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Remote Claims Processor Jobs in Georgetown, DE (NOW HIRING)

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Medical Billing & Member Advocacy Specialist

Lewes, DE · Remote

$65K - $85K/yr

Review and process member Needs (medical expense requests) with accuracy, consistency, and ... Ability to work independently in a remote environment while remaining highly responsive and ...

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Remote Claims Processor information

See Georgetown, DE salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote claims processor in Georgetown, DE is $17.70, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $19.09 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 cities near Georgetown, DE are hiring for Remote Claims Processor jobs? Cities near Georgetown, DE with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Consulting Principal- Program Director, Healthcare (Payer)

Consulting Principal- Program Director, Healthcare (Payer)

Cognizant

Dover, DE • Remote

$122K - $194K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Cognizant rating

7.4

Company rating: 7.4 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

41st of 58 rated business consultants

Job description

About Cognizant Consulting

Cognizant Consulting is more than Cognizant’s consulting practice—we’re a global community of 5,000+ experts dedicated to helping clients reimagine their business. Blending deep industry expertise with leading technology capabilities, we create innovative solutions for Fortune 500 clients.

Now, we’re looking for our next leader to help shape the future of healthcare transformation.

About the Role

As a Consulting Principal: Program Director – Healthcare Payer Transformation, you will make an impact by leading complex, enterprise-wide transformation programs across healthcare payer organizations.

You will be a valued member of the Healthcare Consulting team, working closely with senior client stakeholders, business and technology leaders, and cross-functional teams to deliver integrated transformation outcomes.

In this role, you will:

  • Lead large-scale healthcare transformation programs across claims, provider, member, billing, and operational domains, driving strategy through execution.

  • Define and execute program roadmaps and governance models, ensuring alignment across business, IT, operations, and external partners.

  • Serve as a functional leader across payer operations, translating business requirements into scalable operating models and transformation strategies.

  • Drive cross-layer integration, connecting business processes, applications, data flows, APIs, and vendor solutions to ensure end-to-end delivery integrity.

  • Engage executive stakeholders and lead governance forums, steering decision-making, managing vendor performance, and ensuring program success across multiple workstreams.

Work Model

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States with some travel involved.

Regardless of your working arrangement, we are here to support a healthy work-life balance through our wellbeing programs.

What you must have to be considered:

  • 12+ years of experience leading large-scale healthcare payer transformation programs

  • Deep functional expertise in payer operations (claims, provider, benefits, enrollment, utilization management)

  • Proven experience driving enterprise transformation programs across multi-vendor and multi-system environments

  • Strong understanding of enterprise integration, data flows, and cross-functional impacts across systems and operations

  • Demonstrated ability to lead complex, matrixed teams and influence senior stakeholders

  • Exceptional communication skills with strong executive presence and stakeholder management capabilities

These will help you succeed:

  • Experience leading national or multi-plan healthcare programs

  • Exposure to payer core platforms such as FACETS, QNXT, HealthEdge, or similar

  • Experience in digital transformation, modernization, or cloud initiatives

  • Certifications such as PMP, SAFe, or equivalent

Compensation

$122,400-$194,000

This position is eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits

  • Medical, dental, vision, and life insurance

  • 401(k) plan and contributions

  • Employee stock purchase plan

  • Employee assistance program

  • 10 paid holidays plus PTO

  • Paid parental leave and fertility assistance

  • Learning and development certifications and programs

Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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