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Remote Claims Processor Jobs in Pompano Beach, FL

Coral Connect LLC

Collections Specialist

Boca Raton, FL · On-site +1

$17.50 - $23.75/hr

This role focuses on specialty pharmacy and infusion claims, requiring a strong understanding of ... Strong understanding of payer guidelines, appeals processes, and denial management * Experience ...

Coral Connect LLC

Collections Specialist

Boca Raton, FL · Remote

$17.50 - $23.75/hr

This role focuses on specialty pharmacy and infusion claims, requiring a strong understanding of ... Strong understanding of payer guidelines, appeals processes, and denial management * Experience ...

USAA

Trial Attorney (Subrogation)

Plantation, FL · On-site +1

$114K - $218K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Claims and Claims Litigation regarding changes in law, litigation and/or and other processes.

Office Depot

Furniture Project Specialist

Boca Raton, FL · On-site +1

$65K/yr

... and remote one day per week (Friday). The Furniture Project Specialist is responsible for all ... claims process for warranty issues; and tracking proof of deliveries. * Participate in project ...

NRG MGMT LLC

Collections Specialist

Lake Worth, FL · On-site +1

$16.50 - $22.25/hr

... processes. Knowledge of insurance claims, EOBs, ERAs, denials, appeals, and reimbursement ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...

The Hartford

Customer Care Representative

Sunrise, FL · Remote

$25/hr

CRS I Claims - CQ10AN We're determined to make a difference and are proud to be an insurance ... This role will have a 100% Remote Work arrangement. However, to broaden career growth ...

New

Jobot

Construction Litigation Attorney

Boca Raton, FL · On-site +1

$150K - $225K/yr

Remote work Job Details ----- Construction Litigation Attorney We're seeking an experienced ... Handle all aspects of construction litigation, including contract disputes, defect claims, lien ...

Dane Street, LLC

Project Manager

West Palm Beach, FL · Remote

... remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims ...

Dane Street, LLC

Project Manager

West Palm Beach, FL · Remote

... remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims ...

Dane Street, LLC

Project Manager

West Palm Beach, FL · On-site +1

... remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Pompano Beach, FL

Remote Claims Processor information

See Pompano Beach, FL salary details

$11

$18

$24

How much do remote claims processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims processor in Pompano Beach, FL is $18.03, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.47 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

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For Remote Claims Processor jobs in Pompano Beach, FL, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Pompano Beach, FL look for?

The top searched job categories for Remote Claims Processor jobs in Pompano Beach, FL are:

What cities near Pompano Beach, FL are hiring for Remote Claims Processor jobs?

Cities near Pompano Beach, FL with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Pompano Beach, FL as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $37,509 per year, or $18 per hour.

Member Service Support Specialist (Remote)

NationsBenefits, LLC

Plantation, FL • Remote

Full-time

Medical

Posted 13 days ago

NationsBenefits rating

6.6

Company rating: 6.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

312th of 492 rated business services

Job description

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

Purpose

The Member Services Representative is responsible for handling routine member and provider inquiries regarding benefits, claims, eligibility, and general health plan information. This role requires a working knowledge of health plan systems, products, policies, procedures, and departmental functions to effectively assist members and providers while delivering excellent customer service.

Essential Functions

Answer inbound calls from members and providers regarding health plan benefits, claims, eligibility, and general inquiries.

Research, locate, and provide accurate information while ensuring a positive customer experience.

Resolve member service issues by identifying concerns, researching solutions, implementing appropriate resolutions, and escalating complex issues when necessary.

Review and analyze claims to identify key elements and processing requirements based on diagnosis codes, procedures, provider information, medical policies, contracts, and established polices and procedures.

Educate members and providers on benefits, coverage, and health plan processes.

Identify members who may benefit from care management or managed care interventions and collaborate with clinical staff to facilitate appropriate services.

Document all interactions accurately and thoroughly in accordance with company policies and regulatory requirements.

Maintain compliance with HIPAA and all applicable healthcare regulations.

Meet productivity, quality, attendance, and customer satisfaction standards.

Knowledge, Skills, and Abilities

Strong computer and data entry skills.

Previous call center or customer service experience preferred.

Working knowledge of Medicare and Medicaid programs preferred.

Excellent verbal and written communication skills.

Strong problem-solving and critical-thinking abilities.

Ability to multitask and navigate multiple systems simultaneously.

Attention to detail and commitment to accuracy.

Ability to work independently and as part of a team.

Professional demeanor with a strong focus on customer satisfaction.

Education and Experience

High School Diploma or GED required.

Minimum of one (1) year of customer service or call center experience preferred.

Healthcare, insurance, Medicare, or Medicaid experience preferred.

What NationsBenefits employees say

Pay

Benefits

Hours and flexibility

Workplace

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