Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Workers Compensation Claims Supervisor - Midwest
Saint Peters, MO · On-site +1
$79K - $113K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and ...
Workers Compensation Claims Supervisor - Midwest
Saint Peters, MO · On-site +1
$79K - $113K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and ...
Assignments Coordinator
Saint Louis, MO · On-site +1
$17 - $19/hr
It is reflected in the work we do, which brings integrity to the claims process, in the ... Option for a Hybrid work schedule after the first 90 days (3 remote, 2 in-office), flexible shift ...
Assignments Coordinator
Saint Louis, MO · On-site +1
$17 - $19/hr
It is reflected in the work we do, which brings integrity to the claims process, in the ... Option for a Hybrid work schedule after the first 90 days (3 remote, 2 in-office), flexible shift ...
Stop Loss Claims Resolution Consultant
Kansas City, MO · Remote
$64K - $83K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Stop Loss Claims Resolution Consultant
Kansas City, MO · Remote
$64K - $83K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Stop Loss Claims Resolution Consultant
Kansas City, MO · Remote
$64K - $83K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Stop Loss Claims Resolution Consultant
Kansas City, MO · Remote
$64K - $83K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
National Accounts Claims Supervisor - Commercial Auto & Trucking
Saint Louis, MO · Remote
$85K - $105K/yr
Remote Salary Range: $85,000 - $105,000 annually Build Your Career With Purpose at CCMSI At CCMSI ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
National Accounts Claims Supervisor - Commercial Auto & Trucking
Saint Louis, MO · Remote
$85K - $105K/yr
Remote Salary Range: $85,000 - $105,000 annually Build Your Career With Purpose at CCMSI At CCMSI ... We don't just process claims-we support people. As the largest privately-owned Third Party ...
Senior Manager, Stop Loss & Health Claims
Kansas City, MO · On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Senior Manager, Stop Loss & Health Claims
Kansas City, MO · On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Senior Manager, Stop Loss & Health Claims
Kansas City, MO · On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Senior Manager, Stop Loss & Health Claims
Kansas City, MO · On-site +1
$68K - $102K/yr
Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims processing to enhance operational effectiveness. * Collaborate with Partners: Work closely with third ...
Claims Specialist
Lees Summit, MO · Remote
$25/hr
Reporting, Analysis, and Continuous Improvement · Conduct structured root-cause analysis to determine whether identified claims or call issues are related to training, process design, system ...
Quick apply
Claims Specialist
Lees Summit, MO · Remote
$25/hr
Reporting, Analysis, and Continuous Improvement · Conduct structured root-cause analysis to determine whether identified claims or call issues are related to training, process design, system ...
Workers' Compensation Claims Representative III (Remote)
AR · On-site +1
$64K - $96K/yr
Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In ...
Workers' Compensation Claims Representative III (Remote)
AR · On-site +1
$64K - $96K/yr
Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In ...
Workers' Compensation Claims Representative III (Remote)
Saint Louis, MO · On-site +1
$64K - $83K/yr
Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In ...
Workers' Compensation Claims Representative III (Remote)
Saint Louis, MO · On-site +1
$64K - $83K/yr
Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In ...
Assignments Coordinator
Saint Louis, MO · On-site +1
$17 - $19/hr
Job Type Full-time Description The Current Opportunity Innovative Claims Services, a progressive ... Option for a Hybrid work schedule after the first 90 days (3 remote, 2 in-office), flexible shift ...
Assignments Coordinator
Saint Louis, MO · On-site +1
$17 - $19/hr
Job Type Full-time Description The Current Opportunity Innovative Claims Services, a progressive ... Option for a Hybrid work schedule after the first 90 days (3 remote, 2 in-office), flexible shift ...
Claims Consultant - Veterans Disability Appeals
Saint Louis, MO · On-site +1
$47K - $70K/yr
The VA Claims Consultant is responsible for reviewing and addressing technical, medical and ... Processes work in a timely and accurate manner. * Accurately and thoroughly document system notes ...
Claims Consultant - Veterans Disability Appeals
Saint Louis, MO · On-site +1
$47K - $70K/yr
The VA Claims Consultant is responsible for reviewing and addressing technical, medical and ... Processes work in a timely and accurate manner. * Accurately and thoroughly document system notes ...
Claims Adjuster II
Columbia, MO · On-site +1
Join our team as a Claims Adjuster II. In this position, you will be responsible for handling moderately complex commercial claims including property, auto, general liability, or workers ...
Claims Adjuster II
Columbia, MO · On-site +1
Join our team as a Claims Adjuster II. In this position, you will be responsible for handling moderately complex commercial claims including property, auto, general liability, or workers ...
Field Property Claims Adjuster: Sullivan, MO
Sullivan, MO · Remote
$26.01/hr
Remote ( #LI-Remote ) - This is a field role requiring travel to and from policyholder homes ... As part of this process, we typically close open positions within 8 to 21 days after posting. If ...
