Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... Schedule: This position is remote from your home, but you are required to service the assigned ...
Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... Schedule: This position is remote from your home, but you are required to service the assigned ...
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Claims Advocate
Columbia, SC ยท Remote
$78K - $95K/yr
Analyze claims for accuracy, completeness and eligibility, prepare and maintain reports and process payments. The Claims Advocate will have responsibilities in these areas subject to standards of ...
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Be Seen First
Claims Advocate
Columbia, SC ยท Remote
$78K - $95K/yr
Analyze claims for accuracy, completeness and eligibility, prepare and maintain reports and process payments. The Claims Advocate will have responsibilities in these areas subject to standards of ...
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote
Columbia, SC ยท On-site +1
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... claims processing, and MMIS initiatives for a large healthcare and government environment. This ...
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote
Columbia, SC ยท On-site +1
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... claims processing, and MMIS initiatives for a large healthcare and government environment. This ...
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... Perform analysis of medical coding changes and assess impact on business processes, claims ...
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... Perform analysis of medical coding changes and assess impact on business processes, claims ...
Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... Minimum of 5 years of experience with medical claims processing systems. Proficiency with Microsoft ...
Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... Minimum of 5 years of experience with medical claims processing systems. Proficiency with Microsoft ...
Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... and claims adjudication processes. โข Analyze annual, quarterly, and ad hoc coding updates ...
Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... and claims adjudication processes. โข Analyze annual, quarterly, and ad hoc coding updates ...
Field Claims Adjuster - South Carolina
Columbia, SC ยท On-site +1
$60K - $80K/yr
Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... This position is remote from your home, but you are required to service the assigned territory on a ...
Field Claims Adjuster - South Carolina
Columbia, SC ยท On-site +1
$60K - $80K/yr
Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... This position is remote from your home, but you are required to service the assigned territory on a ...
Remote (occasional onsite required) Interview Process: 1 round, virtual Duration: 12 Months ... Seeking an experienced ADABAS Natural Programmer to support and enhance Retirement Claims and ...
Remote (occasional onsite required) Interview Process: 1 round, virtual Duration: 12 Months ... Seeking an experienced ADABAS Natural Programmer to support and enhance Retirement Claims and ...
ADABAS Natural Programmer - Contract - Remote (occasional onsite required)
Columbia, SC ยท On-site +1
Remote (occasional onsite required) Interview Process: 1 round, virtual Duration: 12 Months ... Seeking an experienced ADABAS Natural Programmer to support and enhance Retirement Claims and ...
ADABAS Natural Programmer - Contract - Remote (occasional onsite required)
Columbia, SC ยท On-site +1
Remote (occasional onsite required) Interview Process: 1 round, virtual Duration: 12 Months ... Seeking an experienced ADABAS Natural Programmer to support and enhance Retirement Claims and ...
In Patient Coder/Quality Medical Auditor - Remote
Columbia, SC ยท Remote
$36/hr
Remote - Must live in the east coast time zone Pay: $36 /hour + optional medical, dental, vision ... review processes * Ability to coordinate with claims and legal departments * Excellent report ...
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In Patient Coder/Quality Medical Auditor - Remote
Columbia, SC ยท Remote
$36/hr
Remote - Must live in the east coast time zone Pay: $36 /hour + optional medical, dental, vision ... review processes * Ability to coordinate with claims and legal departments * Excellent report ...
New
IT - Clemson University - Project Manager - Project Lead
Columbia, SC ยท Remote
$91K - $107K/yr
Remote Years of Exp: 08+Years Contract Type: C2C/W2 Duration: 12+ Months Summary Under limited ... Preferred Skills Experience with healthcare claims processing. Process development and management ...
IT - Clemson University - Project Manager - Project Lead
Columbia, SC ยท Remote
$91K - $107K/yr
Remote Years of Exp: 08+Years Contract Type: C2C/W2 Duration: 12+ Months Summary Under limited ... Preferred Skills Experience with healthcare claims processing. Process development and management ...
Claims processing * Payment integrity * Provider data management * Credentialing * Appeals and dispute resolution Work Arrangement:Remote; Field Based * Must reside in South Carolina. Will make ...
Claims processing * Payment integrity * Provider data management * Credentialing * Appeals and dispute resolution Work Arrangement:Remote; Field Based * Must reside in South Carolina. Will make ...
Network Contractor PNM
Columbia, SC ยท On-site +1
Claims processing * Payment integrity * Provider data management * Credentialing * Appeals and dispute resolution Work Arrangement:Remote; Field Based * Must reside in South Carolina. Will make ...
Network Contractor PNM
Columbia, SC ยท On-site +1
Claims processing * Payment integrity * Provider data management * Credentialing * Appeals and dispute resolution Work Arrangement:Remote; Field Based * Must reside in South Carolina. Will make ...
Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 ... Claims processing systems experience. Microsoft Office Suite proficiency. Experience with Optum ...
Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 ... Claims processing systems experience. Microsoft Office Suite proficiency. Experience with Optum ...
Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 ... Claims processing systems experience. Microsoft Office Suite proficiency. Experience with Optum ...
Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 ... Claims processing systems experience. Microsoft Office Suite proficiency. Experience with Optum ...
Access & Reimbursement (ARM) Manager, Immunology - Columbia, SC
Columbia, SC ยท Remote
$138K - $257K/yr
This is a remote& field-based role that covers thefollowing, butnot limited to: Columbia, SC ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...
Access & Reimbursement (ARM) Manager, Immunology - Columbia, SC
Columbia, SC ยท Remote
$138K - $257K/yr
This is a remote& field-based role that covers thefollowing, butnot limited to: Columbia, SC ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...
PAR I & II
Columbia, SC ยท Remote
$17 - $21.75/hr
If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Why Join Us? * 100% Remote * Flexible ...
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PAR I & II
Columbia, SC ยท Remote
$17 - $21.75/hr
If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Why Join Us? * 100% Remote * Flexible ...
Patient Billing Representative
Columbia, SC ยท On-site +1
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Patient Billing Representative
Columbia, SC ยท On-site +1
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Patient Billing Representative
Columbia, SC ยท Remote
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Quick apply
Patient Billing Representative
Columbia, SC ยท Remote
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Patient Billing Representative
Columbia, SC ยท Remote
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Patient Billing Representative
Columbia, SC ยท Remote
$14/hr
Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support. This is a remote position for those that reside in = AL, GA, ID, IA ...
Remote Claims Processor information
See Columbia, SC salary details
$11.12 - $12.33
2% of jobs
$12.33 - $13.55
6% of jobs
$13.55 - $14.76
9% of jobs
$15.39 is the 25th percentile. Wages below this are outliers.
$14.76 - $15.97
14% of jobs
$15.97 - $17.18
18% of jobs
The median wage is $17.22 / hr.
$17.18 - $18.40
17% of jobs
$19.06 is the 75th percentile. Wages above this are outliers.
$18.40 - $19.61
16% of jobs
$19.61 - $20.82
7% of jobs
$20.82 - $22.04
4% of jobs
$22.04 - $23.25
4% of jobs
$23.25 - $24.46
2% of jobs
$11
$17
$24
How much do remote claims processor jobs pay per hour?
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?
What are the key skills and qualifications needed to thrive as a remote claims processor, and why are they important?
What are some common challenges faced by remote claims processors, and how can they be addressed?
What is the difference between Remote Claims Processor vs Remote Claims Examiner?
| Aspect | Remote Claims Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or claims processing certifications | High school diploma or equivalent; often requires licensing or certification in insurance claims examination |
| Work Environment | Home-based or remote office; primarily computer and phone work | Home-based or remote; involves reviewing and analyzing insurance claims |
| Industry Usage | Insurance, healthcare, government agencies | Insurance companies, healthcare providers, government agencies |
| Common Search/Comparison | Yes | Yes |
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.
What are popular job titles related to Remote Claims Processor jobs in Columbia, SC?
For Remote Claims Processor jobs in Columbia, SC, the most frequently searched job titles are:
- Claims Processor
- Remote Medical Claims Processor
- Medical Claims Processing
- Overnight Medical Claims Processor
- Remote Claims Processing
- Entry Level Medical Claims Processor
- No Experience Medical Claims Processor
- Work From Home Medical Claims Adjudication
- Part Time Insurance Claims Adjuster
- Remote Dental Claims Processing
What job categories do people searching Remote Claims Processor jobs in Columbia, SC look for?
The top searched job categories for Remote Claims Processor jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Remote Claims Processor jobs?
Cities near Columbia, SC with the most Remote Claims Processor job openings:

Field Claims Adjuster - South Carolina
Columbia, SC โข Remote
Full-time
Posted 10 days ago
Job description
About Us:
American Integrity Insurance (NYSE: AII) is a leading provider of homeowners insurance, proudly serving over 400,000 policyholders across the Southeast. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, South Carolina, and North Carolina. Our organization derives its Strength From IntegrityTM, and we are proud to have been recognized as a Top Place to Work in Tampa by the Tampa Bay Times and a Best Place to Work in Insurance by Business Insurance Magazine for the past twelve years. We have also rated among the Top Workplaces in the USA by USA Today for the past five years.
