Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Medical Claims Examiner Remote
Plano, TX · On-site +1
Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Medical Claims Examiner Remote
Plano, TX · On-site +1
Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Processing of Professional claim forms files by provider * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines ...
Claims Assistant
Dallas, TX · Remote
$13.08 - $22.89/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... Remote
Quick apply
Claims Assistant
Dallas, TX · Remote
$13.08 - $22.89/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... Remote
Associate Director, Claims Documentation & Learning
Dallas, TX · Remote
$134K - $176K/yr
... claims processing workflows, policies, and procedures within the operation. This role is ... This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully ...
Associate Director, Claims Documentation & Learning
Dallas, TX · Remote
$134K - $176K/yr
... claims processing workflows, policies, and procedures within the operation. This role is ... This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully ...
Pharmacy Claims Representative 2 - Remote
Arlington, TX · Remote
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Quick apply
Pharmacy Claims Representative 2 - Remote
Arlington, TX · Remote
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Pharmacy Claims Representative 2 - Remote
Arlington, TX · Remote
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Pharmacy Claims Representative 2 - Remote
Arlington, TX · Remote
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Associate Director, Claims Documentation & Learning
Dallas, TX · Remote
$134K - $176K/yr
... claims processing workflows, policies, and procedures within the operation. This role is ... This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully ...
Quick apply
Associate Director, Claims Documentation & Learning
Dallas, TX · Remote
$134K - $176K/yr
... claims processing workflows, policies, and procedures within the operation. This role is ... This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully ...
Pharmacy Claims Representative 2 - Remote
Arlington, TX · On-site +1
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Pharmacy Claims Representative 2 - Remote
Arlington, TX · On-site +1
$22/hr
In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. * Identify discrepancies ...
Life Claims Examiner
Mckinney, TX · Remote
$20 - $23/hr
Remote, working hours within Central Time Zone Work Schedule: M-F, 7:00 am - 4:00 pm Type of ... Process claims in internal systems while maintaining accuracy and efficiency * Record necessary ...
Life Claims Examiner
Mckinney, TX · Remote
$20 - $23/hr
Remote, working hours within Central Time Zone Work Schedule: M-F, 7:00 am - 4:00 pm Type of ... Process claims in internal systems while maintaining accuracy and efficiency * Record necessary ...
Claims Assistant
Dallas, TX · Remote
$13.08 - $22.89/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... Remote
Claims Assistant
Dallas, TX · Remote
$13.08 - $22.89/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... Remote
Claims Representative
Dallas, TX · Remote
$18 - $32/hr
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Identify and apply knowledge of new plans/customers to process their claims appropriately
Claims Representative
Dallas, TX · Remote
$18 - $32/hr
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Identify and apply knowledge of new plans/customers to process their claims appropriately
NTT DATA currently seeks a Claims Processor to join our team for a remote position. Role Responsibilities -Processing of Professional claim forms files by provider -Reviewing the policies and ...
NTT DATA currently seeks a Claims Processor to join our team for a remote position. Role Responsibilities -Processing of Professional claim forms files by provider -Reviewing the policies and ...
General Liability Adjuster - REMOTE
Addison, TX · Remote
$90K - $110K/yr
K2 Claims Services, LLC - A subsidiary of K2 Insurance Services Location: Remote (with travel for meetings, training, or trials as necessary) Position Type: Full-time About the Role K2 Claims ...
Quick apply
General Liability Adjuster - REMOTE
Addison, TX · Remote
$90K - $110K/yr
K2 Claims Services, LLC - A subsidiary of K2 Insurance Services Location: Remote (with travel for meetings, training, or trials as necessary) Position Type: Full-time About the Role K2 Claims ...
Senior Lost Time Workers Compensation Claims Adjuster - TX
Dallas, TX · Remote
$60K - $78K/yr
This role is eligible for fully remote work. How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Senior Lost Time Workers Compensation Claims Adjuster - TX
Dallas, TX · Remote
$60K - $78K/yr
This role is eligible for fully remote work. How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · Remote
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · Remote
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers Compensation Claims Adjuster
Dallas, TX · Remote
$60K - $78K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... Overview • Jurisdictions: TX • Licenses: TX • This role is eligible for fully remote work How ...
Senior Workers Compensation Claims Adjuster
Dallas, TX · Remote
$60K - $78K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... Overview • Jurisdictions: TX • Licenses: TX • This role is eligible for fully remote work How ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · Remote
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · Remote
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · On-site +1
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers' Compensation Claims Adjuster (REMOTE)
Irving, TX · On-site +1
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Senior Workers' Compensation Claims Adjuster (Remote)
Irving, TX · On-site +1
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will ...
Senior Workers' Compensation Claims Adjuster (Remote)
Irving, TX · On-site +1
$63K - $82K/yr
Amerisure is currently recruiting for a Senior Workers' Compensation Claims Adjuster. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will ...
Remote Claims Processor information
See Dallas, TX salary details
$11.94 - $13.24
2% of jobs
$13.24 - $14.55
6% of jobs
$14.55 - $15.85
9% of jobs
$16.52 is the 25th percentile. Wages below this are outliers.
$15.85 - $17.15
14% of jobs
$17.15 - $18.45
18% of jobs
The median wage is $18.49 / hr.
$18.45 - $19.76
17% of jobs
$20.47 is the 75th percentile. Wages above this are outliers.
$19.76 - $21.06
16% of jobs
$21.06 - $22.36
7% of jobs
$22.36 - $23.66
4% of jobs
$23.66 - $24.97
4% of jobs
$24.97 - $26.27
2% of jobs
$11
$19
$26
How much do remote claims processor jobs pay per hour?
What are some common challenges faced by Remote Claims Processors, and how can they be addressed?
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 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.
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NTT Data rating
7.4
Based on 92 frontline employees who took The Breakroom Quiz
107th of 210 rated it services
Job description
NTT Data is Hiring!
Medical Claims Examiner - Remote
- Processing of Professional claim forms files by provider
- Reviewing the policies and benefits
- Comply with company regulations regarding HIPAA, confidentiality, and PHI
- Abide with the timelines to complete compliance training of NTT Data/Client
- Work independently to research, review and act on the claims
- Prioritize work and adjudicate claims as per turnaround time/SLAs
- Ensure claims are adjudicated as per clients defined workflows, guidelines
- Sustaining and meeting the client productivity/quality targets to avoid penalties
- Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
- Timely response and resolution of claims received via emails as priority work
- Correctly calculate claims payable amount using applicable methodology/ fee schedule
Requirements:
- 1-3 year(s) hands-on experience in Healthcare Claims Processing, Claims Adjustments.
- 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
- High school diploma or GED.
- Previously performing - in P&Q work environment; work from queue; remotely
- Key board skills and computer familiarity -
- Toggling back and forth between screens/can you navigate multiple systems.
- Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
- Must be able to work 8 am - 4:30 pm EST online/remote (training is required on-camera).
- Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
- Time management with the ability to cope in a complex, changing environment
- Ability to communicate (oral/written) effectively in a professional office setting
- High School Diploma
Preferred Skills & Experiences:
- Amisys or Xcelys preferred.
About NTT DATA
Sourced by ZipRecruiter
NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.
Industry
It services
Company size
10,000+ Employees
Headquarters location
Plano, TX, US
Year founded
1967