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Remote Claims Processor Jobs in Jackson, TN (NOW HIRING)

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Remote Claims Processor information

See Jackson, TN salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote claims processor in Jackson, TN is $18.19, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.62 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 Jackson, TN are hiring for Remote Claims Processor jobs? Cities near Jackson, TN with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Jackson, TN as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $37,827 per year, or $18.2 per hour.
Agent Relations Consultant

Agent Relations Consultant

BlueCross BlueShield of Tennessee

Jackson, TN • Remote

Full-time

Posted 20 days ago

Job description

BCBST is hiring an Agent Relations Consultant.

We're looking for a results-driven professional who excels in building high-impact broker and agent relationships, with a strong focus on measurable growth, compliance, and market effectiveness across Individual and Medicare products.

In this role, you'll drive outcomes by expanding product adoption, increasing enrollment, and strengthening broker/agent partnerships. You will serve as the primary liaison for brokers and agents, ensuring they are equipped with the knowledge, tools, and systems needed to generate leads, convert opportunities, and maintain compliance with related regulations. You'll also orchestrate seamless agent contracting processes, ensuring every detail aligns for smooth execution.

Success in this role means consistently improving broker/agent productivity, increasing enrollment rates, maintaining audit-ready compliance standards, and delivering training initiatives that result in measurable performance gains. It also means being a trusted partner in the market-driving both immediate sales outcomes and long-term relationship value.

Ready to take the next step?

Note:
This is a remote role with daily travel within assigned region, including BCBST's headquarters in Chattanooga.

Candidate must maintain an active TN health insurance license.
Sponsorship is not available for this role.
We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members.

Job Responsibilities

  • Support and sell BCBST Individual and Medicare group health products to groups, individuals and/or their broker/agent.
  • Serve as primary resource contact and liaison for the broker/agent on Government individual products.
  • Provide ongoing education to the broker/agent assigned and distribute materials.
  • Develop and implement quarterly training and annual credentialing for all Medicare Advantage agents.
  • Coordinate agent contracting documents from both agencies and individual agents.
  • Maintain a working knowledge of CMS regulations, COBRA, HIPAA, etc. and other issues affecting groups, Individual and Government products.
  • Train broker/agent on lead and enrollment systems.
  • Some travel is required.

Job Qualifications
Education

  • Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment.

Experience

  • 3 years - Experience in broker relations, sales and/or account management required.

Skills\Certifications

  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Outstanding negotiation, presentation, and facilitation skills
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Accuracy and attention to detail
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Demonstrated knowledge of contracts, products, networks, underwriting, billing, claims processing procedures and use of a broker distribution system.
  • Must possess personal and professional skills to manage broker relationships through needs assessment, benefit and rate analysis, product presentation and negotiation.

License

  • Tennessee Life and Health Insurance License

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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