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Remote Claims Processing Jobs in Silver Spring, MD

Puyenpa

Licensed Attorney

Washington, DC · On-site +1

This is a full-time remote position that may require personnel to be onsite in Washington D.C. with ... Prior experience with claims adjudication, government programs, or legal review processes a plus.

WearLinq

Medical Billing Associate

Rockville, MD · Remote

... claims processing * Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows ... Benefits: * Optional Remote work opportunity * 401(k) * Dental insurance * Health insurance

Puyenpa

Paralegal

Washington, DC · Remote

This is a full-time remote position that may require personnel to be onsite in Washington D.C. with ... Responsibilities: * Assist with the review, analysis, and processing of claims submitted under ...

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All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Silver Spring, MD

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 Jun 11, 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:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Silver Spring, MD as of June 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $41,210 per year, or $19.8 per hour.
SIU Healthcare Investigator (Full-time, Remote)

SIU Healthcare Investigator (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • On-site, Remote

Full-time

Posted 9 days ago

Job description

Job Summary
We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will play a crucial role in ensuring the accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses, and process improvements. The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change in aberrant behavior observed in our healthcare customer's claims and enrollment data. You will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings.
Key Responsibilities
  • Identify and conduct investigations into known or suspected FWA with high autonomy
  • Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.
  • Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity)
  • Participate in the development and presentation of FWA-related education for assigned Customers
  • Perform coding reviews for flagged claims, to support Coding team (if applicable).

Requirements
Qualifications
  • Education:
    • Bachelor's degree in Criminal Justice or a related field, OR at least 3 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
  • Experience:
    • Minimum of 2 years of experience in healthcare claims analysis, auditing, payment integrity, or a related field.
    • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
    • Experience handling confidential information and following policies, rules, and regulations
    • Experience with commercial, Medicare, or Medicaid claims is highly preferred.
  • Skills:
    • Strong analytical and problem-solving skills, with attention to detail and accuracy.
    • Excellent communication skills, both written and verbal, for effective collaboration with internal teams and external providers.
    • Proficiency in Microsoft Office, particularly Excel, and familiarity with claims processing or audit software is a plus.

Preferred Qualifications
  • Certifications: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), or similar desired.
  • Additional Certifications: Certified Professional Coder (CPC) or similar desired.

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