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Remote Claims Processor Jobs in Dracut, MA (NOW HIRING)

This position will utilize information from claims data analysis, plan members, the medical ... This position is Remote in Massachusetts. You will have the flexibility to work remotely* as you ...

... remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims ...

... remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims ...

HR Specialist

Danvers, MA ยท Remote

$35 - $40/hr

Remote - Eastern Time Zone Preferred Assignment Type: Temp-to-Hire Pay: $35 - $40 / hour | $80,000 ... Manage bi-weekly payroll processing through ADP Workforce Now, ensuring employee pay is processed ...

MongoDB Engineer

Woburn, MA ยท Remote

$125K - $150K/yr

MongoDB Engineer 6- Months Contract REMOTE MUST Have MQL (MongoDB Query Language) throughout the ... Knowledge of healthcare data (members, providers, and claims) is most desired Querying and ...

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Remote Claims Processor information

See Dracut, MA salary details

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How much do remote claims processor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote claims processor in Dracut, MA is $18.84, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 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.

What job categories do people searching Remote Claims Processor jobs in Dracut, MA look for?

The top searched job categories for Remote Claims Processor jobs in Dracut, MA are:

What cities near Dracut, MA are hiring for Remote Claims Processor jobs?

Cities near Dracut, MA with the most Remote Claims Processor job openings:

Sr. Underwriting Strategy Analyst - Remote Opportunity

GuideOne Insurance

Boston, MA โ€ข On-site, Remote

$81K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

The Senior Underwriting Strategy Analyst supports the Director of Underwriting Strategy in driving portfolio performance, optimizing underwriting, and advancing strategic initiatives across the underwriting lifecycle. This role blends analytics, underwriting expertise, and cross-functional leadership to improve risk selection, profitability, and operational efficiency.
Accountabilities:
Underwriting Strategy & Portfolio Management
  • Support development and execution of underwriting strategies aligned to growth, profitability, and risk appetite goals
  • Analyze portfolio performance trends (loss ratio, hit rate, retention, pricing adequacy) and recommend actionable improvements
  • Monitor underwriting guidelines and identify opportunities for refinement based on emerging experience and market dynamics
  • Assist in segmentation strategies to optimize risk selection and pricing precision

Data Analysis & Insights
  • Conduct advanced data analysis to identify drivers of loss, profitability, and underwriting performance
  • Develop dashboards, scorecards, and reporting frameworks for leadership visibility
  • Partner with actuarial, data science, and finance teams to evaluate pricing models and assumptions
  • Translate complex data into clear, actionable recommendations for underwriting leadership

Underwriting Governance & Execution
  • Support governance frameworks including referral processes, authority structures, and underwriting controls
  • Perform audits and quality assurance reviews to ensure adherence to underwriting guidelines
  • Identify process gaps and recommend enhancements to improve consistency and decision quality

Cross-Functional Collaboration
  • Partner with Product, Actuarial, Claims, Distribution, and Operations to align strategy and execution
  • Contribute to product development, coverage enhancements, and market positioning initiatives
  • Support field underwriting teams with insights, tools, and strategic guidance

Process Improvement & Transformation
  • Identify and lead initiatives to streamline underwriting workflows and reduce friction
  • Support automation, digitization, and decision-support tool development
  • Drive continuous improvement in underwriting efficiency and scalability

Strategic Projects
  • Lead or support high-impact initiatives such as:
    • New program or segment launches
    • Profitability remediation strategies
    • Expansion into new markets or distribution channels
  • Prepare executive-level presentations and strategic recommendations

Skills & Requirements
Qualifications:
Required
  • Bachelor's degree in Finance, Economics, Risk Management, Data Analytics, or related field
  • 5+ years of experience in underwriting, underwriting strategy, or analytics within insurance
  • Strong understanding of underwriting principles, pricing dynamics, and risk selection
  • Advanced analytical skills (Excel, SQL, or similar tools; Tableau/Power BI preferred)
  • Demonstrated ability to translate data into business strategy

Preferred
  • Experience in commercial lines
  • Exposure to predictive modeling, pricing analytics, or portfolio optimization
  • Project management experience leading cross-functional initiatives
  • Professional designations (CPCU, ARM, ACAS/FCAS, etc.)

Core Competencies
  • Strategic thinking and problem-solving
  • Strong business and financial acumen
  • Executive communication and storytelling
  • Collaboration and stakeholder influence
  • Detail orientation with a results-driven mindset

Pay Range:
Anticipated Hiring Range:
  • $81,000 - $130,000 commensurate with experience

Get to Know GuideOne:
At GuideOne, we believe that our people are our greatest asset, and we foster a sense of collaboration among our team members so they can learn from and inspire one another to deliver excellence in risk solutions and services to our customers. For more than 75 years, we've established a reputation as a trusted partner in the communities where we live and work, and with our steadfast commitment to help make positive change possible, we're excited to see what we can accomplish during the next 75. Explore our values and culture, and learn why GuideOne might be a great fit for you!
GuideOne is proud to offer a robust benefits suite that includes:
  • Competitive base salary plus incentive plans for eligible team members.
  • 401(K) retirement plan that includes a company match of up to 6% of your eligible salary.
  • Free Basic Life and AD&D, long-term disability and short-term disability insurance.
  • Medical, dental and vision plans to meet your unique healthcare needs.
  • Wellness incentives
  • Generous time off program including; personal, holiday, and volunteer paid time off.
  • Flexible work schedules and hybrid/remote options for eligible positions.
  • Educational assistance program.

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