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Remote Claims Processor Jobs in Columbia, MD (NOW HIRING)

CareFirst

Claims Adjuster I (Remote)

Washington, DC · Remote

Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

CareFirst

Claims Adjuster III (Remote)

Baltimore, MD · Remote

Verifies Insurance Claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Columbia, MD

Remote Claims Processor information

See Columbia, MD salary details

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$26

How much do remote claims processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims processor in Columbia, MD is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.34 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.

More about Remote Claims Processor jobs

What are popular job titles related to Remote Claims Processor jobs in Columbia, MD?

For Remote Claims Processor jobs in Columbia, MD, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Columbia, MD look for?

The top searched job categories for Remote Claims Processor jobs in Columbia, MD are:

What cities near Columbia, MD are hiring for Remote Claims Processor jobs?

Cities near Columbia, MD with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Columbia, MD as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $39,239 per year, or $18.9 per hour.

Claims Adjuster I (Remote)

CareFirst

Washington, DC • Remote

Full-time

Retirement

Re-posted 24 days ago

CareFirst BlueCross BlueShield rating

7.3

Company rating: 7.3 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

238th of 310 rated insurance

Job description

Resp & Qualifications

PURPOSE: 
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
ESSENTIAL FUNCTIONS:

  • Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
  • Updates claims audit records by entering, verifying, and securing data.
  • Settle standard/complex claims through payment or denial.
  • Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends.
  • Improves claims adjustment job knowledge by attending training sessions.

QUALIFICATIONS:
Education Level: High School Diploma or GED.
Experience: 3 years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications:

  • Above Target performance rating preferable. 

Knowledge, Skills and Abilities (KSAs)

  • Ability to analyze information gathered from investigation.
  • Excellent communication skills both written and verbal.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Skill in completing assignments accurately with attention to detail.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: 36,576 - 67,056

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LY1 

What CareFirst BlueCross BlueShield employees say

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