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Remote Claims Processing Jobs (NOW HIRING)

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Remote Reports to: Claims Supervisor Position Summary: The Claims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

ImageNetLLC

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

IQVIA

Medical Biller/Claims Processing

Kansas City, KS · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Texas (Remote); Austin, TX (preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a ... As a key member of our organization, you will be responsible for processing medical claims ...

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

IQVIA

Medical Biller/Claims Processing

Flagstaff, AZ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

Allied Tech

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized ... Fully remote position * Competitive health, dental, and vision insurance * 401(k) with up to 6% ...

KARNA LLC

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote Salary Description $22-25/hour

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Remote Claims Processing information

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How much do remote claims processing jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for remote claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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.

More about Remote Claims Processing jobs
What cities are hiring for Remote Claims Processing jobs? Cities with the most Remote Claims Processing job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
What states have the most Remote Claims Processing jobs? States with the most job openings for Remote Claims Processing jobs include:
What job categories do people searching Remote Claims Processing jobs look for? The top searched job categories for Remote Claims Processing jobs are:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in the United States as of June 2026, with employment types broken down into 56% Full Time, 37% Part Time, and 7% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Quality Auditor - Remote

Imagenet

Tampa, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Claims Quality Auditor| Remote
Job Type: Full time
Work Setup: Remote
Reports to: Claims Supervisor
Position Summary:
The Claims Quality Auditor plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidate has hands on experience with EZCap, auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans. This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.
Key Duties:
  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:
  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare, TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

COMPANY OVERVIEW:
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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