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Remote Claims Processing Jobs in Philadelphia, PA

Corvel

Claims Supervisor

Norristown, PA · On-site +1

$73K - $113K/yr

This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Corvel

Claims Supervisor

Norristown, PA · On-site +1

$73K - $113K/yr

This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Philadelphia, PA

Remote Claims Processing information

See Philadelphia, PA salary details

$12

$19

$26

How much do remote claims processing jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote claims processing in Philadelphia, PA is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.87 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 are popular job titles related to Remote Claims Processing jobs in Philadelphia, PA?

For Remote Claims Processing jobs in Philadelphia, PA, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processing jobs in Philadelphia, PA look for?

The top searched job categories for Remote Claims Processing jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Remote Claims Processing jobs?

Cities near Philadelphia, PA with the most Remote Claims Processing job openings:

Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Philadelphia, PA as of August 2026, with employment types broken down into 84% Full Time, 10% Part Time, 2% Temporary, and 4% Contract. Highlights an 6% Hybrid, and 94% Remote job distribution, with an average salary of $40,226 per year, or $19.3 per hour.

Provider Claims Service Representative

Amerihealth Caritas

Philadelphia, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted yesterday

New

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

133rd of 315 rated insurance

Job description

Responsibilities: 
 
Under the general direction of the Operations Call Center Supervisor, responsible for responding in a timely, professional and courteous manner to all customer needs. This includes provider phone calls or correspondence regarding benefit, eligibility, and other provider issues.  Reviews and adjudicates claims based on provider and health plan contractual agreements and claims processing guidelines.  Serves as a Subject Matter Expert.  Conducts cross training to staff as required.  Demonstrates solid knowledge of Provider Service/Claim systems, functions and team process.  Demonstrates superior skill in dealing with provider issues/inquiries, team members, and co-workers.
 
  • Suspends claims requiring additional information and/or special handling; initiates action to obtain required information.
  • Forwards claims requiring external department intervention to the appropriate department or person.
  • Monitors outstanding inquiries and works with management staff to identify and resolve areas of non-compliance.
  • Reviews and verifies quality audit reports.
  • Reconciles audit discrepancies, corrects in system and make appropriate changes to avoid recurrence.
  • Maintains thorough knowledge of claims process systems, its databases and subsystems.
  • Responds to and resolves provider and health plan claim inquiries. Monitors and tracks aged, pended, and open reports to maintain timeliness in claims processing. Inputs claims into the system for appropriate tracking and processing.
  • Documents file, as appropriate, to support payment decision.
  • Serves as a Subject Matter Expert and conducts training as required.
  • Conducts cross training to staff as required.
  • Actively participates in user acceptance testing functions, such as test script development, testing and documentation of test results.

Education/Experience:​
  • Minimum 4 years’ experience in claims and/or call center required.
  • High School/GED required.
  • Associate  degree preferred; minimum 45 wpm typing preferred.
  • Healthcare or Managed Care experience preferred.

  • Working knowledge of PC apps in a windows based environment.

Training Information: 

  • Training is conducted onsite Monday through Friday from 8:30 AM – 5:00 PM and lasts approximately 6–7 weeks (maximum). During this period, you are required to be fully available and onsite for the entire duration of training.

  • Upon successful completion of training, the role will transition to a remote work environment. However, you may be required to report to a business office for mandatory meetings and/or technical support related to remote work.

Work Schedule: 

  • Our Contact Center operates 24 hours a day, and this position requires flexibility to work shifts between 7:00 AM – 7:00 PM. Start times will vary, typically ranging from 7:00 AM to 10:30 AM, and are assigned based on business needs (example shift: 10:30 AM – 7:00 PM).

  • Your permanent schedule will be assigned toward the end of training and will remain consistent based on operational needs.

Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.

Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.

About AmeriHealth Caritas
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com

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