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Remote Claims Processor Jobs in Lancaster, PA (NOW HIRING)

Overview This is a full-time career opportunity that can be remote. This position is responsible ... This position independently decisions bank liability for fraud claims, requires the ability to ...

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Remote Claims Processor information

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$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote claims processor in Lancaster, PA is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 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.

What job categories do people searching Remote Claims Processor jobs in Lancaster, PA look for?

The top searched job categories for Remote Claims Processor jobs in Lancaster, PA are:

What cities near Lancaster, PA are hiring for Remote Claims Processor jobs?

Cities near Lancaster, PA with the most Remote Claims Processor job openings:

Infographic showing various Remote Claims Processor job openings in Lancaster, PA as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,741 per year, or $18.6 per hour.

Fraud Risk Management Investigator

PA • Remote

Fulton Bank
Commercial Banking • 1 - 5K employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Fulton Bank rating

8.2

Company rating: 8.2 out of 10

Based on 31 frontline employees who took The Breakroom Quiz


Job description

Value Proposition

Our values define us and our culture inspires us to change lives for the better. Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our local communities. We champion a culture of continuous learning, work-life integration, and inclusion. We promote a digitally enabled work environment to continuously enhance the experience of our employees and customers.

Overview

This is a full-time career opportunity that can be remote.

This position is responsible for protecting bank and customer assets from various financial crimes through rapid time sensitive review, research, analysis and evaluation of customer deposit and credit relationships and transactions across all payment and access channels as well as commercial, consumer, and mortgage loans. This position independently decisions bank liability for fraud claims, requires the ability to identify trends or anomalies within complex transactions, engages in ambiguous problem-solving and uses subject matter disciplines to address difficult situations, executes various risk mitigation efforts and provides clear documentation of all findings. This position must also employ a balanced perspective to ensure protection of the Fulton Bank brand while maintaining a high level customer experience. This position will require occasional travel.

Responsibilities
  • Fuel loss mitigation efforts through detailed investigation of moderate to complex suspicious activity across all credit, payment and access channels that include: review of financial and credit transactions, informational and/or behavior analysis interviews of victims, suspects and witnesses, surveillance video review, correlative fraud event trending and link analysis, omni-channel suspect touch point research, thorough understanding of Uniform Commercial Code, NACHA and other regulations associated with potential transaction liability.
  • Respond to immediate fraud threats (both domestic and international) with rapid, appropriate, risk-based urgency through evaluation of Unusual Activity Reports, as well as incoming Fraud Risk Management hotline calls or e-mails from risk partners across the enterprise, law enforcement, and industry peers.
  • Document and report investigative findings with meticulous detail to facilitate effective criminal or civil prosection efforts, reduce litigation risk, as well as ensure compliance with regulator expectations and internal audit standards, which includes reporting to regulators via Suspicious Activity Reports (SAR).
  • Affect positive change to strengthen the internal control environment across the enterprise through root cause analysis, process improvement recommendations and fraud training initiatives within both the Fulton employee base and the communities Fulton serves.
  • Collaborate with risk partners across all lines of business to educate LOB partners and the communities served by Fulton to deter all fraud types (e.g. cyber fraud, ID theft, information security, loan fraud, payment fraud, etc.) against Fulton Bank, its customers and other critical stakeholders
  • Uphold the highest standards of professionalism and ethics consistent with Fulton Bank and accredited fraud mitigation organizations (e.g. - Association of Certified Fraud Examiners, International Association of Financial Crimes Investigators) to forge beneficial relationships with internal and external risk partners, maintain industry credibility and significantly minimize reputation and litigation risk.
  • Apply and ensure adherence to all applicable laws, regulations, regulatory requirements and Bank policies and procedures, including but not limited to those related to Fair Banking, Uniform Commercial Code (UCC), Bank Secrecy Act and USA PATRIOT Act.
  • Recommend indemnification of other financial institutions in an effort to recover funds on behalf of the Bank and victim customers, and/or escalate investigations to law enforcement agencies.
QualificationsEducation

High School Diploma or equivalent. (Required)

Bachelor's Degree or the equivalent experience. Specialty: Business Administration or other applicable. (Preferred)

Experience

2 or more years banking experience . (Required)

2 or more years financial crimes, fraud prevention, fraud detection and investigation experience. (Required)

Certifications

Certified Fraud Examiner, Certified Financial Crimes Investigator, and/or Certified Cyber Crimes Investigator. (Preferred)

Knowledge, Skills, and Abilities
  • Exercise discretion and independent judgment on a routine basis to mitigate bank and/or customer losses with consideration given to minimizing negative customer impact or friction. (Required)
  • Critical decisions requiring immediate attention, often with somewhat limited information or context due to time constraints, include whether or not to block/freeze accounts, return payment items, deny pending transactions, and de-market customer relationships due to ongoing potential risk. (Required)
 Other Duties as Assigned by Manager

This role may perform other job duties as assigned by the manager. Each employee of the Organization, regardless of position, is accountable for reading, understanding and acting on the contents of all Company-assigned and/or job related Compliance Programs, regulations and policies and procedures, as well as ensure that all Compliance Training assignments are completed by established due dates. This includes but is not limited to, understanding and identifying compliance risks impacting their department(s), ensuring compliance with applicable laws or regulations, and escalating compliance risks to the appropriate level of management.

Pay Transparency

To provide greater transparency to candidates, we share base salary ranges on all job postings regardless of state. We set standard salary ranges for our roles based on the position, function, and responsibilities, as benchmarked against similarly sized companies in our industry. Specific compensation offered will be determined based on a combination of factors including the candidate's knowledge, skills, depth of work experience, and relevant licenses/credentials. The salary range may vary based on geographic location.

The salary range for this position is $51,600.00 - $86,000.00 annually.

Additional Compensation Components

This job is eligible to participate in a short-term incentive compensation plan subject to individual and company performance.

Benefits

Additionally, as part of our Total Rewards program, Fulton Bank offers a comprehensive benefits package to those who qualify. This includes medical plans with prescription drug coverage; flexible spending account or health savings account depending on the medical plan chosen; dental and vision insurance; life insurance; 401(k) program with employer match and Employee Stock Purchase Plan; paid time off programs including holiday pay and paid volunteer time; disability insurance coverage and maternity and parental leave; adoption assistance; educational assistance and a robust wellness program with financial incentives. To learn more about your potential eligibility for these programs, please visit Benefits & Wellness | Fulton Bank.

EEO StatementFulton Bank ("Fulton") is an equal opportunity employer and is committed to providing equal employment opportunity for all qualified persons. Fulton will recruit, hire, train and promote persons in all job titles, and ensure that all other personnel actions are administered, without regard to race, color, religion, creed, sexual orientation, national origin, citizenship, gender, gender identity, age, genetic information, marital status, disability, covered veteran status, or any other legally protected status.Sponsorship Statement

As a condition of employment, individuals must be authorized to work in the United States without sponsorship for a work visa by Fulton Bank currently or in the future.

Employment Type: OTHER

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About Fulton Bank

Sourced by ZipRecruiter

Fulton Bank, headquartered in Lancaster, PA, US, falls under the financial services industry and operates as a subsidiary of Fulton Financial Corporation. Known for its rich history, the company was founded in 1882 and has since established itself as one of the most trusted community banks in the Mid-Atlantic region. Fulton Bank offers a comprehensive range of financial services, including retail and business banking, wealth management, and investment solutions. The company’s official website is fultonbank.com.

Industry

Commercial banking

Company size

1,001 - 5,000 Employees

Headquarters location

Lancaster, PA, US

Year founded

1882

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