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Remote Claims Processor Jobs in Frisco, TX (NOW HIRING)

NTT DATA Services

Business Analyst - Claims

Mckinney, TX · On-site +1

$117K - $196K/yr

Document current-state claims processes, workflows, and business requirements. * Facilitate ... The starting pay range for this remote role is $117,600.00 to $196,000.00. This range reflects the ...

NTT DATA Services

Business Analyst - Claims

Mckinney, TX · On-site +1

$117K - $196K/yr

Document current-state claims processes, workflows, and business requirements. * Facilitate ... The starting pay range for this remote role is $117,600.00 to $196,000.00. This range reflects the ...

RemX

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$19/Hr. REMOTE - Insurance Specialist *APPLY NOW* (Dallas Area)

Farmers Branch, TX · Remote

$19/hr

This is a fully remote opportunity supporting claims processing, insurance follow-up, claims resolution, and revenue cycle functions for a leading healthcare organization. If you have experience in ...

New

Corvel

Claims Quality Assurance

Irving, TX · Remote

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Model ethical behavior and ... Review claim process specifications to understand the scope, requirements, and function of each ...

RemX

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$19/Hr. REMOTE - Medical Billing Specialist *APPLY NOW* (Dallas Area)

Fort Worth, TX · Remote

$19/hr

This is a fully remote opportunity supporting claims processing, insurance follow-up, claims resolution, and revenue cycle functions for a leading healthcare organization. If you have experience in ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote claims processor in Frisco, TX is $17.94, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.33 per hour, depending on experience, location, and employer.

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 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 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.

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Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Frisco, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $37,310 per year, or $17.9 per hour.

Complex Construction Defect Claims Adjuster - Remote

UPLAND CAPITAL GROUP INC

Dallas, TX • On-site, Remote

$100K - $190K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

Complex Construction Defect Claims Adjuster - Remote
Upland Capital Group, Inc. is an AM Best rated "A-" VIII specialty property/casualty insurer headquartered in Dallas, Texas. Through its wholly owned insurance carrier, Upland Specialty Insurance Company, the company markets, underwrites and services specialty insurance products in select markets to include excess transportation, construction casualty, excess casualty, primary general liability, excess public entity, professional liability errors and omissions as well as excess cyber liability.
We focus on "old school" underwriting as a craft, add "new school" analytics and technology, and encourage a gritty, growth mindset among people called "we entrepreneurs."
As an Excess and Surplus (E&S) carrier, we face unique and interesting challenges every day. We are seeking a Complex Construction Defect Claims Adjuster to join our amazing team.
Primary Function:
Works from home under limited supervision and within given authority, adjudicates to resolution Property & Casualty Claims nationwide of variable severity, complexity. This position will primarily handle Construction Defect claims. Claims handling duties may also include the following primary and excess lines of business: Construction Liability, General Liability, Commercial Auto Liability, Professional Liability, Cyber Liability, and Public Entity liability.
Duties and Responsibilities:
  • Reviews policy language and coverage position letters
  • Reviews, analyzes, and recommends reserves
  • Reviews and leads the investigation of claims within given inventory
  • Reviews and leads litigation management efforts
  • Presents claims for reserve and/or settlement authority
  • Other Essential Duties include but not limited:
    • Works closely with Underwriting
    • Provides guidance and feedback for more junior claims personnel
    • Presents to Sr. Leadership as necessary
    • Travel 10-15% to offsite meetings, seminars, mediations, trials, etc. as necessary

Experience, Education, Special Skills Required:
  • 5+ years of experience
  • Construction Defect claims handling, coverage analysis, and litigation experience
  • Adjuster licenses as necessary across the United States (preferred)
  • Ability to self-manage in a work-from-home environment
  • Excellent written and oral communication skills
  • Excellent organizational skills
  • Ability to work across multiple business functions
  • Ability to work independently
  • Ability to think critically, strategically, and out of the box

Disclosures:
Pay Estimate: $100,000 - $190,000
Other compensation: annual incentive program
Benefits: health insurance including FSA and HSA options and free access to Teladoc, vision, dental, disability and life insurance, parental leave, responsible time off (unlimited vacation days without an accrual system), paid sick time as required by law, 401(k), tuition reimbursement and employee assistance program.

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