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Remote Claims Processor Jobs in Bloomington, IL (NOW HIRING)

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Remote Claims Processor information

See Bloomington, IL salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for remote claims processor in Bloomington, IL is $18.21, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.62 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.

More about Remote Claims Processor jobs
What are popular job titles related to Remote Claims Processor jobs in Bloomington, IL? For Remote Claims Processor jobs in Bloomington, IL, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Bloomington, IL look for? The top searched job categories for Remote Claims Processor jobs in Bloomington, IL are:
What cities near Bloomington, IL are hiring for Remote Claims Processor jobs? Cities near Bloomington, IL with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Bloomington, IL as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $37,869 per year, or $18.2 per hour.

Provider Enrollment Specialist(Remote)

T3Cogno Private Limited

Texas, IL • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Job description

  • California market experience is key
  • Examples: MediCal; Blue Cross Blue Shield of California
  • Must have experience with Department of Labor enrollments
  • Healthstream experience is preferred
  • Prior experience with internal auditing is key
  • CAQH experience is a plus


Location: Fully remote role with expected work hours from 8:30 AM to 5PM CT Mon-Fri.

Summary Description: 

The Provider Enrollment Specialist will be responsible for coordinating the requests for participation in health insurance network as a medical provider, monitoring, and maintaining the provider enrollment and re-enrollment process in a timely and compliance manner with all government and commercial payors. They will also review provider credentialing and/or recredentialing data for accuracy based on licensing requirements and various insurer payer requirements.

Job Responsibilities: 

  • Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner.
  • Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified. Maintains positive working relationships with providers.
  • Plays an active role in explaining providers and practice/office managers of the submission requirements for credentialing/recredentialing processes, stressing the importance of compliance with these processes.
  • Obtains updated provider information from various sources including provider offices, state licensing boards, malpractice insurance companies, residency training programs, etc.
  • Identifies and resolves problems with primary source verification elements by interpreting, analyzing, and researching data.
  • Proactively obtains updated provider credentialing data prior to expiration. Creates, develops, and maintains applicable matrices and/or utilizes departmental software that supports the enrollment functions. Completes all additions, updates, and deletions. Supports new provider onboarding processes as related to enrollment.
  • Communicates updated payer enrollment information including payer provider numbers to practice operations in a timely manner while fostering working relationships and teamwork with departments, vendors, etc.
  • Develops databases and spreadsheets for tracking organization providers. Ensures data is accessible/transparent for executive inquiries or other information as deemed necessary by management.
  • Continuously searches for process improvements to achieve accuracy and efficiencies.
  • Performs other duties as assigned or required.

Skills and Education: 

  • High School Diploma or equivalent.
  • Experience in Radiology Payer Enrollment.
  • 5 years' experience in a physician medical practice with a basic understanding of various payer billing requirements and claims processing or experience with payer credentialing/enrollment requirements.
  • Proficiency in Microsoft Word, Excel, Outlook, PDF Software and other management tools.
  • Motivated to quickly learn and demonstrate strong problem-solving skills.
  • Strong project management and multitasking skills.
  • Excellent interpersonal and communication skills.
  • Strong writing skills and attention to detail.
  • Strong organizational skills and ability to be attentive to details.
  • Demonstrated knowledge of healthcare contracts preferred

Company Benefits and Perks:

Joining  comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

  • Access to a 401(k) Retirement Savings Plan.
  • Comprehensive Medical, Dental, and Vision Coverage.
  • Paid Time Off.
  • Paid Holidays.
  • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

If you are a dedicated and experienced Provider Enrollment Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at 


Employment Type: FULL_TIME

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