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Remote Claims Processing Jobs in Silver Spring, MD

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

Medical Billing Specialist

Fairfax, VA ยท On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management ...

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Remote Claims Processing information

See Silver Spring, MD salary details

$12

$19

$27

How much do remote claims processing jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote claims processing in Silver Spring, MD is $19.81, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $21.39 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, 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 job categories do people searching Remote Claims Processing jobs in Silver Spring, MD look for? The top searched job categories for Remote Claims Processing jobs in Silver Spring, MD are:
What cities near Silver Spring, MD are hiring for Remote Claims Processing jobs? Cities near Silver Spring, MD with the most Remote Claims Processing job openings:
Healthcare Claims Adjuster

Healthcare Claims Adjuster

System One

Baltimore, MD โ€ข Remote

$25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago


Job description

Job Title: Healthcare Claims Adjuster

Location: Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation: $25/HR Contractor Work Model: 80% Remote (must reside in D.C., MD, or VA per client)

About the Role Weโ€™re hiring a Healthcare Claims Adjuster with a strong claims processing background and exposure to adjustments, rework, or dispute resolution who wants to grow in that area. The role involves handling claims adjustments, discrepancies, and provider dispute work.

This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What Youโ€™ll Do Processing (Training Ramp-Up)

  • Process medical claims and learn systems and workflows
Adjustments & Disputes (Core Role)
  • Investigate and resolve claim discrepancies and provider disputes
  • Perform adjustments, reprocessing, and corrections
  • Review overpayments, underpayments, and errors
Daily Operations
  • Handle high volume (~50 cases/day after ramp-up)
  • Update claims systems and maintain accurate records
  • Shift between processing and adjustment work
Quality & Accuracy
  • Identify trends and exceptions
  • Ensure accuracy and compliance
Why This Role Is a Great Fit
  • Grow adjustment expertise (not just processing)
  • Exposure to complex claims and dispute resolution
  • High-impact work on claim backlog
  • Mostly remote, flexible work model
  • Contract-to-hire with potential for full-time conversion based on performance
What You Bring Required Skills:
  • 2+ years of medical claims experience
  • Strong claims processing background
  • Adjustment experience (rework, discrepancies, or dispute resolution)
  • Ability to work in a fast-paced, high-volume environment
  • Strong attention to detail and problem-solving skills
Nice to Have (sets you apart):
  • Payer-side experience
  • FACETS or similar claims system experience
  • Exposure to refunds, subrogation, or workersโ€™ compensation

System One, and its subsidiaries including Joulรฉ and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1