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Remote Claims Processor Jobs in Bethlehem, PA (NOW HIRING)

Linesight

Cost Manager

Lansdale, PA · Remote

$84K - $125K/yr

Support the settlement of construction disputes/loss and expense claims with transparency * Resolve ... Actively participate in the tender/bid process--from initial tender/bid documentation through ...

Guardianlife

Dental Standards Leader

Bethlehem, PA · On-site +1

$86K - $141K/yr

... developing, designing and reimagining processes that support our distribution, claims ... Will consider candidates with required qualifications in other locations and or Remote. Salary ...

Linesight

Commercial Manager

Lansdale, PA · On-site +1

$125K - $175K/yr

Actively participate in the tender/bid process--from initial tender/bid documentation through ... Support the settlement of construction disputes/loss and expense claims with transparency * Support ...

MCKESSON

Field Reimbursement Manager

Bethlehem, PA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

micro1 AI

Medical Billing Specialist

Allentown, PA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Paychex

Client Service Representative

Allentown, PA · On-site +1

$20/hr

Uses prescribed guidelines to ensure good customer relations are maintained and customer claims and ... Drive innovation in our products and services and continually improve our processes. * Work in ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims processor in Bethlehem, PA is $18.94, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.43 per hour, depending on experience, location, and employer.

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 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 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.

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For Remote Claims Processor jobs in Bethlehem, PA, the most frequently searched job titles are:

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The top searched job categories for Remote Claims Processor jobs in Bethlehem, PA are:

What cities near Bethlehem, PA are hiring for Remote Claims Processor jobs?

Cities near Bethlehem, PA with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Bethlehem, PA as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 12% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 81% Physical, 5% Hybrid, and 14% Remote job distribution, with an average salary of $39,388 per year, or $18.9 per hour.

Director of Insurance Analytics

MSIG Holdings USA, Inc.

Warren, NJ • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Job description

MSIG USA continues to grow!

Company Overview:

MSIG USA is the US-based subsidiary ofMS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks.

Summary/Job Purpose:

Part of the MS&AD group, a top-10 global P&C insurance carrier, MSIG USA is on a mission to become a data-driven leader in specialty insurance, focused on ambitious and profitable growth. Our Insurance Analytics function is at the heart of this transformation - delivering analytics and data science solutions that drive impact across Underwriting, Pricing, Claims, Actuarial and beyond.

We are seeking a hands-on analytics Manager/Director to lead a portfolio of high-impact initiatives, drive cross-functional delivery, and personally develop analytical solutions. This role is ideal for a builder-leader who thrives on both technical execution and stakeholder engagement.

You will lead the full analytics lifecycle end-to-end: problem framing and hypothesis definition, experimentation and modeling, and operationalization into repeatable decision support with monitoring and sustained adoption. Success is measured by measurable business outcomes, not slideware.

(Hybrid - 4 days in office; remote considered in exceptional circumstances)

