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

Tmhcc

Senior Claims Examiner, Cyber

New York, NY · On-site +1

... Remote if the selected candidate does not reside near an office listed locations Job Summary ... Accurately examines and processes claims for the business unit according to existing policies and ...

Claritev

Claims Resolution Specialist

Manhattan, NY · On-site +1

$20.23/hr

Update provider data base for reference and claims processing on subsequent claims. 2. Initiate provider telephone calls as often required with respect to proposals, overcome objections and apply ...

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All JobsClaims Processor 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 Jul 15, 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 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:
Remote Claims Processor jobs near you
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.
Executive Specialist, Claims - Remote or Hybrid/Any C&F Location

Executive Specialist, Claims - Remote or Hybrid/Any C&F Location

Crum & Forster

Morristown, NJ • On-site, Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

Crum & Forster Company Overview
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.
Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.
C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.
Job Description
The Executive Claims Specialist will handle a regular pending of primary and excess Directors and Officers and Financial Institution claims. These claims involve a high degree of technical evaluation and often include complex issues, including determining coverage and assessing potential exposure in a timely and accurate manner. The Executive Specialist shall aggressively analyze, assess and resolve cases from a coverage determination through ultimate resolution (including through litigation or negotiation). There may be an opportunity to work on other lines in the future depending on the needs of the company and other factors. This position will report to a Manager in the Financial Lines Claims group.
This position has a flexible workplace location, with the ability to work nearly exclusively remote or with a hybrid remote/in-person attendance in Jersey City, NJ, Morristown, NJ, Chicago, IL or any other C&F office nationwide.
What you will do:
  • Accountable for the full handling and control of all claim matters assigned from inception to resolution including: timely coverage analysis and letter writing; investigation; incident response, evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. The handling of these claims may require the occasional in-person attendance at mediations, settlement conferences and trials nationwide.
  • Consistent prompt evaluation of potential exposure present as to all claims assigned as well as an ability to adapt to changing circumstances as claims develop. An ability to segregate potentially significant claims possessing considerable exposure from straightforward claims. Ability to consider and formulate a possible resolution strategy at the earliest possible opportunity, including setting appropriate and timely reserves and communicating with defense counsel, insureds, coverage counsel or others to successfully achieve such strategy.
  • Claim presentations, both written and oral, will be required on a regular and timely basis to bring management up to speed, obtain authority and/or formulate appropriate action plans on claims that present the risk for considerable exposure.
  • Superior customer service to all co-employees, agents, policyholders and others encountered during the claims handling process is expected.
  • When needed, the Executive Specialist is expected to market claim services, update underwriting department personnel on claims trends, and coordinate and participate in presentations to industry personnel, including brokers and insureds.
  • Attend industry conferences depending on the needs of C&F.
  • May work on special projects, as assigned.

What you will bring to C&F:
  • Preferably at least six years handling Directors and Officers and/or Financial Institutions claims.
  • Juris doctor preferred but not required.
  • Experience handling crime matters and/or private company directors and officers claims is very helpful.
  • Experience handling employment practices liability, fiduciary and/or professional liability claims is helpful.
  • Must possess or be capable of obtaining multiple state adjuster licenses.
  • Demonstrated superior communication skills.
  • Outstanding interpersonal skills and the ability to deal effectively with support staff, claims staff, underwriting peers, policyholders and senior management.
  • Travel required up to 20%.
  • Excellent organizational abilities.
  • Experience with Microsoft Office suite of programs.
  • Overall positive outlook and approach.
  • Ability to multi-task when facing diverse responsibilities.

What C&F will bring to you
  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family's wellness, including your physical, mental and financial wellbeing
  • A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
  • A dynamic, ambitious, fun and exciting work environment
  • We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

At C&F you will BELONG
If you require special accommodations, please let us know. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know. Belonging at C&F, is a mindset. It's about fostering a culture of inclusion and connection, where everyone feels valued, heard, and empowered to thrive and where our social impact efforts help strengthen the communities where we live and work.
For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.
Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $95,600.00 to a maximum of $179,600.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.
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