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Remote Claims Processor Jobs in Andover, MN (NOW HIRING)

WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is a leading provider of business process ... The Claims Manager position is responsible for evaluation and rendering eligibility decisions on ...

Claims processing knowledge. Location Preferences: This role is open to Remote in Birmingham, A.L., or Hybrid in Minneapolis, M.N. Successful applicants must be eligible to work in the US (visa ...

Informs claimants of documentation required to process claims, required timeframes, and claims ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

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Remote Claims Processor information

See Andover, MN salary details

$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote claims processor in Andover, MN is $19.79, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $21.35 per hour, depending on experience, location, and employer.

What are some common challenges faced by Remote Claims Processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

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?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

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.

What are popular job titles related to Remote Claims Processor jobs in Andover, MN? For Remote Claims Processor jobs in Andover, MN, the most frequently searched job titles are:
What cities near Andover, MN are hiring for Remote Claims Processor jobs? Cities near Andover, MN with the most Remote Claims Processor job openings:
Infographic showing various Remote Claims Processor job openings in Andover, MN as of July 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $41,158 per year, or $19.8 per hour.
Claims Manager - LSW or RN

Claims Manager - LSW or RN

illumifin

Eden Prairie, MN • On-site, Remote

$60K/yr

Full-time

Re-posted 25 days ago


Illumifin rating

8.1

Company rating: 8.1 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

95th of 209 rated software companies


Job description

The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
illumifin is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.
The Claims Manager position is responsible for evaluation and rendering eligibility decisions on home and facility based Long Term Care claims (standalone and hybrid), chronic illness riders and/or critical illness within client contract and policy parameters, while providing quality customer service to our policy holders, their representatives and providers. A Claims Manager will be required to review and certify for chronic illness.
CLAIMS MANAGER RESPONSIBILITIES
  • Review internal databases, client guidelines and policy contract language to evaluate routine home and facility-based claims, in accordance with department processes and standards.
  • Communicate clearly and routinely with claimants, representatives, third parties, physicians and healthcare providers via written letters and phone calls as required by agreed upon SLAs and. Additionally, effectively communicate with team members and leadership on cases, as needed.
  • Query service providers to obtain licensure information, proof of loss and dates of service. Verify that provider and/or care is appropriate base on the claimant's diagnosis and is in accordance with contract language and government regulations regarding healthcare providers.
  • Maintain clear and concise documentation of all claim activity within the required databases.
  • Create plans of care and complete Chronic Illness Certification as appropriate.
  • Provide prompt, courteous and excellent customer service to internal and external customers.
  • Demonstrate effective communication skills, level of attentiveness and use of appropriate lines of authority. Promptly share accurate and complete information to others who need it, based on HIPAA and legal documents regarding release.
  • Perform work accurately and demonstrate ability to prioritize workload.
  • Participate in team meetings and assist colleagues with their work loads when appropriate.
  • Uphold the principles of compliance as outlined in the Code of Conduct, Employee Handbook and related policies and procedures. Supports and participates in the mandatory Corporate Compliance Program training initiative on an annual or more frequent basis, as required.
  • Meet established quality and production expectations as established and communicated by the department.
  • Work independently with minimal direction.
  • Other duties as assigned.

Minimum Qualifications
  • Current and Unrestricted Registered Nurse (RN) or Social Work license.
  • Four-year college degree or equivalent formal training program.
  • Two years' experience in medical, insurance or risk management setting.
  • One-year work experience in claim processing.
  • Intermediate level experience with Microsoft Office products.
  • Excellent verbal and written communication.

Preferred Qualifications
  • Experience working in a geriatric healthcare environment
  • Knowledge of health, long-term care of disability insurance

The annual compensation target is at $60,000 depending on experience and qualifications

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