial, spiritual, and occupational programs available online or in-person for team members.

  • Our newly renovated Home Office campus offers an onsite restaurant, onsite fitness facility with full gym, in-person and virtual workout classes, yoga/barre studio, volleyball, and basketball courts, walking paths, and a disc golf course.

Clayton is committed to creating an inclusive workplace. HomeFirst Agency is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

HomeFirst Agency. Where you start a job and gain a career!

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