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Remote Claims Processor Jobs in Grand Prairie, TX

TCWGlobal

Claims Administrator

Dallas, TX · Remote

$18 - $20/hr

Comfortable learning new software and business processes * Able to work independently in a fully remote environment Nice to Have * Salesforce experience * Claims or insurance exposure * Experience ...

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$19 Medical Claims and Reimbursement Specialist

Dallas, TX · Remote

$19/hr

Join our remote team as a Healthcare Claims & Billing Representative and help ensure claims are processed accurately and efficiently. If you're driven, organized, and knowledgeable in medical billing ...

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Medical Reimbursement Representatives (Remote) - $19/hr

Irving, TX · Remote

$19/hr

We are currently hiring for Remote Medical Reimbursement Representatives to join a growing health ... Review and process medical claims submitted by healthcare providers. * Verify claim information and ...

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$19/hr Remote Medical Claims Specialists *TEXAS*

Irving, TX · Remote

$19/hr

Remote Medical Claims Specialist * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!!! * Equipment Provided * MUST live near Irving, TX Schedule: 7am-9pm CST. Monday through Friday (Must be able ...

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$19/hr. WORK FROM HOME- Medical Claims Specialist-TEXAS

Fort Worth, TX · Remote

$19/hr

Remote Medical Claims Specialist| $19/hr. Weekly Pay & Benefits | Equipment Provided | MUST LIVE ... Review and process prior authorization requests for medications, services, and procedures. * Verify ...

Crawford and Company

Sr Claims Clerk

Dallas, TX · Remote

$12.75 - $23.32/hr

Senior Claims Clerk (Remote)! Looking for a detail-driven professional who thrives in a fast-paced ... You'll help keep operations running smoothly by managing documentation, processing claim-related ...

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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 12, 2026, the average hourly pay for remote claims processor in Grand Prairie, TX is $18.14, according to ZipRecruiter salary data. Most workers in this role earn between $15.48 and $19.57 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

What job categories do people searching Remote Claims Processor jobs in Grand Prairie, TX look for?

The top searched job categories for Remote Claims Processor jobs in Grand Prairie, TX are:

What cities near Grand Prairie, TX are hiring for Remote Claims Processor jobs?

Cities near Grand Prairie, TX with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Grand Prairie, TX as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $37,733 per year, or $18.1 per hour.

Complex Claims Adjuster - Commercial Liability

Plano, TX • On-site, Remote

Berkshire Hathaway GUARD Insurance Companies
Insurance Services • 1 - 5K employees
Learn more about Berkshire Hathaway GUARD Insurance Companiesexternal

$80K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

Berkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial General Liability (CGL) and Business Owners Policy (BOP) claims, including litigated files.

What You'll Do

  • Handle CGL and BOP claims from initial investigation through resolution
  • Manage litigated claims in coordination with defense counsel and vendors
  • Review policy language and determine coverage, liability, and damages
  • Develop and implement claim handling and resolution plans
  • Negotiate settlements with claimants and attorneys
  • Maintain accurate claim documentation in accordance with company and regulatory requirements
  • Communicate with insureds, claimants, attorneys, and internal teams
Qualifications
  • Minimum 10 years of insurance industry experience, including hands-on Commercial General Liability (CGL) claims handling
  • 5+ years of experience managing litigated and in-suit CGL and BOP claims
  • Strong understanding of litigation management, claim valuation, and negotiation strategies
  • Experience analyzing coverage issues and applying policy language to liability claims
  • Proven ability to work effectively with defense counsel and manage claims through the litigation lifecycle
  • Strong written and verbal communication skills
  • Ability to manage multiple complex claims and competing priorities
  • Experience using claims management systems and standard business applications
  • JD preferred, or bachelor's degree with significant experience handling litigated liability claims

  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including training and compliance with ongoing continuing education requirements

Salary $80,000 - $120,000 

In accordance with applicable pay transparency laws, this range represents a goodfaith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.

This role may be based out of any of our office locations, including:

New York, NY; Parsippany, NJ; Conshohocken, PA; WilkesBarre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA.

Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.

Employment Type: FULL_TIME

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