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Remote Claims Processor Jobs in Carol Stream, IL

Capstone Search Group

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Vice President, Workers Compensation Claims - Remote (10211)

Chicago, IL · Remote

$150K - $190K/yr

About the Role 100% remote, work-from-home insurance job opening for an accomplished leader to ... We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO ...

New

Insurance Staffing

EPL Claims Temp

Chicago, IL · Remote

$40 - $50/hr

Employment Practices Liability (EPL) Claims Adjuster Remote $40-$50/hr We are seeking an ... resolution processes * Conduct thorough investigations and evaluations to assess coverage ...

InsClaim Solutions, LLC

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Senior Professional Lines Claims Director / Head of Claims

Chicago, IL · Remote

$180K/yr

... processes, oversee a small boutique claims team, manage defense counsel, strengthen reporting, and ensure claim files are documented, evaluated, and managed at a high level. The role is remote, with ...

InsClaim Solutions, LLC

Be Seen First

Senior Professional Lines Claims Director / Head of Claims

Chicago, IL · Remote

$180K/yr

... processes, oversee a small boutique claims team, manage defense counsel, strengthen reporting, and ensure claim files are documented, evaluated, and managed at a high level. The role is remote, with ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Carol Stream, IL

Remote Claims Processor information

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$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote claims processor in Carol Stream, IL is $19.82, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.39 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 cities near Carol Stream, IL are hiring for Remote Claims Processor jobs? Cities near Carol Stream, IL with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Carol Stream, IL as of July 2026, with employment types broken down into 76% Full Time, 22% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $41,231 per year, or $19.8 per hour.
Claims Customer Service Representative II (Remote)

Claims Customer Service Representative II (Remote)

American Medical Association

Chicago, IL • On-site, Remote

$23.63 - $30.83/hr

Full-time

Medical, Life

Posted 6 days ago

Job description

Claims Customer Service Representative II (Remote)
Remote - FL, IL, IN and WI
AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.
At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve. We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.
We have an opportunity for a remote Claims Customer Service Representative II our AMA Insurance team. This role will provide Claim Call Center services for all plans of coverage issues byAMA Insurance. Assist insured with claim problems by phone or writtencommunication. Interact and correspond with Carriers to ensure quality claimservice is delivered. Provide moderate sales service support, providinginformation on benefits, eligibility, plan provisions, and premium billing asneeded. Engages callers to build and maintain a strongreputation and forge a lasting relationship. Achieves exceptionalresults for our customers and colleagues.
RESPONSIBILITIES:
Claims Customer Support & Issue Resolution
  • Respond to all incoming phone calls related to claim status inquiry from insured and providers within established response time and quality standards.
  • Log brief description of calls on CAMS and CAPS systems.
  • Make outbound calls as needed to support returned checks and resolve claim inquiries.
  • Refer claims that were improperly handled to AMAI Claim Supervisor for immediate attention.
  • Fulfill claim form requests for plans not administered by AMA Insurance.
  • Communicate with insurance carriers or service providers as needed in order to provide feedback on claims administered by carriers.
  • Handle waiver of premium transactions, cancellations due to death and other claims related transactions.
  • Update Contact management and customer sending surveys.

Operations & Sales Support
  • Provide information regarding benefits, eligibility, plan provisions, premium billing, and certificate changes as needed.
  • Process changes to Administration System, including personal and coverage information, sending documents to callers when needed.
  • Support business operations through participation in special projects as assigned by the Customer Service Supervisor.
  • Contribute to process improvements and operational efficiencies.
  • Assist in documenting workflows and service processes to support consistency and quality.

May include other responsibilities as assigned
REQUIREMENTS:
  1. High school diploma or equivalent education required
  2. Minimum of 2+ years' experience in life, health, or Medicare insurance required.
  3. Health or Life insurance license preferred.
  4. Demonstrated experience working in a high-volume customer service call center.
  5. Excellent telephone skills including proper telephone technique, multitasking skills and ability to control the call.
  6. In depth understanding of claim adjudication and benefits required.
  7. Demonstrated experience handling customer issues, including technical and financial related issues.
  8. Strong knowledge of insurance products, benefits administration, or third-party administration services preferred. Health insurance knowledge preferred.
  9. Excellent verbal and written communication skills with a high level of professionalism.
  10. High level proficiency with call center systems, telephony platforms, and personal computers.
  11. Advanced proficiency in Microsoft Office Suite (Word, Excel, Access, PowerPoint) and database systems.
  12. Ability to provide technical support for online tools, systems, and customer-facing platforms.
  13. Strong business process skills, including the ability to document, monitor, and improve workflows.
  14. Excellent planning, organization, and time management skills with the ability to manage multiple priorities in a fast-paced environment.
  15. Ability to build and maintain positive relationships with internal and external stakeholders.

This role is a non-exempt position and the hourly range for this position is $23.63 - $30.83. This is the lowest to highest rate we believe we would pay for this role at the time of this posting. An employee's pay within the salary range will be determined by a variety of factors including but not limited to business consideration, geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association's benefits offerings, please click here.
We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant's race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.
THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION
American Medical Association logo

About American Medical Association

Sourced by ZipRecruiter

Founded in 1847, the American Medical Association (AMA) is the largest and only national association that convenes 190+ state and specialty medical societies and other critical stakeholders. Throughout history, the AMA has always followed its mission: to promote the art and science of medicine and the betterment of public health. As the physicians’ powerful ally in patient care, the AMA delivers on this mission by representing physicians with a unified voice in courts and legislative bodies across the nation, removing obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises, and driving the future of medicine to tackle the biggest challenges in health care and training the leaders of tomorrow.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

Year founded

1847

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