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Remote Claims Processor Jobs in Eden Prairie, MN

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Claims Specialist

Saint Paul, MN · On-site +1

$22 - $25/hr

... prompt processing • Work aging report to ensure unpaid claims have been received and are in ... Position is remote! Applicants must currently reside in Minnesota, Arizona, or Wisconsin to be ...

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Remote Claims Processor information

See Eden Prairie, MN salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote claims processor in Eden Prairie, MN is $19.54, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $21.06 per hour, depending on experience, location, and employer.

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 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 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 Eden Prairie, MN look for? The top searched job categories for Remote Claims Processor jobs in Eden Prairie, MN are:
What cities near Eden Prairie, MN are hiring for Remote Claims Processor jobs? Cities near Eden Prairie, MN with the most Remote Claims Processor job openings:
Claims Processor

$24.59 - $29.51/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 hours ago

Posted today


Blue Cross Blue Shield Of Minnesota rating

5.3

Company rating: 5.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 281 rated insurance


Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have As a Claim Processor you will be responsible for accurately and efficiently reviewing, researching, and adjudicating health insurance claims including out-of-state and international cases. This role involves verifying benefit eligibility, analyzing claim history and records, applying pricing and edits, and ensuring all claims are processed with a strong focus on quality and timeliness. What You'll Do
  • Review, research, andadjudicateclaims accurately, following established processesandprocedures witha high levelofattention to detail.
  • Receive and prioritize daily or weekly workload reports, focusing on aging claims and time-sensitive items.
  • Differentiate and processvarious typesof claims, adapting to changing priorities and business needs.

Now Hiring - September 21, 2026 Start Date

Must reside in Minnesota to be eligible for this position.

Hiring approximately 15 Claims Processors

Paid training provided to prepare you for success in the role.

  • Training start date: September 21, 2026

  • Training schedule: Monday-Friday, 8:00 AM -4:30 PM CST

  • Training duration: Approximately 4-6 weeks

  • Schedule after training is flexible and could vary between 6:00 AM - 5:00 PM

100% remote, work-from-home position

  • High-speed, land-based internet service is required

  • Internet connection must be hard-wired from your router to company-provided equipment

Pay range: $22.50-$23.50 per hour, based on experience.

How You'll Do It
  • Exercise critical thinking and problem-solving skills to resolve claim issues independently, with support available when necessary.
  • Ensure thorough documentation of claim decisions and updatesin accordance withcompany standards
  • Collaborate with peers and internal technical specialists for guidance and documentation updates.
  • Communicate viawritten and/orphone whenrequiredto clarify claim details or obtainadditionalinformation.
  • Maintain compliance and accuracy by meeting established performance metrics during monthly audit reviews and incorporating feedback. Undergo monthly audit reviews and implement feedback to ensure accuracy, compliance, and adherence to performance standards.Subject to monthly audits with results measured against accuracy and compliance standards; incorporate feedback to drive ongoing improvement.
  • Develop andmaintainindividual development plans, including goals andobjectives;engage inmonthly check-ins andparticipatein mid-year and year-end performance reviews with supervisors.
  • Provide support during peak business periods and emergency situations, including natural disasters, byassistingwith critical operational needs.
  • Engage with Associate Resource Groups to foster networking and professional development opportunities.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 1+ years of related work experience
  • High school diploma (or equivalent)
Preferred Skills & Experience
  • Ability to communicate clearly with varied internal contacts, actively listen to clarify needs, and ensure accurate and timely information exchange.
  • Ability to recognize patterns in recurring issues, gather relevant information, and collaborate with others to implement practical solutions.
  • Ability to organize and prioritize tasks across assignments, manage time effectively, and adjust to shifting workloads while maintaining accuracy.
  • Claims processing experience.
  • Knowledge of medical terminology and healthcare regulations.
  • Strong attention to detail and accuracy.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $21.50 - $24.59 - $29.51 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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