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Remote Claims Processor Jobs in Buffalo, NY (NOW HIRING)

AppleOne

Certified Professional Coder

Grand Island, NY · On-site +1

$70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... injury claims. This position offers a remote work environment, flexible scheduling, and the ... If you need a reasonable accommodation for any part of the employment process, please contact your ...

Manulife

Senior Underwriting Consultant

Alabama, NY · Remote

$88K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... process, contact hr@manulife.com. Referenced Salary Location USA, Massachusetts - Full Time Remote ...

A-Line Staffing Solutions

Be Seen First

Inbound Benefit Customer Service (Remote)

Buffalo, NY · Remote

$18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... enrollment process, updating benefit information, and providing exceptional customer support ... Buffalo, NY (Remote or Onsite) Pay Rate: $18.00/hour Schedule: * Monday - Friday * 8-hour shift ...

Medix

REMOTE Account Manager (PBM)

Williamsville, NY · On-site +1

$28.85 - $38.46/hr

Help manage internal RFP/procurement and market-check processes for assigned accounts, including ... Excel and data analysis skills - Ability to work with pharmacy or claims data to identify trends ...

Everforth, Cybercoders

Workers Comp Defense Attorney

Buffalo, NY · On-site +1

$75K - $90K/yr

  • Medical

  • Retirement

  • PTO

Manage New York workers' compensation claims from referral through resolution * Represent clients ... Hybrid/remote opportunities available after the initial training period This is an excellent ...

New

micro1 AI

Medical Billing Specialist

Buffalo, NY · 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 ...

micro1 AI

Medical Billing Specialist

Buffalo, NY · 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 ...

Excelsior Orthopaedics

Certified Medical Coder

Amherst, NY · Remote

$21 - $35.64/hr

  • Retirement

Opportunity to work fully remote after training * Opportunity to become a part of organization that ... Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer ...

A-Line Staffing Solutions

Be Seen First

Remote Benefits Enrollment Representative (Local candidates only!)

Buffalo, NY · Remote

$18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Benefit Customer Service Representative (Local Candidates Only) Now Hiring in Buffalo, NY! Join our team as a Benefit Customer Service Representative and play a key role in helping members ...

AP Professionals

CLIENT SERVICE REPRESENTATIVE

Buffalo, NY · Remote

$15.50 - $21.25/hr

We have teamed up with our clients to get creative in terms of finding effective ways to make for a successful interview and hiring process. Client Services Representative: -15-hr. -Temporary to ...

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Showing results 21-40

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Buffalo, NY

Remote Claims Processor information

See Buffalo, NY salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote claims processor in Buffalo, NY is $18.56, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.05 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 Buffalo, NY? For Remote Claims Processor jobs in Buffalo, NY, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Buffalo, NY look for? The top searched job categories for Remote Claims Processor jobs in Buffalo, NY are:
What cities near Buffalo, NY are hiring for Remote Claims Processor jobs? Cities near Buffalo, NY with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Buffalo, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,614 per year, or $18.6 per hour.

Certified Professional Coder

AppleOne

Grand Island, NY • On-site, Remote

$70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Job description

Job Summary
A direct hire opportunity is available for an experienced Certified Professional Coder based in Grand Island, NY. This role is ideal for a detail-oriented CPC professional with strong medical coding, fee schedule, bill review, and clinical documentation knowledge who wants to apply their expertise in a specialized legal, insurance, and forensic medical review environment.
The Certified Professional Coder will support complex medical bill review matters involving no-fault, workers' compensation, and personal injury claims. This position offers a remote work environment, flexible scheduling, and the opportunity to work independently while contributing to high-impact case analysis, reimbursement review, and legal documentation.
This is a strong fit for someone who values accuracy, autonomy, supportive leadership, and a collaborative professional team. The environment offers stability, work-life balance, comprehensive benefits, and the chance to use advanced coding knowledge in a meaningful and highly specialized setting.
Key Responsibilities
- Review physician and facility bills for compliance with NYS and/or NJ Workers' Compensation and No-Fault Fee Schedules.
- Audit medical bills, coding practices, and clinical documentation using industry-standard coding resources and databases.
- Evaluate medical necessity, coding accuracy, stabilization points, and appropriateness of billed services for complex medical claims.
- Identify billing discrepancies, including upcoding, unbundling, non-compliant billing practices, and charges outside fee schedule parameters.
- Prepare detailed counter-affidavits, affirmations, cost reports, and written findings for arbitration, litigation, and court submissions.
- Collaborate with internal teams and provider billing representatives while maintaining HIPAA compliance and strict confidentiality.
Compensation and Benefits
- Direct hire opportunity.
- Compensation: $50,000 to $70,000 per year.
- Schedule: Monday through Friday, 8:00 AM to 4:30 PM.
- Flexible schedule.
- Remote work environment.
- 401(k) with 3% company match.
- Health insurance options.
- Dental insurance.
- Health Savings Account.
- Life insurance.
- Disability insurance.
- 10 days PTO annually.
- 5 New York State sick days.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1141

Company Description

This company offers growth and a great group of people to work with.

AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964

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