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

ibex

Healthcare Benefits Representative

Pittsburgh, PA · Remote

$16.50 - $19.75/hr

Accurately process enrollments and update member information * Troubleshoot and resolve customer ... Enrollment or claims support experience * Previous remote work experience Eligible States: This ...

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Remote Claims Processor information

See Pittsburgh, PA salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote claims processor in Pittsburgh, PA is $17.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.33 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 are popular job titles related to Remote Claims Processor jobs in Pittsburgh, PA? For Remote Claims Processor jobs in Pittsburgh, PA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Pittsburgh, PA look for? The top searched job categories for Remote Claims Processor jobs in Pittsburgh, PA are:
What cities near Pittsburgh, PA are hiring for Remote Claims Processor jobs? Cities near Pittsburgh, PA with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Pittsburgh, PA as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $37,249 per year, or $17.9 per hour.
Senior Claims Adjuster Workers Compensation - NJ/PA

Senior Claims Adjuster Workers Compensation - NJ/PA

Gallagher

Pittsburgh, PA • Remote

$64K - $83K/yr

Full-time

Posted 19 days ago

Arthur J. Gallagher & Co. rating

7.7

Company rating: 7.7 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

198th of 299 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview
  • Jurisdictions: NJ PA
  • Licenses: Must have state license or reciprocal.
  • Location: This role is fully remote work.

How you'll make an impact
  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.

About You

As a key member of our experienced Claims Adjuster team, you will: 

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.


Ideal candidates for this position will have:
• Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.
• Jurisdictional Experience: NJ, PA
• Active Adjusters' licenses: Must have state license or reciprocal.

REQUIRED QUALIFICATIONS:
• High School Diploma.
• Minimum of 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.


DESIRED:
• Bachelor's Degree

#LI-Remote

#LI-AB2

Qualifications:

As a key member of our experienced Claims Adjuster team, you will: 

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.


Ideal candidates for this position will have:
• Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.
• Jurisdictional Experience: NJ, PA
• Active Adjusters' licenses: Must have state license or reciprocal.

REQUIRED QUALIFICATIONS:
• High School Diploma.
• Minimum of 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.


DESIRED:
• Bachelor's Degree

#LI-Remote

#LI-AB2

Education:UNAVAILABLEEmployment Type: FULL_TIME

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