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Remote Claims Processor Jobs in Clifton, NJ (NOW HIRING)

TailorMed

Copay Claims Processor

New York, NY · On-site +1

$18.50 - $23.50/hr

The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of ... Ability to work effectively in a remote environment * Experience working within EMRs and Billing ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Allcat Claims Service

Claims Examiner

New York, NY · Remote

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Assurant, Inc.

Property Claims Manager

Manhattan, NY · On-site +1

$88K - $147K/yr

A minimum of 3 years of experience working in the claims process in a P&C environment * A minimum ... General office demands #LI-Remote #AssurantProudJB Pay Range: $88,000.00 - $147,000.00 Any posted ...

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Remote Claims Processor information

See Clifton, NJ salary details

$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote claims processor in Clifton, NJ is $19.72, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.25 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 job categories do people searching Remote Claims Processor jobs in Clifton, NJ look for? The top searched job categories for Remote Claims Processor jobs in Clifton, NJ are:
What cities near Clifton, NJ are hiring for Remote Claims Processor jobs? Cities near Clifton, NJ with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Clifton, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $41,013 per year, or $19.7 per hour.

Copay Claims Processor

TailorMed

New York, NY • On-site, Remote

$18.50 - $23.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Job description

Description
Join Us at TailorMed - Transforming Healthcare Affordability
At TailorMed, we're on a mission to eliminate barriers across the entire medication journey-from affordability to access and adherence. As a pioneering force in healthcare, we're building a new category that transforms how patients, providers, pharmacies, life sciences, and payers collaborate to ensure every patient receives the treatment they need without delay.
Our enterprise solution streamlines the full lifecycle of patient support programs, reducing the cost of care and driving better outcomes. With the nation's largest Affordability Network-deployed across 800+ hospitals, 1,300 clinics, and 650 pharmacies-we're reshaping healthcare with innovative automation and industry-leading partnerships.
If you're passionate about making healthcare more accessible and impactful, we'd love to have you on our team. Join us and help redefine what's possible. Learn more at tailormed.co.
The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of our customer's internal teams. In this role, you'll help improve financial outcomes for patients by using our platform to submit claims on the patient's and provider's behalf to the approved manufacturer or foundation copay program, and for our customers by helping them improve their financial performance as an organization.
Responsibilities:
  • Ability to review pending claims thoroughly in detail to ensure accuracy
  • Submit copay claims through appropriate channels, including follow through to payment posting
  • Conduct timely follow up to check for claims status
  • Work closely with the Financial Navigation team to ensure accurate and timely processing of claims
  • Claim denial review and understanding in how to evaluate for next steps
  • Conduct outbound calls with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies
  • Conduct outbound calls effectively with customer's revenue cycle department to resolve any issues or discrepancies
  • Post claim payments accurately and appropriately as received
  • Maintain accurate records of all claims processed
  • Meet productivity and quality standards

Requirements:
  • 2+ years of experience in medical billing and coding, or financial navigation experience
  • Ability to work effectively in a remote environment
  • Experience working within EMRs and Billing Systems
  • Experience working with insurance providers and healthcare organizations
  • Knowledge of all insurance types
  • Excellent communication and organizational skills
  • Ability to work well in a fast-paced environment
  • Willingness to adhere to and work during customer's business hours
  • High school diploma or equivalent required
  • Workspace clear of noise and ability to work with PHI in a secure setting

What we offer:
  • Competitive salary + equity
  • Premium medical, dental, and vision insurance plans, a wide range of voluntary and supplemental benefits, and 24/7 benefits access and support
  • 401(k) plan
  • Paid holidays, vacation, and sick leave
  • Six weeks of paid parental leave
  • Company-paid life insurance
  • Company provided equipment and technology you'll need to be successful in your role
  • The opportunity to help shape the future of healthcare

TailorMed is proud to be an equal opportunity employer. TailorMed prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Due to the sensitive nature of the data that TailorMed handles, finalist candidates must complete a successful background and reference check.
At this time, TailorMed is unable to provide sponsorship for employment. In order to be considered for employment, applicants must be currently legally authorized to work in the United States and not require future sponsorship in order to continue working in the United States.

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