A Day in the Life:
Who knew Insurance could be this fun? From company picnics to charity events, no one can ever say American Integrity Insurance doesn't understand the importance of having fun, helping others, or giving back. Our company culture is priceless, and it's built around our six core values: Integrity, Commitment, Teamwork, Humility, Passion, and Fun. As a team working to provide home insurance solutions to our policyholders, together we aim to achieve greater heights each day and celebrate each other's accomplishments along the way. It is our mission to continue providing reliable, customer-centric homeowners
insurance and paying claims in a timely manner when our customers suffer a loss โ and to do so with Integrity.
Learn more about American Integrity Insurance and our job opportunities at https://careers.aii.com.
Brief Summary
Title: Field Claims Adjuster
You'll Report To: Field Claims Director
As a Field Claims Adjuster, you will investigate and evaluate field claims reported on our policies to determine coverage and extent of damage in an attempt to reach an appropriate and negotiated settlement in accordance with statutory requirements, policy provisions and customary and reasonable mitigation techniques. We are looking for a Field Claims Adjuster to cover the entirety of South Carolina.ย
What You'll Do
- Confirm coverage and identifies / resolves coverage issues.ย Contacts insured same day as claim is assigned.
- Conduct proper investigations on cause of loss and procures proper documentation and supporting reports utilizing vendors appropriately.ย Continually evaluate vendor performance and techniques.ย Identify and recommend subrogation opportunities.
- Utilize peer review as needed.
- Review and process correspondence and takes appropriate action.ย Maintain up-to-date claim file diary.
- Complete assigned claims promptly with full required documentation.ย Process payment and / or denial based on policy coverage.
- Assess exposure and sets proper reserves.ย Notify management of large losses promptly.
- Communicate with customers, agents, and other partners verbally and in writing in a professional manner. Represent the company as the product coverage and statutory expert for our insureds, agents, and vendors.
- Maintain appropriate documentation on all claim files and processes claims in a timely manner.
- Meet company service standards and effectively uses the diary system to remain current.
- Manage special projects, as assigned, within the established time and quality guidelines.
- Responsible for developing and maintaining open and trusting working relationships with insureds in order to gather pertinent information.
- Perform other related duties as assigned.
- Regular and reliable attendance is an essential function of the position.
What You'll Need to be a Top Candidate
Education:ย High School Diploma or GED required. Collegeย Degree preferred.
Experience: One (1) to three (3) years prior experience in field claims adjusting and three (3) to five (5) years prior experience estimating claims, prior carrier experience preferred.ย
Licensure: State of South Carolina 520 or 620 License desired. ย If you do not have a current South Carolina adjuster's license, American Integrity will work with you to obtain one during a reasonable amount of time. ย Completion of insurance courses such as IIA, AEI, or CPCU preferred.
Skills:
- Ability to analyze facts and coverages in order to evaluate damages.ย
- Proven ability in negotiation and investigation required.ย
- Ability to communicate interpersonally with individuals and groups via telephone and in writing.ย
- Ability to communicate effectively with a wide variety of technical / professional / consumer clients.ย
- Microsoft Windows and Office Suite.ย
- Familiarity with industry claims systems and property estimating systems, Xactimate preferred.
Schedule:ย This position is remote from your home, but you are required to service the assigned territory on a daily basis.ย
#LI-Remote
Working Conditions: Normal business office environment.ย Must be able to remain in a stationary position for periods of time while constantly operating a computer and or other office productivity machinery such as a calculator or telephone.ย The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery or communicate with coworkers.ย The employee must occasionally lift and / or move up to 10 pounds.ย During field work, this employee is also regularly exposed to outdoor weather conditions.ย During field work the employee is exposed to work in areas of height, small spaces, and fumes or airborne particles and may occasionally be exposed to toxic of caustic chemicals.ย The field work noise level is usually moderate.
Travel:ย Field travel as required.
ADA: The above statements cover what are generally believed to be the principal and essential functions of this job.ย Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of job duties.ย
American Integrity Insurance Group is an Equal Opportunity Employer.
Education:ย High School Diploma or GED required. Collegeย Degree preferred.
Experience: One (1) to three (3) years prior experience in field claims adjusting and three (3) to five (5) years prior experience estimating claims, prior carrier experience preferred.ย
Licensure: State of South Carolina 520 or 620 License desired. ย If you do not have a current South Carolina adjuster's license, American Integrity will work with you to obtain one during a reasonable amount of time. ย Completion of insurance courses such as IIA, AEI, or CPCU preferred.
Skills:
- Ability to analyze facts and coverages in order to evaluate damages.ย
- Proven ability in negotiation and investigation required.ย
- Ability to communicate interpersonally with individuals and groups via telephone and in writing.ย
- Ability to communicate effectively with a wide variety of technical / professional / consumer clients.ย
- Microsoft Windows and Office Suite.ย
- Familiarity with industry claims systems and property estimating systems, Xactimate preferred.
About American Integrity Insurance
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