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

The Difference Card

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Operations Manager, Claims/Quality

Greenwich, CT · Remote

$85K - $100K/yr

Monitor, organize, and coach team on a day-to-day basis. • Ensure Service Levels are met. • Preparing a remote Claims for growth; Preparing and overseeing an offshore Claims Team for growth • ...

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Gallagher

Claims Associate - INVEST

Manhattan, NY · Remote

$19.50 - $26.50/hr

Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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How much do remote claims processor jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote claims processor in Hackensack, NJ is $20.90, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.55 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 job categories do people searching Remote Claims Processor jobs in Hackensack, NJ look for? The top searched job categories for Remote Claims Processor jobs in Hackensack, NJ are:
What cities near Hackensack, NJ are hiring for Remote Claims Processor jobs? Cities near Hackensack, NJ with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Hackensack, NJ as of June 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 100% Remote job distribution, with an average salary of $43,477 per year, or $20.9 per hour.
Operations Manager, Claims/Quality

Operations Manager, Claims/Quality

The Difference Card

Greenwich, CT • Remote

$85K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

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Job description

Company Mission

The Difference Card helps organizations build the most cost-effective health plan. Since 2001, The Difference Card has provided its clients with an average net savings of over 18%. The product utilizes proprietary medical reimbursement systems, risk transfer solutions and wellness strategies. In doing so, The Difference Card has delivered millions of dollars in savings to its clients while at the same time providing the highest level of employee benefits. With offices across the United States, The Difference Card provides a national presence combined with local expertise and service. Through strategic broker partnerships, The Difference Card delivers custom plan design solutions that exceeds the needs of both employers and employees across the country. For more information, visit www.differencecard.com


Role and Responsibilities

The Ops Manager is responsible with ensuring the service our associates deliver delight our customers: driving innovation and best in class delivery while supervising an omni-channel service remote team. The Customer Care Team Ops Manager is responsible for:

• Managing a small claims team: Monitor, organize, and coach team on a day-to-day basis.

• Ensure Service Levels are met.

• Preparing a remote Claims for growth; Preparing and overseeing an offshore Claims Team for growth

• Reviewing existing procedures and implementing claims best practices

• Applying workforce management principles in operationalizing claims center

• Review and analyze claim patterns, making recommendations to improve customer satisfaction, quality, and productivity

• Capacity Planning, hiring, managing, and firing

• Oversight of creation of training material, delivery of training and confirmation of training programs.

• Compiling team performance and reviewing with individual associates.

• Define and maintain team schedules, manage attendance and adherence to schedules.

• Drive Operational Efficiencies reducing costs

• Collaborate across the organization including sales and account management to deliver success.


Qualifications and Education Requirements

• Bachelor’s degree or equivalent work experience

• Minimum of 2 to 5 years of customer service leadership experience, overseeing high volumes while delivering white glove service.

Preferred Skills

• Proven Management experience and results: ability to motivate employees and ensure a best in class organization.

• Experience with tax favored accounts, such as HRAs FSAs and DCAs.

• Position requires a high degree of diplomacy, ability to problem solve and manage complicated issues, ability to effectively manage large volume of claims atmosphere.

• Superior customer service skills, strong interpersonal and communication skills.


Location: Remote

Job Type: Full-time /Exempt


EB Employee Solutions, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. We are dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Company Description

Company Mission
The Difference Card helps organizations build the most cost-effective health plan. Since 2001, The Difference Card has provided its clients with an average net savings of over 18%. The product utilizes proprietary medical reimbursement systems, risk transfer solutions and wellness strategies. In doing so, The Difference Card has delivered millions of dollars in savings to its clients while at the same time providing the highest level of employee benefits. With offices across the United States, The Difference Card provides a national presence combined with local expertise and service. Through strategic broker partnerships, The Difference Card delivers custom plan design solutions that exceeds the needs of both employers and employees across the country. For more information, visit www.differencecard.com