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Remote Claims Processor Jobs in Eden Prairie, MN

illumifin

Claims Manager

Eden Prairie, MN · On-site +1

$60K/yr

WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is a leading provider of business process ... The Claims Manager position is responsible for evaluation and rendering eligibility decisions on ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Eden Prairie, MN

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 Aug 7, 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.

More about Remote Claims Processor jobs
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:
Remote Claims Processor jobs near you

Unpaid Claims Account Representative

Nystrom & Associates Ltd

Arden Hills, MN • On-site, Remote

$18.50 - $20/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 27 days ago

Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Job Title: Unpaid Claims Account Representative

Location:1200 County Road E., Arden Hills, MN 55112, United States

Working Model:Remote

Employee Type:1.0 Full time

At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.

Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom \& Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.

Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As an Unpaid Claims Account Representative, at Sagent Behavioral Health, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.

Full Time Benefits:

  • Medical and dental insurance, plus optional supplemental coverage (short-term disability, cancer, accident).
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options for medical and dependent care expenses.
  • Paid Time Off (PTO) and paid holidays to support work-life balance.
  • 401(k) retirement plan with a generous employer match.
  • Opportunities for professional growth and career advancement within the organization.

Responsibilities:

  • Follow up on unpaid, denied, or rejected insurance claims to ensure timely and accurate reimbursement.
  • Investigate claim issues, determine corrective actions, and resubmit or appeal claims as needed.
  • Communicate with insurance companies to clarify denials, obtain information, and resolve claim issues.
  • Collaborate with providers, Patient Financial Services, and the Insurance Team to respond to inquiries and support resolution.
  • Maintain knowledge of insurance guidelines, billing rules, and EOB interpretation; identify and escalate recurring payer issues or trends.
  • Perform additional assigned duties to support overall departmental operations.

Requirements:

  • At least 6+ months of experience in the Nystrom \& Associates Business Office or comparable claims/AR experience.
  • Familiarity with insurance company guidelines, billing procedures, and claim adjudication processes.
  • Strong attention to detail, problem-solving skills, and a positive, team-oriented mindset.
  • Proficiency with Microsoft Windows, Excel, Word, and Outlook.
  • High school diploma or equivalent, with strong organizational and multitasking abilities.

Compensation:

This is a non-exempt position. Total earnings for this position will range from $18.50 - $20.00 hourly.

*Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE.

* Employees in these positions are W2.

Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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