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

CEI

Inpatient Medical Coder/Auditor

Columbia, SC · Remote

$36/hr

Remote ok, but hybrid preferred Pay: $36 /hour + optional medical, dental, vision, 401(k) match ... review processes * Ability to coordinate with claims and legal departments * Excellent report ...

Bcbsa

Financial Audit Senior Consultant

Columbia, SC · Remote

$107K/yr

... the audit process; instruct audit flow facilitation; analyze and assess audit trends, best ... Intermediate knowledge of auditing, finance, and claims operations. * Advanced negotiation ...

The Hiring Platform

Remote Customer Representative

Columbia, SC · Remote

$14.75 - $20/hr

We are seeking a friendly and reliable Remote Customer Representative to assist customers with questions, requests, reservations, and ongoing service needs. Responsibilities * Respond to customer ...

Posted today

micro1 AI

Medical Billing Specialist

Columbia, SC · 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 ...

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

Remote Claims Processor information

See Columbia, SC salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote claims processor in Columbia, SC is $17.73, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $19.13 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

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

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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:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Columbia, SC as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $36,879 per year, or $17.7 per hour.

Customer Service Associate

Marpai Administrators LLC

Columbia, SC • Remote

$14.42 - $19.20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
 
ABOUT THE POSITION:
The Customer Service Associate supports Customer Service Representatives and internal department requirements outside of standard call handling. This role assists with non-call workflows, operational inquiries, digital communication channels, and cross-functional support needs. The position may also answer basic-level customer service calls when call volume warrants, helping maintain service levels and ensure timely support for members, providers, clients, and internal stakeholders.
 
WHAT YOU WILL BE DOING: 
Customer Service and Department Support
  • Provide daily administrative and operational support to Customer Service Representatives to help maintain workflow continuity and timely issue resolution.
  • Support internal department requirements outside of standard call handling, including follow-up tasks, documentation updates, email inquiries, portal messages, and departmental requests.
  • Monitor and respond to inquiries received through approved customer service communication channels, including Member Portal Chat, Message Board, and Customer Service email group.
  • Assist with answering calls when  when additional call support is needed due to call volume or business demand.
  • Escalate complex, sensitive, or unresolved issues to the appropriate Customer Service Representative, Lead Customer Service Representative, supervisor, or operational department.
  • Maintain accurate documentation of work completed, inquiries handled, follow-up actions, and pending items in accordance with department expectations.
  • Assist with basic-level calls when volume warrants while maintaining professionalism and adherence to call handling expectations
  • Demonstrate accountability, teamwork, dependability, and a commitment to continuous improvement.
  • Other duties as required
 
KNOWLEDGE, SKILLS AND ABILITIES
  • Strong customer service mindset with the ability to support multiple team members and internal departments professionally. 
  • Ability to manage non-call workflows, follow-up items, email inquiries, portal messages, and administrative support tasks accurately and efficiently.
  • Clear verbal and written communication skills with attention to detail and professionalism.
  • Ability to research routine inquiries, document findings, and escalate complex issues appropriately.
  • Strong organizational, prioritization, and time-management skills.
  • Ability to work independently in a remote environment while contributing effectively to team success.
  • Ability to maintain confidentiality and comply with HIPAA, regulatory, and company policy requirements.

WHAT DO YOU NEED
  • High School Diploma or GED required.
  • Call center experience (TPA / Self-Funded Plans preferred).
  • Basic understanding of healthcare benefits, eligibility, claims processing, provider networks, healthcare terminology, and HIPAA requirements preferred.
  • WLT system knowledge preferred. 
 
WORK REQUIREMENTS:
  • Remote work environment requiring prolonged computer use and telephone interaction.
  • Ability to work scheduled business hours and overtime as required to support business needs.
  • Ability to maintain a secure home office environment that meets company standards.
 
WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
 

This is a remote position.