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Remote Claims Processor Jobs in Irmo, SC (NOW HIRING)

Bcbsa

Financial Audit Senior Consultant

Columbia, SC · Remote

$107K/yr

... the audit process; instruct audit flow facilitation; analyze and assess audit trends, best ... Intermediate knowledge of auditing, finance, and claims operations. * Advanced negotiation ...

micro1 AI

Medical Billing Specialist

Columbia, SC · 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 ...

Afni, Inc.

Remote Customer Service Representative

SC · On-site +1

$14.75 - $20/hr

Those calls will require processing of orders, updating accounts, updating records, effective ... Wisconsin * Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Irmo, SC

Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims processor in Irmo, SC is $15.65, according to ZipRecruiter salary data. Most workers in this role earn between $13.37 and $16.88 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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The top searched job categories for Remote Claims Processor jobs in Irmo, SC are:

What cities near Irmo, SC are hiring for Remote Claims Processor jobs?

Cities near Irmo, SC with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Irmo, SC as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 80% Physical, 5% Hybrid, and 15% Remote job distribution, with an average salary of $32,550 per year, or $15.6 per hour.

Licensed Practical Nurse / LPN - (13233)

InGenesis

Columbia, SC • Remote

$21 - $28.50/hr

Full-time

Re-posted 12 days ago

Job description

InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the state of South Carolina. Apply today and we'll reach out to answer any questions you may have! Job Duties * Responsible for supporting and maintaining the coordination of daily operations of assigned area. * Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function * Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established UR criteria, interpreting rules and regulations. * Completes authorization by following established policies * Review interdepartmental requests and medical information to complete utilization process * Documents process used and decision int he appropriate system in accurate and timely manner. * Performed other duties as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license in the State of South Carolina or active compact multistate unrestricted LPN license * 3+ years managed care or physician's office experience * Computer proficiency Equal Employment Opportunity Statement: InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law. InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. Please visit our website at https://www.ingenesis.com/careers/site-accommodations for more information. To learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC). Company Statement: With decades of experience, InGenesis has grown into one of North America's most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.

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