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Remote Claims Processor Jobs in Edison, NJ (NOW HIRING)

Gallagher

Claims Associate - INVEST

Manhattan, NY · Remote

$19.50 - $26.50/hr

Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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All JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Edison, NJ

Remote Claims Processor information

See Edison, NJ salary details

$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for remote claims processor in Edison, NJ is $19.84, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.39 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 are popular job titles related to Remote Claims Processor jobs in Edison, NJ? For Remote Claims Processor jobs in Edison, NJ, the most frequently searched job titles are:
What cities near Edison, NJ are hiring for Remote Claims Processor jobs? Cities near Edison, NJ with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Field Residential and Commercial Property Adjuster: Daily Claims

Field Residential and Commercial Property Adjuster: Daily Claims

Apex Claims Management LLC

New York, NY • Remote

$1K - $20K/mo

Contractor

Posted 8 days ago

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Job description

Apex Claims Management is an independent adjusting firm providing nationwide property, casualty, auto, and heavy equipment adjusting services. Our mission is simple: Deliver The Best Claims Experience to policyholders, carriers, and all parties involved in the claims process.

We are currently seeking experienced New York Licensed Field Property Adjusters to support residential and commercial property claims throughout New York. This opportunity is ideal for adjusters who thrive in the field, enjoy solving complex claim scenarios, and are committed to providing exceptional customer service.

Responsibilities

  • Conduct thorough on-site inspections of residential and commercial property losses.
  • Investigate damages, document findings, and determine the scope of loss in accordance with carrier guidelines and policy provisions.
  • Prepare accurate estimates, reports, and supporting documentation using industry-standard estimating platforms.
  • Collaborate with policyholders, contractors, carriers, public adjusters, attorneys, and internal team members to facilitate claim resolution.
  • Maintain timely communication and provide exceptional customer service throughout the claims process.
  • Manage claims efficiently while meeting quality, accuracy, and turnaround expectations.
  • Participate in appraisal and dispute resolution processes when applicable.

Qualifications

  • Active New York Adjuster License required.
  • Previous property claims adjusting experience required.
  • Residential and commercial property claims experience preferred.
  • Appraisal experience is a significant plus.
  • Experience with CoreLogic/Symbility preferred.
  • Xactimate proficiency strongly preferred.
  • Excellent written and verbal communication skills.
  • Strong analytical, investigative, and problem-solving abilities.
  • Self-motivated with the ability to work independently and manage multiple assignments simultaneously.
  • Detail-oriented with the ability to evaluate and interpret complex claim information.
  • Ability to safely climb roofs and inspect damaged structures.
  • Valid driver's license and reliable transportation.

What We're Looking For

The ideal candidate is a service-focused professional who combines technical claims expertise with outstanding communication skills. We are looking for adjusters who take ownership of their claims, work with integrity, and are committed to delivering The Best Claims Experience on every assignment.

If you are a licensed New York property adjuster seeking opportunities with a growing independent adjusting firm, we encourage you to apply.

Company Description

Apex Claims Management is an independent adjusting firm known for our integrity, innovation, and commitment to excellence. From daily claims to catastrophe and TPA programs, we are trusted by clients nationwide to deliver consistent, high-quality results. Our mission is to deliver The Best Claims Experience to all involved in the claims process.