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Remote Claims Processing Jobs in Texas (NOW HIRING)

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

Exposure to claims processing platforms or healthcare operations systems * Ability to work effectively in a remote environment What Success Looks Like * Consistently meets productivity, quality, and ...

Claims Resolution Specialist

Austin, TX · On-site +1

$25 - $29/hr

Maintain a secure remote work environment. * Perform additional duties and special projects as assigned by leadership. Qualifications Required: * 1+ year of experience in healthcare claims processing ...

Maintain a secure remote work environment. * Perform additional duties and special projects as assigned by leadership. Qualifications Required: * 1+ year of experience in healthcare claims processing ...

Maintain a secure remote work environment. * Perform additional duties and special projects as assigned by leadership. Qualifications Required: * 1+ year of experience in healthcare claims processing ...

Claims Examiner I San Antonio, TX, United States and 1 more (Remote) What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include ...

This role demands a strong command of technical processes and policy interpretation, as well as the ... remote role. * Candidates must reside within a 50-mile radius of a designated claims office. * The ...

This role demands a strong command of technical processes and policy interpretation, as well as the ... remote role. * Candidates must reside within a 50-mile radius of a designated claims office. * The ...

This role demands a strong command of technical processes and policy interpretation, as well as the ... remote role. * Candidates must reside within a 50-mile radius of a designated claims office. * The ...

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Remote Claims Processing information

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 the most commonly searched types of Claims Processing jobs in Texas? The most popular types of Claims Processing jobs in Texas are:
What job categories do people searching Remote Claims Processing jobs in Texas look for? The top searched job categories for Remote Claims Processing jobs in Texas are:
What cities in Texas are hiring for Remote Claims Processing jobs? Cities in Texas with the most Remote Claims Processing job openings:
Medical Claims Examiner, Remote

Medical Claims Examiner, Remote

NTT DATA Services

Plano, TX • Remote

Temporary

Posted 13 days ago


NTT Data rating

7.3

Company rating: 7.3 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

108th of 204 rated it services


Job description

Job Title: Medical Claims Examiner, Remote Date: Feb 26, 2026 Location: Plano, TX, US Company: NTT DATA Services NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: - Processing of Professional claim forms files by provider - Reviewing the policies and benefits - Comply with company regulations regarding HIPAA, confidentiality, and PHI - Abide with the timelines to complete compliance training of NTT Data/Client - Work independently to research, review and act on the claims - Prioritize work and adjudicate claims as per turnaround time/SLAs - Ensure claims are adjudicated as per clients defined workflows, guidelines - Sustaining and meeting the client productivity/quality targets to avoid penalties - Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. - Timely response and resolution of claims received via emails as priority work - Correctly calculate claims payable amount using applicable methodology/ fee schedule Requirements: - 3 year(s) hands-on experience in Healthcare Claims Processing - 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools - High school diploma or GED.

- Previously performing – in P&Q work environment; work from queue; remotely - Key board skills and computer familiarity – - Toggling back and forth between screens/can you navigate multiple systems. - Working knowledge of MS office products – Outlook, MS Word and MS-Excel. Preferred Skills & Experiences: - Amisys - Ability to communicate (oral/written) effectively in a professional office setting - Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities - Time management with the ability to cope in a complex, changing environment


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About NTT DATA

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NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967