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Remote Claims Processor Jobs in Middletown, NJ (NOW HIRING)

JGS Insurance

Claims Representative

Holmdel, NJ · Remote

Follow agency procedures for commercial claim handling including processing and settlement ... Record new claims in the Claims Log in Quip.Perform other duties as assigned by supervisor.

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

Build and maintain trusted relationships with stakeholders by advising on claims-adjudication processes, communicating recommendations, and supporting resolution of complex or sensitive claim matters.

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Remote Claims Processor information

See Middletown, NJ salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote claims processor in Middletown, NJ is $19.50, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $21.06 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 Middletown, NJ look for? The top searched job categories for Remote Claims Processor jobs in Middletown, NJ are:
What cities near Middletown, NJ are hiring for Remote Claims Processor jobs? Cities near Middletown, NJ with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Middletown, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $40,565 per year, or $19.5 per hour.

AVP Claims, Workers Compensation (Fully Remote)

NIP Group, Inc.

Woodbridge, NJ • Remote

$140K - $170K/yr

Other

Medical, Dental, Vision, Life, PTO

Re-posted 2 days ago

Job description

Position Description: Who We Are
NIP Group www.nipgroup.com is a rapidly growing insurance service provider of specialty programs for commercial insurance brokers and carriers providing underwriting, distribution, product management, administration, and risk management services primarily by acting as a managing underwriter (MGA) and a Reciprocal Services Manager (RSM).
Our culture is one that empowers and encourages employees to be innovative, collaborative, and forward-thinking. If you are interested in being a part of a growing, entrepreneurial spirited organization, we’d love to hear from you!About the PositionWe’re seeking an experienced and results-driven Associate Vice President, Claims – Workers Compensation to provide oversight, administration, and successful management of multiple Third Party Administrators (TPAs) handling workers’ compensation claims on behalf of NIP clientele.This role is critical to ensuring best-in-class claim outcomes through strong technical direction, quality assurance, TPA oversight, and strategic collaboration across internal partners and external stakeholders. You’ll help drive best practices that reduce the total cost of claim while delivering exceptional client service.This position reports to the VP, Claims – Public Entity and requires minimal travel.What You’ll DoAssist in directing the workers’ compensation claims management process, ensuring execution of best practices to reduce total claim costs while maintaining high client service standards. Provide technical direction to TPA workers’ compensation adjusters on significant claims, complex compensability issues, and occasional coverage matters. Manage quality assurance programs to evaluate TPAs and defense panels for adherence to claims handling standards. Ensure case reserves align with NIP operational guidelines and reserve philosophy. Directly oversee TPA activities on workers’ compensation claims and ensure claim handling consistency across programs. Analyze claims results relative to established objectives; report key findings and recommend remedial actions where necessary. Participate with TPA leadership in evaluating panel counsel performance; recommend additions or removals of counsel when appropriate. Provide technical support to internal business partners, including underwriting and loss prevention teams. Build strong relationships with excess carriers to ensure timely reporting, appropriate claim escalation, and authorization within excess layers. Develop and deliver presentations for internal and external audiences on individual claims, New Jersey workers’ compensation law updates, claim practices, and industry trends. What We’re Looking ForEducation & CredentialsBachelor’s degree required, or equivalent relevant work experience. Experience7+ years of claim management experience. 10+ years of administering Workers’ Compensation claims for an insurance carrier, TPA, or risk management provider. Experience with various workers’ compensation claim systems strongly preferred. Skills & CompetenciesAdvanced knowledge of state workers’ compensation claims systems and applicable statutes, including cost containment mechanisms. Strong understanding of insurance contracts and adjusting practices; familiarity with medical terminology, legal procedures, and claim evaluation. Ability to make sound decisions, including in situations with limited information. Strong planning, organizational, and time management capabilities. Strong communication skills and ability to partner effectively across teams and leadership levels. Proficiency in Microsoft Office (Word, Excel, PowerPoint). What You'll Receive
At NIP Group, we recognize there are many factors that contribute to your overall satisfaction both at work, and in your personal life. For that reason, we provide a perfect mix of compensation, benefits, company culture, and resources to ensure your everyday happiness. Below are some benefits that you’ll receive.
Competitive compensation to reward you for your hard work every day.
Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
Discounts in retail and entertainment.

$140,000.00 - $170,000.00 Annually

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