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Remote Claims Processing Jobs (NOW HIRING)

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Review and validate claims using established criteria and processing guidelines. * Prepare cases ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote

Sagility LLC

Claims Processor - Work from Home

$17/hr

... remote team! Claims Processors are responsible for the accurate and timely entry, review, and ... All claim processing must align with CMS guidelines and client-specific policies and procedures.

HealthEdge

Temporary BPaaS Claims Processor

$17.50 - $22/hr

The Opportunity: • Be responsible for processing assigned claims based on client-specified ... Remote, US Work Environment: The physical demands described here are representative of those that ...

Sagility

Claims Processor - Work from Home

$17/hr

All claim processing must align with CMS guidelines and client-specific policies and procedures ... connected remote teams. Being on camera is an integral part of our culture. It is how we build ...

Aston Carter

Claims Assistant

Happy Valley, OR · On-site +1

$19.75 - $25/hr

Claims Assistant The Claims Assistant provides high-quality warranty registration and warranty ... processes and documentation is an asset. Work Environment This position offers a 100% remote work ...

New

Aston Carter

Claims Assistant

Happy Valley, OR · On-site +1

$19.75 - $25/hr

Claims Assistant The Claims Assistant provides high-quality warranty registration and warranty ... processes and documentation is an asset. Work Environment This position offers a 100% remote work ...

New

HealthEdge

Temporary BPaaS Claims Processor

$17 - $21.50/hr

Be responsible for processing assigned claims based on client-specified guidelines or as directed ... Remote, US Work Environment: The physical demands described here are representative of those that ...

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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 Reviewer

Claims Reviewer

TEEMA

Phoenix, AZ • Remote

$26.40 - $27.88/hr

Full-time

Posted 18 days ago

Job description

Claims Reviewer Opportunity

Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!

Position Highlights

  • Role: Conduct retrospective review of medical, surgical, and behavioral health claims.

  • Focus: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.

  • Collaboration: Work closely with medical directors, providers, peer reviewers, and various internal teams.

Key Responsibilities

  • Review and validate claims using established criteria and processing guidelines.

  • Prepare cases for payment or further review.

  • Identify opportunities for process improvement and flag quality or fraud concerns.

  • Support peers and clinical/non-clinical staff with claims and coding inquiries.

What You Bring

  • Required:

    • High School Diploma or GED.

    • 2+ years of experience in medical claims review.

    • Familiarity with medical claims processing and terminology.

  • Preferred:

    • Coding experience.

    • Knowledge of behavioral health claims.

Skills for Success

  • Strong technical skills in claims tools (e.g., CDST, Supercoder).

  • Organizational and team-building abilities.

  • Resilience in a fast-paced, high-intensity environment.

  • Effective communication and problem-solving.

Additional Requirements

  • Must pass background, credit, and drug screening.

  • Adherence to federal THC policies (medical card required if applicable).

Eligible Locations
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.

Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!

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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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