Field Property Claims Adjuster: Sullivan, MO
Sullivan, MO · Remote
$26.01/hr
Remote ( #LI-Remote ) - This is a field role requiring travel to and from policyholder homes ... As part of this process, we typically close open positions within 8 to 21 days after posting. If ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
Multi-Line Claim Supervisor- General Liability & Bodily Injury
Saint Louis, MO · Remote
$75K - $100K/yr
We don't just process claims-we support people. As the largest privately-owned Third Party ... Remote Employment Type: OTHER
Multi-Line Claim Supervisor- General Liability & Bodily Injury
Saint Louis, MO · Remote
$75K - $100K/yr
We don't just process claims-we support people. As the largest privately-owned Third Party ... Remote Employment Type: OTHER
Warranty Specialist
Saint Louis, MO · Remote
Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...
Warranty Specialist
Saint Louis, MO · Remote
Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...
Warranty Specialist
Saint Louis, MO · On-site +1
Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...
Warranty Specialist
Saint Louis, MO · On-site +1
Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...
Remote Claims Processor information
See Missouri salary details
$11.27 - $12.50
2% of jobs
$12.50 - $13.73
6% of jobs
$13.73 - $14.96
9% of jobs
$15.60 is the 25th percentile. Wages below this are outliers.
$14.96 - $16.19
14% of jobs
$16.19 - $17.42
18% of jobs
The median wage is $17.46 / hr.
$17.42 - $18.65
17% of jobs
$19.33 is the 75th percentile. Wages above this are outliers.
$18.65 - $19.88
16% of jobs
$19.88 - $21.11
7% of jobs
$21.11 - $22.34
4% of jobs
$22.34 - $23.57
4% of jobs
$23.57 - $24.80
2% of jobs
$11
$17
$24
How much do remote claims processor jobs pay per hour?
What are some common challenges faced by remote claims processors, and how can they be addressed?
What does a remote claims processor do?
The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.
What does a remote claims processor do?
What are the key skills and qualifications needed to thrive as a remote claims processor, and why are they important?
What is the difference between Remote Claims Processor vs Remote Claims Examiner?
| Aspect | Remote Claims Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or claims processing certifications | High school diploma or equivalent; often requires licensing or certification in insurance claims examination |
| Work Environment | Home-based or remote office; primarily computer and phone work | Home-based or remote; involves reviewing and analyzing insurance claims |
| Industry Usage | Insurance, healthcare, government agencies | Insurance companies, healthcare providers, government agencies |
| Common Search/Comparison | Yes | Yes |
Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 2 days ago
Job description
Company
Argo GroupArgo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
Job Description
Business Title(s):Senior Construction Defect Technical Claims Specialist
Employment Type:Full-Time
FLSA Status:Exempt
Location:In-Officeor Remote
Summary:
We are looking for a highly capable Senior Construction Technical Claims Specialist Team Lead to join our team and work from any of the following Argo offices: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond (VA). Alternatively we can fill this role with a fully remote employee, except in the States of AK, DE, HI, KY, MI, MS, MT, ND, SD, or VT. This role will be adjudicating our most complex construction defect claims for our customers and contribute to providing superb results for our clients.
Candidates must be able to work during standard business hours.
EssentialResponsibilities:
Working under limited oversight under broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
- Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
- Reporting to senior management and underwriters on claims trends and developments.
- Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
- Investigating claims promptly and thoroughly, including interviewing all involved parties.
- Managing claims in litigation
- Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
- Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
- Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
- Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
- Preparing reports for file documentation
- Applying creative solutions which result in the best financial outcome.
- Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost effective manner.
- Processing mail and prioritizing workload.
- Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
- Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
- A deep knowledge of construction defect claims, along with an exceptional focus on customer service, typically achieved through a minimum of:
- Seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
- Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating commercial general liability bodily injury claims beyond the minimum experience required above may be substituted in lieu of a degree.
- Licenses in multiple jurisdictions. Applicants either need to possess a General Adjusting License in Florida, Texas or Wyoming or currently be licensed in multiple other jurisdictions. In addition, applicants must have the ability within three months of hire to obtain other licenses in each jurisdiction (either through reciprocity of their Florida, Texas or Wyoming license or by obtaining a license in each jurisdiction (such as required by New York).
- Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
- Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
- A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:
- Finding a way to achieve success through adversity.
- Being solution (not problem) focused
- Thinking with a global mindset first.
- Must have excellent communication skills and the ability to build lasting relationships.
- Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
- Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.
- Excellent evaluation and strategic skills required.
- Strong claim negotiation skills a must.
- Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate.
- Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
- Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
- Demonstrates innovative thinking and regularly shares ideas to help the team whenever possible
- Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
- Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
- Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
- Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
- Proficient in MS Office Suite and other business-related software.
- Polished and professional written and verbal communication skills in order to present information accurately and effectively.
- The ability to read and write English fluently is required.
- Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
- Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days
The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
- Colorado outside of Denver metro, Delaware, Illinois (outside of Chicago metro area), Maine, Maryland, Massachusetts (outside of Boston metro area), Minnesota, Nevada, Rhode Island, Vermont, and Virginia Pay Ranges: $137,496 - $164,934
- Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. metro area, & Washington State Pay Ranges: $151,062 - $181,254
- Los Angeles, San Francisco, and New York City (including but not limited to Westchester county) metro areas Pay Ranges: $165,036 - $ 198,084
About Working in Claims at Argo Group
- Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
- Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
- We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
- Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
- We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to ourHR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.