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Remote Claims Processor Jobs in Gonzales, LA (NOW HIRING)

USAA

Sr. Auto Appraiser - Field

Baton Rouge, LA · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

USAA

Sr. Auto Appraiser - Field

Donaldsonville, LA · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

micro1 AI

Medical Billing Specialist

Baton Rouge, LA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Gonzales, LA

Remote Claims Processor information

See Gonzales, LA salary details

$10

$16

$22

How much do remote claims processor jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote claims processor in Gonzales, LA is $16.51, according to ZipRecruiter salary data. Most workers in this role earn between $14.09 and $17.79 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.

More about Remote Claims Processor jobs

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The top searched job categories for Remote Claims Processor jobs in Gonzales, LA are:

What cities near Gonzales, LA are hiring for Remote Claims Processor jobs?

Cities near Gonzales, LA with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Gonzales, LA as of August 2026, with employment types broken down into 1% Internship, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $34,339 per year, or $16.5 per hour.

Claims Specialist

Strategic Staffing Solutions

Baton Rouge, LA • Remote

Full-time

Posted 3 days ago

New

Job description

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.

Visa Sponsorship is Available. The details are below. "Beware of scams.

S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position

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