Essential Functions

  • Lead a portfolio of analytics & data science initiatives
  • Own a portfolio of initiatives end-to-end: problem framing, prioritization, delivery planning, stakeholder alignment, and measurable business outcomes.
  • Translate ambiguous business questions into clear problem statements, hypotheses, and structured analytical approaches that influence decisions and operations.
  • Define success metrics and measurement plans (including benefit estimation) and track adoption and impact over time.
  • Drive cross-functional delivery across Underwriting, Pricing, Claims and Actuarial; ensure solutions are practical, adopted, and aligned to business priorities.
  • Partner closely with business leaders to align work to decision needs, manage tradeoffs transparently, and maximize impacts
  • Contribute directly by writing and reviewing code (Python & SQL), building analytical prototypes, reusable analytics assets, and decision-support tools, and unblocking technical decisions.
  • Apply statistical and machine learning techniques (e.g., regression, classification, clustering, time series) to solve business problems and support decision-making.
  • Develop and deploy solutions in a cloud-based analytics environment, partnering with platform and engineering teams to operationalize outputs into business workflows and drive sustained adoption.
  • Design and execute experiments and tests (as appropriate to the use case) to evaluate interventions, quantify impact, and support decision-making.
  • Define and reinforce production-minded practices and standards for analytical quality appropriate to the use case: validation, testing/controls, documentation, reproducible code, and operational transition plans for ongoing use.
  • Establish monitoring expectations appropriate to the solution (e.g., usage, data quality, and model performance) and drive continuous improvement based on signals.
  • Deliver decision support for Underwriting and Pricing/Actuarial
  • Lead and contribute to solutions that improve underwriting and pricing decisions (e.g., portfolio diagnostics, segmentation and feature development, workflow decision support), partnering closely with business leaders to drive adoption and measurable impact.
  • Support implementation into decisions and processes by educating stakeholders on model/analysis intent, limitations, and appropriate use, and by providing practical documentation and tooling.
  • Communicate findings clearly to both technical and non-technical audiences, and translate insights into concrete actions, process changes, or product improvements.
  • Partner with Claims leadership to identify and deliver high-value analytics and decision support opportunities that improve operational effectiveness and outcomes.
  • Support the data enablement needed for claims analytics in partnership with data and technology teams; translate claims workflows into analytics-ready measures and repeatable decision support and reporting.
  • Where applicable, help operationalize and monitor analytical solutions used in claims decisioning and workflows.
  • Serve as a trusted thought partner to senior stakeholders; communicate clearly, facilitate working sessions, and manage tradeoffs transparently.
  • Produce executive-ready narratives that connect analytical evidence to decisions, risks, and tradeoffs.
  • Mentor data scientists/analysts on problem structuring, technical approach, and effective communication.
  • Over time, help build the team through hiring, onboarding, and talent development as scope expands; responsibilities may evolve into formal people leadership.
  • Collaborate with technology and data platform teams to enable responsible deployment and operation of analytics solutions (access, security, maintainability, and monitoring expectations appropriate to the solution), without owning enterprise platforms.
  • Help define reusable patterns for analytics delivery (templates, review checklists, documentation standards) that reduce friction and improve time-to-value.

Supervisory Responsibilities:

  • This position is a hands-on program/initiative lead and may include people leadership. Scope and people-management responsibilities will vary by final level (Manager vs Director) and organizational needs.

Qualifications:

  • To perform this job successfully, an individual must be able to perform each essential duty. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Qualifications

  • Bachelor's degree in Statistics, Computer Science, Mathematics, Economics, or a related quantitative field or equivalent practical experience.
  • 7+ years of experience in analytics or data science, with a track record of delivering measurable business impact.
  • 2+ years leading analytics initiatives and/or mentoring technical team members in a senior/lead capacity.
  • Proficiency in Python and SQL; ability to write production-quality analytical code and review others' work.
  • Strong communication skills with ability to influence senior stakeholders; translate technical work into clear decisions, actions, and tradeoffs

Preferred Qualifications

  • Bachelor's or Master's degree in Statistics, Mathematics, Computer Science, Engineering, Economics, or a related field (or equivalent practical experience).Property & Casualty insurance experience (commercial lines preferred) or demonstrated ability to ramp quickly in complex domains.
  • Experience productionizing analytics/model outputs in partnership with engineering teams (e.g., APIs/services, CI/CD, containerization).
  • Experience with cloud-based analytics environments and modern ML frameworks (e.g., scikit-learn, XGBoost).
  • Experience with experimentation, causal inference, or rigorous measurement approaches in business settings.
  • Experience establishing monitoring practices appropriate to the solution (e.g., model performance, data quality, usage/adoption).
  • Familiarity with BI tools (Power BI, Tableau) and data visualization best practices.
  • Track record of mentoring, coaching, and/or managing technical teams.

#LI-HYBRID


Salary: The base pay range is $225,000.00 - $250,000.00 . Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
Additional Benefits:
Healthcare and Retirement Benefits
Comprehensive medical, dental, and vision coverage
401(k) with a generous employer match and profit-sharing contribution
Wellness incentive program
Life and accidental death and dismemberment (AD&D) insurance
Flexible spending programs
Short-term and long-term disability plans
Additional Benefit Programs
Paid time off program
Paid charitable leave
Paid parental leave
Tuition reimbursement program
Personal insurance (auto/homeowners) discounts

It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!


It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.

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