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Remote Claims Processing Jobs in Seattle, WA (NOW HIRING)

Port Gamble S'Klallam Tribe

Billing Specialist

Kingston, WA · On-site +1

$24.81 - $33.49/hr

They audit, analyze, edit, and process medical insurance claims, monitor A/R, and ensure billing ... Remote Work: * This position is eligible for alternative scheduling. The schedule must be discussed ...

Saltchuk

Risk Management Specialist

Seattle, WA · On-site +1

$85K - $100K/yr

Process TPA Reconciliations and Invoices * Marine Claims-SIR Reports - monthly approvals and report ... Currently offering 2 weeks of remote work each year, plus the option to work from home during the ...

Liberty Mutual

Staff Attorney

Bellevue, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Snohomish, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Everett, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Everett, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Tacoma, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Tacoma, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Seattle, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Seattle, WA · On-site +1

$125K - $221K/yr

This role is primarily remote in the state of Washington except for required appearances. At ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Bellevue, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Seattle, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Snohomish, WA · On-site +1

Description This role is primarily remote in the state of Washington except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

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Showing results 41-60

All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Seattle, WA

Remote Claims Processing information

See Seattle, WA salary details

$13

$21

$30

How much do remote claims processing jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims processing in Seattle, WA is $21.81, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $23.51 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 Seattle, WA?

For Remote Claims Processing jobs in Seattle, WA, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processing jobs in Seattle, WA look for?

The top searched job categories for Remote Claims Processing jobs in Seattle, WA are:

Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Seattle, WA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $45,366 per year, or $21.8 per hour.

Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)

Prime Therapeutics LLC

Home, WA • Remote

$19.23 - $28.85/hr

Full-time

Posted 12 days ago

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 112 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting TitleClinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)Job Description

The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using established clinical criteria. This role serves as a technical resource to team members, supports resolution of non-routine cases, and identifies opportunities to improve workflow efficiency.

Responsibilities

  • Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols
  • Communicate coverage determinations, formulary alternatives, and prior authorization requirements to providers and internal stakeholders, ensuring clarity and accuracy in non-routine scenarios
  • Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps
  • Escalate clinically complex or exception-based cases to a pharmacist, providing thorough documentation and relevant case context to support timely resolution
  • Educate providers and members on claims submission processes, appeals requirements, and reimbursement guidelines across multiple networks
  • Initiates, prioritize, and manage cases by accurately gathering and entering member and provider information
  • Identify trends, root causes, high-risk inquiries, and workflow gaps in daily operations and recommend process improvements to enhance efficiency, quality, and consistency
  • Serve as a resource to team members by providing guidance, answering process questions, and supporting onboarding activities
  • Other duties as assigned

Minimum Qualifications

  • High school diploma from an accredited school or equivalent GED
  • 2 years of work experience as a pharmacy technician
  • Licensed Pharmacy Technician in accordance with California state requirements

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Strong knowledge of pharmacy workflows, terminology, and reimbursement processes
  • Ability to prioritize work and manage multiple assignments in a dynamic environment
  • Effective communication skills with the ability to guide and support team members
  • Proficiency in pharmacy systems and Microsoft Office applications

Preferred Qualifications

  • 1 year reimbursement experience
  • PBM or health care experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

What Prime Therapeutics employees say

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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