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Remote Claims Processor Jobs in Jacksonville, FL

Oates Energy

Claims Processor

Jacksonville, FL · Remote

$36 - $49/hr

This is a remote position. Summary Our insurance division is looking for a committed Claims Processor to become an integral part of our team. In this vital role, you will oversee the initial intake ...

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · On-site +1

$67K - $70K/yr

... 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 ...

CES, LLC

Medical Review Nurse III

Saint Augustine, FL · Remote

Review information contained in Standard Claims Processing System files (e.g., claims history, provider files) to determine provider billing patterns and to detect potentially fraudulent or abusive ...

Davies

Liability Assoc. Claims Adjuster

Jacksonville, FL · On-site +1

$62K - $67K/yr

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 ...

Deloitte

Epic Denials Manager

Jacksonville, FL · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

WarrCloud

Warranty Specialist

Jacksonville, FL · Remote

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

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 ...

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 ...

TEKsystems

Denials Specialist

Jacksonville, FL · Remote

$26/hr

Denial Specialist REMOTE | $26.00 USD/hour Highlights: • Industry: Healthcare Revenue Cycle • ... claims to identify root causes and determine appropriate resolution strategies. • Prepare and ...

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

Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote claims processor in Jacksonville, FL is $17.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $19.13 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 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $36,936 per year, or $17.8 per hour.

Claims Processor

Jacksonville, FL • Remote

Oates Energy
Utilities • 11 - 50 employees
Learn more about Oates Energyexternal

$36 - $49/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

This is a remote position.

Summary
Our insurance division is looking for a committed Claims Processor to become an integral part of our team. In this vital role, you will oversee the initial intake and assessment of claims filed by policyholders, serving as a cornerstone for our operational effectiveness. Your work ensures that clients receive prompt and precise solutions to their coverage questions. You will be responsible for navigating intricate claim files, confirming policy specifics, and collaborating with diverse stakeholders to enable equitable and rapid settlements. This position is critical in upholding our dedication to superior service and strict adherence to regulatory standards.

Responsibilities
  • Perform comprehensive evaluations of filed claims to confirm eligibility and interpret policy conditions.
  • Collect, examine, and structure necessary documentation and evidence to substantiate claim decisions.
  • Engage in clear communication with policyholders, agents, and external adjusters to resolve ambiguities and obtain supplementary information.
  • Determine settlement figures in strict alignment with policy stipulations and internal company directives.
  • Ensure the claims management database is consistently updated with precise and current records.
  • Detect signs of potential fraudulent activity and promptly report suspicious cases to the dedicated investigation unit.
  • Strictly follow all applicable state and federal insurance laws alongside internal compliance frameworks.
Requirements
  • Hold 1-3 years of relevant professional experience within the insurance industry, preferably in claims processing or a comparable area.
  • Possess a robust grasp of insurance contracts, operational procedures, and the end-to-end claims lifecycle.
  • Display keen analytical abilities capable of deciphering complex information to drive informed decision-making.
  • Demonstrate superior written and oral communication skills for professional interactions.
  • Be skilled in utilizing claims management platforms and standard office productivity applications.
  • Exhibit meticulous attention to detail and the capacity to handle multiple files concurrently while meeting strict deadlines.
Benefits
  • Competitive salary and performance-based bonuses
  • Comprehensive health, dental, and vision insurance
  • Retirement savings plan with company matching
  • Paid time off and holidays
  • Professional development and training opportunities
  • Flexible work arrangements
Equal Employment Opportunity Statement
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.