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Remote Claims Processor Jobs in Jacksonville, FL

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · On-site +1

$67K - $70K/yr

  • Medical

  • Dental

  • Vision

  • PTO

... remote Claims Force team. As a Full-Service Reviewer, you will be responsible for reviewing ... Monitor trends and performance indicators to help identify training opportunities or process ...

Davies

Liability Assoc. Claims Adjuster

Jacksonville, FL · On-site +1

$62K - $67K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote, FL Reporting To: Cheri Sather Compensation: $62,000 - $67,000 / year Description Our Story ... Process form letters. * Maintain regular communication with clients, insureds, claimants, and other ...

North American Risk Services, Inc. (NARS)

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Claims Advocate

Jacksonville, FL · Remote

$78K - $95K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Analyze claims for accuracy, completeness and eligibility, prepare and maintain reports and process payments. The Claims Advocate will have responsibilities in these areas subject to standards of ...

North American Risk Services, Inc. (NARS)

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Bodily Injury Claims Adjuster - Commercial Transportation

Jacksonville, FL · Remote

$60K - $80K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate BI Claims Adjusters * Needs Commercial Transportation Experience Working From Home Comprehensive Benefits Package * Medical, Dental, Vision Insurance * Paid Time Off Program * 401k * And ...

Davies

P&C Liability Supervisor

Jacksonville, FL · On-site +1

$82K - $92K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Remote, FL ... Identify trends and collaborate with leadership on process improvement initiatives. * Escalate ...

North American Risk Services, Inc. (NARS)

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Auto PD Claims Adjusters - Commercial Transportation

Jacksonville, FL · Remote

$55K - $75K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Auto PD Claims Adjusters - Commercial Transportation · Needs Commercial Transportation Experience Working From Home Comprehensive Benefits Package · Medical, Dental, Vision Insurance · Paid Time ...

WarrCloud

Warranty Specialist

Jacksonville, FL · Remote

  • Medical

  • Retirement

  • PTO

Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...

WarrCloud

Warranty Specialist

Jacksonville, FL · Remote

  • Medical

  • Retirement

  • PTO

Be part of a team that is first to market and shaping the future of warranty claims processing. * Enjoy the freedom of a 100% Remote opportunity. * Receive a competitive salary and performance-based ...

H2 Health

AR Billing Collections Specialist

Jacksonville, FL · Remote

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

AR Billing Collections Specialist | Full-time | Remote At H2 Health , we recognize the importance ... In-depth knowledge of healthcare billing regulations, claims processing, and collections * Strong ...

Deloitte

Epic Denials Management Operator

Jacksonville, FL · Remote

$16.75 - $22.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Jacksonville, FL

Remote Claims Processor information

See Jacksonville, FL salary details

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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 Jacksonville, FL is $17.85, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.23 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 are the most commonly searched types of Claims Processor jobs in Jacksonville, FL?

The most popular types of Claims Processor jobs in Jacksonville, FL are:

What are popular job titles related to Remote Claims Processor jobs in Jacksonville, FL?

For Remote Claims Processor jobs in Jacksonville, FL, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Jacksonville, FL look for?

The top searched job categories for Remote Claims Processor jobs in Jacksonville, FL are:

What cities near Jacksonville, FL are hiring for Remote Claims Processor jobs?

Cities near Jacksonville, FL with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Jacksonville, FL as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Temporary. Highlights an 100% Remote job distribution, with an average salary of $37,125 per year, or $17.8 per hour.

Full-Service Restoration Reviewer (Remote)

Bosun

Jacksonville, FL • Remote

$67K - $70K/yr

Full-time

Medical, Dental, Vision, PTO

Re-posted 16 days ago

Job description

Full-Service Reviewer (QA Analyst)

On behalf of a leading national restoration company with over 300 franchise locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to join their remote Claims Force team.

As a Full-Service Reviewer, you will be responsible for reviewing estimates across a broad range of restoration service types -including mitigation, reconstruction, contents, and more - ensuring accuracy, compliance, and alignment with carrier and company standards. This position is ideal for experienced reviewers or estimators ready to step into a critical quality control role.

Key Responsibilities Full-Service Reviewer

  • Conduct comprehensive estimate reviews for services including water mitigation, mold remediation, reconstruction, contents, board-up, abatement, biohazard, and fire damage.

  • Evaluate estimate documentation in Xactimate, XactAnalysis, Claims Connect, Validate, CMS, and related systems.

  • Ensure compliance with carrier requirements, internal standards, and industry best practices.

  • Provide professional and constructive feedback to franchise teams to improve estimating consistency and accuracy.

  • Communicate with both franchise locations and carrier representatives through various digital platforms.

  • Monitor trends and performance indicators to help identify training opportunities or process improvements.

  • Support surge needs during catastrophe events or times of increased volume.

Competencies Knowledge, Skills & Abilities

  • Advanced knowledge of Xactimate and insurance estimating software (XactAnalysis, Claims Connect, etc.)

  • Proven ability to handle complex estimate reviews across multiple service lines

  • Detail-oriented and analytical mindset

  • Excellent written and verbal communication skills

  • Confident in providing direct feedback and coaching to field teams

  • Strong organizational and time management skills

  • Comfortable with technology tools including Microsoft Outlook, Teams, SharePoint, Excel, and OneDrive

  • Demonstrated ability to adapt to evolving standards and priorities

Required Qualifications

  • High School Diploma or GED

  • Three or more years of experience in restoration estimating or estimate review (mitigation, reconstruction, and contents experience required)

  • Bachelor's degree or equivalent experience preferred

  • Ability to pass a background check and maintain confidentiality

Job Details

  • Schedule: Tuesday-Saturday | Start time between 7:00 AM 9:00 AM

  • Benefits: Internet reimbursement, PTO, sick days, medical, dental, vision

Why Join as a Full-Service Reviewer?

You'll join a strong, collaborative remote team that values detail, growth, and professionalism. This is not a contract or temporary role - it's a full-time position with long-term growth potential and the opportunity to play a pivotal role in quality assurance for a trusted industry leader. Whether you've worked as a mitigation estimator, reconstruction PM, or contents specialist, your deep expertise will be fully utilized here.

Posting Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, sex, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military and veteran status, marital status, pregnancy, gender, gender expression, gender identity, sexual orientation, or any other characteristic protected by local law, regulation, or ordinance.