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Remote Claims Processing Jobs in Silver Spring, MD

CareFirst

Claims Adjuster I (Remote)

Washington, DC · Remote

Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

Unissant

Lead Software Developer

Washington, DC · Remote

$131K - $188K/yr

Medicare claims processing systems * Business rules engine development * Large-scale transaction ... This position is primarily remote with occasional travel (up to 5%) as required. Environmental ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

UNISSANT

Lead Software Developer

Washington, DC · Remote

$131K - $164K/yr

Medicare claims processing systems * Business rules engine development * Large-scale transaction ... This position is primarily remote with occasional travel (up to 5%) as required. Environmental ...

Practice Paradigm

Be Seen First

Dental & Medical Practice Management Software Trainer

Reston, VA · Remote

Claims processing * Payment posting * Patient communications * Reporting and practice management ... Comfortable conducting remote training using Microsoft Teams, Zoom, or similar platforms. * Self ...

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Remote Claims Processing information

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How much do remote claims processing jobs pay per hour?

As of Jul 15, 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
Claims Adjuster I (Remote)

Claims Adjuster I (Remote)

CareFirst

Washington, DC • Remote

Other

Retirement

Posted 18 days ago

CareFirst BlueCross BlueShield rating

7.3

Company rating: 7.3 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

219th of 281 rated insurance

Job description

Resp & Qualifications

PURPOSE: 
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
ESSENTIAL FUNCTIONS:

  • Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
  • Updates claims audit records by entering, verifying, and securing data.
  • Settle standard/complex claims through payment or denial.
  • Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends.
  • Improves claims adjustment job knowledge by attending training sessions.

QUALIFICATIONS:
Education Level: High School Diploma or GED.
Experience: 3 years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications:

  • Above Target performance rating preferable. 

Knowledge, Skills and Abilities (KSAs)

  • Ability to analyze information gathered from investigation.
  • Excellent communication skills both written and verbal.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Skill in completing assignments accurately with attention to detail.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: 36,576 - 67,056

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LY1 

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