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Remote Claims Processor Jobs in Medina, NY (NOW HIRING)

Deloitte

Epic Denials Management Operator

Williamsville, NY · Remote

$16.50 - $22/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 ...

CSAA

Regulatory Reporting Analyst- Remote

Alabama, NY · Remote

In order for your application to be correctly processed please sign-in before you apply Internal ... Partner with cross-functional teams, including Legal, Product Management, Actuarial, Claims ...

Manulife

Senior Underwriting Consultant

Alabama, NY · Remote

$88K - $105K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... process, contact hr@manulife.com. Referenced Salary Location USA, Massachusetts - Full Time Remote ...

Medix

REMOTE Account Manager (PBM)

Williamsville, NY · On-site +1

$28.85 - $38.46/hr

Help manage internal RFP/procurement and market-check processes for assigned accounts, including ... Excel and data analysis skills - Ability to work with pharmacy or claims data to identify trends ...

Excelsior Orthopaedics

Certified Medical Coder

Amherst, NY · Remote

$21 - $35.64/hr

Opportunity to work fully remote after training * Opportunity to become a part of organization that ... Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer ...

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Remote Claims Processor information

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$10

$16

$23

How much do remote claims processor jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote claims processor in Medina, NY is $16.99, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $18.32 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 job categories do people searching Remote Claims Processor jobs in Medina, NY look for?

The top searched job categories for Remote Claims Processor jobs in Medina, NY are:

What cities near Medina, NY are hiring for Remote Claims Processor jobs?

Cities near Medina, NY with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Medina, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $35,339 per year, or $17 per hour.

Claims Operations Associate II

Great American Insurance Group

Alabama, NY • Remote

$20 - $27/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 307 rated insurance

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.

Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.

Position Overview

The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and processed accurately and efficiently. This role serves as a key partner to adjusters by handling claim-related transactions, correspondence, documentation, and customer inquiries while maintaining high standards of service and accuracy. The position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

This is a remote, work-from-home position for candidates located within the Mountain or Central Time Zone and available to work 37.5 hours per week, Monday through Friday from 8:00 a.m. to 4:30 p.m. Mountain/Central Time.

Responsibilities

  • Provide operational support to workers' compensation adjusters by managing claim-related administrative activities.

  • Set up and maintain claim files, ensuring information is entered accurately and updated in a timely manner.

  • Verify coverage, process claim-related transactions, and support payment and financial processing activities.

  • Respond to inquiries received by phone, email, and voicemail, resolving routine issues and escalating complex matters as appropriate.

  • Utilize problem-solving and investigative skills to gather information, identify discrepancies, and support issue resolution.

  • Prepare and distribute correspondence, forms, and other claim-related documentation.

  • Coordinate phone outreach to collect information, schedule appointments, and support claim file development.

  • Assist with litigation support by organizing and providing required claim documentation.

  • Maintain organized workloads and activities through systems such as ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.

  • Support policy, claim, and data management processes to ensure accuracy and compliance with established procedures.

  • Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.

  • Maintain professionalism and confidentiality in all interactions and communications.

  • Meet productivity, quality, and service expectations while managing multiple priorities.

  • Follow established guidelines and procedures while seeking guidance on complex or non-routine issues.

Qualifications

  • High school diploma or equivalent required.

  • Experience in claims operations, claims processing, claims support, or a related insurance administrative role required.

  • Experience supporting workers' compensation adjusters or claims professionals strongly preferred.

  • Strong verbal and written communication skills with the ability to interact professionally with internal and external stakeholders.

  • Demonstrated ability to work accurately, manage multiple tasks, and maintain attention to detail in a fast-paced environment.

  • Must be located within the Mountain or Central Time Zone and able to work standard business hours in those time zones.

Business Unit:

Strategic Comp


Salary Range:

$20.00 -$27.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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