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Remote Claims Processing Jobs in Romulus, MI (NOW HIRING)

Independently manage all phases of litigation involving claims of moderate to heavy value (up to ... Identify and implement opportunities for process automation and workflow enhancements.

Staff Attorney

Southfield, MI ยท On-site +1

$119K - $210K/yr

Independently manage all phases of litigation involving claims of moderate to heavy value (up to ... Identify and implement opportunities for process automation and workflow enhancements. * Juris ...

Independently manage all phases of litigation involving claims of moderate to heavy value (up to ... Identify and implement opportunities for process automation and workflow enhancements.

Navigate available tools to perform remote diagnosis & troubleshooting * Provide resolution ... Reconcile at month end for claims made with logistics, if required * Warm transfers/ service tech ...

Showing results 41-60

Remote Claims Processing information

See Romulus, MI salary details

$11

$18

$25

How much do remote claims processing jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote claims processing in Romulus, MI is $18.46, according to ZipRecruiter salary data. Most workers in this role earn between $15.77 and $19.90 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?

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 cities near Romulus, MI are hiring for Remote Claims Processing jobs? Cities near Romulus, MI with the most Remote Claims Processing job openings:
Infographic showing various Remote Claims Processing job openings in Romulus, MI as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $38,398 per year, or $18.5 per hour.

Government Programs Customer Service Representative

Delta Dental of Michigan

Farmington Hills, MI โ€ข Remote

$15.75 - $21.50/hr

Full-time

Medical, Dental

Posted 22 days ago


Job description

Job Title:

Government Programs Customer Service Representative

Number of Positions:

6

Location:

Farmington Hills, MI

Location Specifics:

Fully Remote

Job Summary:

Candidates must reside in Michigan within a reasonable commuting distance of our Farmington Hills office for team meetings, collaborative sessions, and training.

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.

Typical Assignments

  • Promptly and professionally responds to member, client and provider questions through multiple channels, including, but not limited to telephone, email, fax and U.S. mail communication using proper etiquette, grammar, punctuation, etc.

  • Clearly and accurately communicates all eligibility, benefit, claim status and payment information related to caller's questions

  • Properly identifies the reason(s) for the call and provides appropriate resolution to inquiries and complaints within specified timeframes and guidelines established by regulatory agencies or client contracts.

  • Informs and assists callers with grievance and the claims appeals processes, as necessary

  • Clearly, accurately and thoroughly documents information in the customer relationship management system to ensure all relevant details of the phone call are captured.

  • Understands the importance of adhering to regulatory requirements

  • Meets or exceeds quality standards as required for position

  • Meets or exceeds call center metrics as required for position

  • Enters and adjusts claims as required

#LI-Remote

Minimum Requirements:

Bidding Requirements

  • Employees must have the ability to work an assigned eight (8) hour schedule starting as early as 7:55 a.m. and ending as late as 11:00 p.m., Monday through Friday

  • Possess a high school diploma or equivalent, with an associate's degree in business administration or a related field preferred

  • Two years of customer service experience in a business environment that requires the use of a software application to assist customers, preferably in a call center assisting Medicare and/or Medicaid enrollees

  • Demonstrated knowledge of personal computers and software applications (including Windows) through previous experience and/or coursework

  • Successful completion of the customer service simulation assessment with a minimum score of 62 out of a possible 100 (assessment waived if candidate previously passed test while at Delta Dental or if previously held Customer Service Trainee, Customer Service Advisor, or Customer Service Associate position)

  • Successful completion of the customer service multitasking and call logging assessment with a minimum score of 65 out of a possible 100

  • Successful completion of the customer service email composition assessment with a minimum score of 62 out of a possible 100

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.