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

Claims Representative - Remote SUMMARY The claims representative is responsible for manually ... Claims are processed according to benefits, eligibility, and internal processes, policies, and ...

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

New

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 ...

Claims Investigative Specialist

New York, NY ยท Remote

$68K - $117K/yr

You will also take ownership of the claims process by making informed decisions and effectively negotiating settlements. Every claim presents a new challenge This fully remote role is ideal for ...

Claims Adjuster

New York, NY ยท Remote

$20.67 - $26.44/hr

Process claims determinations to include assessment and payment for submitted claims * Verify ... Work independently in a remote capacity, while also fostering teamwork and collaborating with ...

This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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Remote Claims Processor information

See Edison, NJ salary details

$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Jul 14, 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.

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 job categories do people searching Remote Claims Processor jobs in Edison, NJ look for? The top searched job categories for Remote Claims Processor jobs in Edison, NJ 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:
Infographic showing various Remote Claims Processor job openings in Edison, NJ as of July 2026, with employment types broken down into 82% Full Time, 6% Part Time, 2% Contract, and 10% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $41,269 per year, or $19.8 per hour.

Sr. Inside Property Claims Specialist | Remote

KING'S INSURANCE STAFFING LLC

Manhattan, NY โ€ข Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago


Job description

Our client, an A-rated and well-established insurance carrier, is looking to add a Senior Inside Property Claims Specialist for a fully remote opportunity. This individual will be responsible for managing a mix of Homeowners and Commercial property losses from initial intake through final resolution. The role involves handling complex, high-exposure losses, including claims related to wind, fire, hail, vandalism, theft, and water damage.
Qualified candidates should be well versed in ImageRight and Xactimate while also holding an active adjusters license. Prefer candidates to reside in NJ, NY, PA or in the New England region.
Key Responsibilities:
  • Review and assess residential and commercial property claims to determine coverage, liability, and extent of loss
  • Negotiate and resolve claims efficiently while delivering a high level of customer service
  • Collaborate with policyholders, contractors, and third-party vendors to evaluate damages and move claims toward resolution
  • Maintain thorough and accurate claim documentation, updating reserves as exposure changes
  • Prepare estimates using Xactimate and ensure cost-effective claim handling
  • Adhere to internal guidelines, regulatory standards, and industry best practices throughout the claims process
Qualifications:
  • At least 5 years of experience handling first-party property claims (homeowners and/or commercial) in a desk adjusting role with an insurance carrier
  • Strong proficiency in Xactimate and ImageRight
  • Experience with Guidewire is preferred
  • Familiarity with MSO policy is a plus
  • Excellent analytical, negotiation, and decision-making skills
  • Strong communication skills with the ability to effectively engage with various stakeholders
Compensation & Benefits:
  • Base salary ranging from $95,000 - $110,000, plus bonus potential up to 15%
  • Flexible schedule with full remote capability
  • Employer covers 100% for Medical, Dental, and Vision premium costs
  • 401(k) with employer match
  • Profit-sharing program
  • Lucrative Pension Plan
  • Generous PTO package